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Acceptability of low dead space syringes and implications for their introduction: A qualitative study in the West of England / J. M. KESTEN ; R. AYRES ; J. NEALE ; J. CLARK ; P. VICKERMAN ; M. HICKMAN ; S. REDWOOD in International Journal of Drug Policy, Vol.39 (January 2017)
in International Journal of Drug Policy > Vol.39 (January 2017) . - 99-108
Titre : Acceptability of low dead space syringes and implications for their introduction: A qualitative study in the West of England Type de document : Périodique Auteurs : J. M. KESTEN ; R. AYRES ; J. NEALE ; J. CLARK ; P. VICKERMAN ; M. HICKMAN ; S. REDWOOD Année de publication : 2017 Article en page(s) : 99-108 Langues : Anglais Mots-clés : Thésaurus Géographique
ANGLETERRE ; ROYAUME-UNI
ETUDE QUALITATIVE ; SERINGUE ; MATERIEL D'INJECTION ; REDUCTION DES RISQUES ; USAGER
Mots-clés : acceptabilité Discipline : SHS Sciences humaines et sociales / Human and social sciences Domaine : Drogues illicites / Illicit drugs Résumé : Background: It is recommended that needle and syringe programmes (NSP) distribute low dead space syringes (LDSS) to reduce blood-borne virus transmission. We explored the acceptability of detachable LDSS among people who inject drugs (PWID) and staff who work to support them.
Methods: Semi-structured interviews were performed with 23 PWID (15 men and 8 women) and 13 NSP staff members (6 men and 7 women) in Bath and Bristol, England. Recruited PWID reflected varying demographic characteristics, drug use and injecting preferences. Interviews explored experiences of different types of injecting equipment, facilitators and barriers of changing this equipment and attitudes towards detachable LDSS. Interviews were audio recorded, transcribed verbatim and analysed using the Framework Method.
Results: Decisions about injecting practices were underpinned by several factors, including early experiences and peer initiation; awareness and availability of alternatives; and the ability to inject successfully. Rinsing and re-using syringes represented a quandary where rinsing could encourage re-use, but not rinsing could result in the re-use of unclean equipment. Most PWID were reluctant to change equipment particularly in the absence of any problems injecting. Prioritising getting a 'hit' over the prevention of potential problems was an important barrier to change. Overall detachable LDSS are likely to be acceptable. Lower risk of transferring infections and reduced drug wastage were valued benefits of detachable LDSS. There was a preference for a gradual introduction of detachable LDSS in which PWID are given an opportunity to try the new equipment alongside their usual equipment.
Conclusion: Detachable LDSS are likely to be acceptable and should therefore be offered to those using detachable high dead space syringes and/or fixed 1 ml LDSS syringes to inject into deeper femoral veins. An intervention is needed to support their introduction with 'training', 'education', 'persuasion' and eventual 'restriction' components.
Affiliation : NIHR Collaboration for Leadership in Applied Health Research and Care West (NIHR CLAHRC West) at University Hospitals Bristol NHS Foundation Trust, UK Cote : Abonnement Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=78505[article]Acquiring hepatitis C in prison: the social organisation of injecting risk / C. TRELOAR ; L. MCCREDIE ; A. R. LLOYD in Harm Reduction Journal, Vol.12, n°10 (2015)
in Harm Reduction Journal > Vol.12, n°10 (2015) . - 7 p.
Titre : Acquiring hepatitis C in prison: the social organisation of injecting risk Type de document : Périodique Auteurs : C. TRELOAR ; L. MCCREDIE ; A. R. LLOYD Année de publication : 2015 Article en page(s) : 7 p. Langues : Anglais Mots-clés : Thésaurus Géographique
HEPATITE ; PRISON ; INJECTION ; CONTAMINATION ; REDUCTION DES RISQUES ; ETUDE QUALITATIVE ; PARTAGE DE SERINGUE ; HYGIENE ; DIAGNOSTIC
Discipline : MAL Maladies infectieuses / Infectious diseases Domaine : Drogues illicites / Illicit drugs Résumé : AIM: The potential for transmission of hepatitis C virus (HCV) in prison settings is well established and directly associated with sharing of injecting and tattooing equipment, as well as physical violence. This study is one of the first to examine the circumstances surrounding the acquisition of HCV in the prison setting via inmates' own accounts.
METHOD: This is a sub-study of a cohort of prison inmates in New South Wales, Australia. Cohort participants were inmates who had reported ever injecting drugs and who had a negative HCV serological test within 12 months prior to enrolment. Cohort participants were monitored every 3 to 6 months for HCV antibodies and viraemia and via behavioural risk practices questionnaire. Participants with a documented HCV seroconversion were eligible to participate in in-depth interviews with a research nurse known to them.
RESULTS: Participants included six inmates (four men, two women) with documented within-prison HCV seroconversion. Participants reported few changes to their injecting practices or circumstances that they attributed to HCV acquisition. Participants believed that they were sharing syringes with others who were HCV negative and trusted that others would have declared their HCV status if positive. Some participants described cleaning equipment with water, but not with disinfectant. In a departure from usual routine, one participant suggested that he may have acquired HCV as a result of using a syringe pre-loaded with drugs that was given to him in return for lending a syringe to another inmate. Participants described regret at acquiring HCV and noted a number of pre- and post-release plans that this diagnosis impacted upon.
CONCLUSIONS: Acquiring hepatitis C was not a neutral experience of participants but generated significant emotional reactions for some. Decisions to share injecting equipment were influenced by participants' assumptions of the HCV status of their injecting partners. The social organisation of injecting, in trusted networks, is a challenge for HCV prevention programs and requires additional research.
Refs biblio. : 37 Affiliation : Centre for Social Research in Health, UNSW Australia, Sydney, NSW, Australia Lien : http://dx.doi.org/10.1186/s12954-015-0045-2 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=76844[article]Addiction and sociality: Perspectives from methamphetamine users in suburban USA / P. BOSHEARS ; M. BOERI ; L. HARBRY in Addiction Research and Theory, Vol.19, n°4 (August 2011)
in Addiction Research and Theory > Vol.19, n°4 (August 2011) . - 289-301
Titre : Addiction and sociality: Perspectives from methamphetamine users in suburban USA Type de document : Périodique Auteurs : P. BOSHEARS ; M. BOERI ; L. HARBRY Année de publication : 2011 Article en page(s) : 289-301 Langues : Anglais Mots-clés : Thésaurus Géographique
METHAMPHETAMINE ; ETUDE QUALITATIVE ; SOCIABILITE ; TRAJECTOIRE ; SOCIOLOGIE ; MODELE ; MILIEU SOCIOCULTUREL ; GUERISON ; RECHUTE
Discipline : SHS Sciences humaines et sociales / Human and social sciences Domaine : Drogues illicites / Illicit drugs Résumé : This article contributes to a growing body of literature that emphasizes the social nature of drug use, abuse and addiction. Current discourses of addiction tend to focus on the individual while limiting attention on the social environment and the role of sociality. We seek to contribute a more intuitive, insiders’ perspective of the drug trajectory and a broader conceptualization of addiction. Drawing from our qualitative study on 100 current and former methamphetamine users in the suburbs of Atlanta, Georgia (USA), we examined the trajectories of methamphetamine use to provide greater insight on what influences drug initiation, progression, cessation and relapse from the users’ perspective. Findings show that the entire drug trajectory is intertwined with, and impacted by, sociality for the majority of drug users in our sample. Moreover, the findings of our study increase our understanding of multiple routes to recovery. We join the call for greater attention to drug use and addiction as a social behavior and future research that focuses more on the role of sociality among drug users. Affiliation : Department of Sociology and Criminal Justice, Kennesaw State University, Kennesaw, GA, USA Lien : http://informahealthcare.com/doi/abs/10.3109/16066359.2011.566654 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=67192[article]Addiction research methods / P. G. MILLER ; J. STRANG ; P. M. MILLER
Titre : Addiction research methods Type de document : Livre Auteurs : P. G. MILLER ; J. STRANG ; P. M. MILLER, Editeur scientifique Année de publication : 2010 Editeur : Wiley-Blackwell Importance : 386 p. Présentation : index, graph., tabl. ISBN/ISSN/EAN : 978-1-4051-7663-7 Langues : Anglais Mots-clés : Thésaurus TOXIBASE
RECHERCHE ; METHODE ; VALIDITE ; FIABILITE ; THEORIE ; ETUDE QUALITATIVE ; ETHIQUE ; ALCOOL ; PRODUIT ILLICITE ; ENQUETE ; QUESTIONNAIRE ; ENTRETIEN ; ECHELLE D'EVALUATION ; DEPISTAGE ; MESURES QUANTITATIVES ; BIOLOGIE ; IMAGERIE MEDICALE ; GENETIQUE ; PHARMACOLOGIE ; MODELE ANIMAL ; ETHNOGRAPHIE ; EPIDEMIOLOGIE ; SURVEILLANCE EPIDEMIOLOGIQUE ; POLITIQUE
Discipline : SAN Santé publique / Public health Domaine : Plusieurs produits / Several products Résumé : "Addiction research methods" is a comprehensive handbook for health professionals, policy-makers and researchers working and training in the field of addiction.
The book provides a clear, comprehensive and practical guide to research design, methods and analysis within the context of the field of alcohol and other drugs. The reader is introduced to fundamental principles and key issues; and is orientated to available sources of information and key literature.
Written by a team of internationally acclaimed contributors, the book is divided into six major sections: Introduction; Research design; Basic toolbox; Biological models; Specialist methods; and analytical methods. Each chapter offers an introduction to the background and development of the discipline in question, it's key features and applications, how it compares to other methods/analyses and its advantages and limitations.
List of useful websites and assistive technology
Case study examples
List of useful hermeneutics
Recommended reading list
Contains exercises to help the reader to develop their skills.
Note de contenu : 1. Introduction
Section I: Research Fundamentals
2. Reliability and validity (Gerhard Bühringer and Monika Sassen)
3. Sampling strategies for addiction research (Lisa Kakinami and Kenneth R. Conner)
4. Experimental design issues in addiction research (Robert West)
5. Qualitative methods and theory in addictions research (Tim Rhodes and Ross Coomber)
6. Ethical issues in alcohol, other drugs and addiction-related research (Peter G. Miller, Adrian Carter and Wayne Hall)
Section II: Basic Toolbox
7. Surveys and questionnaire design (Lorraine T. Midanik and Krista Drescher-Burke)
8. Interviews (Barbara S. McCrady, Benjamin Ladd, Leah Vermont and Julie Steele)
9. Scales for research in the addictions (Shane Darke)
10. Biomarkers of alcohol and other drug use (Scott H. Stewart, Anton Goldmann, Tim Neumann and Claudia Spies)
11. Quantitative data analysis (Jim Lemon, Louisa Degenhardt, Tim Slade and Katherine Mills)
Section III: Real World Research Methods
12. Applied research methods (David Best and Ed Day)
13. Conducting clinical research (Jalie A. Tucker and Cathy A. Simpson)
Section IV: Biological Methods
14. Psychopharmacology (Jason White and Nick Lintzeris)
15. Imaging (Alastair Reid and David Nutt)
16. Genes, genetics, genomics and epigenetics (David Ball and Irene Guerrini)
17. Animal models (Leigh V. Panlilio, Charles W. Schindler and Steven R. Goldberg)
Section V: Specialist Methods
18. Understanding contexts: Methods and analysis in ethnographic research on drugs (Jeremy Northcote and David Moore)
19. Epidemiology (Mark Stoové and Paul Dietze)
20. Meta-analysis: Summarising findings on addiction intervention effects (John W. Finney and Anne Moyer)
21. Drug trend monitoring (Paul Griffiths and Jane Mounteney)
22. Drug policy research (Jonathan P. Caulkins and Rosalie Liccardo Pacula)
Section VI: Beyond Research
23. Concluding remarks (Peter G. Miller, John Strang and Peter M. Miller)
Sous-type de document : Méta-analyse / Meta-analysis Affiliation : School of Psychology, Deakin University, Australia / Australie National Addiction Centre, University of London, United Kingdom / Royaume-Uni Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, United States / Etats-Unis Cote : L01404 Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=64184Adolescent and young adult heroin and non heroin users: a quantitative and qualitative study of experiences in a therapeutic community / P. D. PERRY
Titre : Adolescent and young adult heroin and non heroin users: a quantitative and qualitative study of experiences in a therapeutic community Type de document : Périodique Auteurs : P. D. PERRY ; T. L. HEDGES DUROY Année de publication : 2004 Importance : 75-84 Présentation : tabl. Note générale : Journal of Psychoactive Drugs, 2004, 36, (1), 75-84 Langues : Anglais Mots-clés : Thésaurus TOXIBASE
ADOLESCENT ; ADULTE JEUNE ; HEROINE ; COMMUNAUTE THERAPEUTIQUE ; EFFICACITE ; ETUDE QUALITATIVE ; MESURES QUANTITATIVES ; USAGER ; ABSTINENCE
Discipline : TRA Traitement et prise en charge / Treatment and care Domaine : Drogues illicites / Illicit drugs Résumé : Admissions to treatment for heroin abuse have increased in recent years among the adolescent and young adult population, yet few studies have described whether, and to what extent, young heroin users differ from their non heroin-using peers. This exploratory study presents quantitative and qualitative data obtained from lifetime heroin and non heroin-using adolescents and young adults in a long-term, step-down therapeutic community. Self-report data from the Global Appraisal of Individual Needs (GAIN) were obtained from 22 lifetime heroin and 33 non heroin users on admission to residential treatment and 12 months later. Ethnographic interviews (n = 27) were conducted with heroin users at all stages of treatment. Results indicate that lifetime heroin users had greater polysubstance use and lower self-efficacy scores (i.e., confidence to resist relapse) on admission to treatment than non heroin users, and though improved, heroin users' self-efficacy scores remained lower than those of non heroin users at the 12 month follow-up. Ethnographic data suggested that adolescents who had used heroin "hit bottom" before entering treatment and credited treatment with providing the opportunity to change their lives. The overall comparability of treatment outcomes between the heroin and non heroin using groups shows that adolescents and young adult heroin users can achieve similar outcomes in an age-appropriate therapeutic community treatment setting. Refs biblio. : 35 Affiliation : NYS Office of Alcoholism and Substance Abuse Services, Research Foundation for Mental Hygiene, Inc., Albany, NY, USA Numéro Toxibase : 102526 Cote : Abonnement Permalink : http://bdoc.ofdt.fr/index.php?lvl=notice_display&id=18594Adolescents' perceptions of risks and benefits of conventional cigarettes, e-cigarettes, and marijuana: A qualitative analysis / M. L. RODITIS ; B. HALPERN-FELSHER in Journal of Adolescent Health, Vol.57, n°2 (August 2015)PermalinkAdos et prises de risques... Quelles actions de communication pour les sensibiliser aux dangers du tabac, de l'alcool, de la route, etc. ? / R. CAMOUSPermalinkAgir sur un marché contesté. Une sociologie politique du groupe professionnel des débitants de tabac / C. FRAUPermalinkAlcool et grossesse en France : une nouvelle enquête à partir des forums Internet en 2009-2010 / S. TOUTAIN in Alcoologie et Addictologie, Tome 33, n°3 (Septembre 2011)PermalinkAlcool et grossesse : une recherche qualitative auprès de femmes enceintes / J. BRAHIC ; O. THOMAS ; L. DANY in Cahiers Internationaux de Psychologie Sociale (Les), n°107 (2015)PermalinkAlcool et rugby : Anatomie d'une « déviance institutionnalisée » / C. BONNET ; Y. DALLA PRIA ; J. M. CHAMOT in Cahiers Internationaux de Psychologie Sociale (Les), n°107 (2015)PermalinkAlways a junkie? The arduous task of getting off methadone maintenance / M. ROSENBAUM ; S. MURPHY in Journal of Drug Issues, Vol.14, n°3 (1984)PermalinkAn exploratory study of drinkers views of health information and warning labels on alcohol containers / L. M. THOMSON ; B. VANDENBERG ; J. L. FITZGERALD in Drug and Alcohol Review, Vol.31, n°2 (March 2012)PermalinkAn Internet study of user's experiences of the synthetic cathinone 4-methylethcathinone (4-MEC) / M. C. VAN HOUT in Journal of Psychoactive Drugs, Vol.46, n°4 (September-October 2014)PermalinkAnalyse des données qualitatives. 2e édition / M. B. MILES ; A. M. HUBERMANPermalink