Historique
Article de Périodique
The first hit: circumstances surrounding initiation into injecting (1996)
(Le premier coup : circonstances entourant l'initiation à l'injection)
Auteur(s) :
CROFTS, N. ;
LOUIE, R. ;
ROSENTHAL, D. ;
JOLLEY, D.
Année
1996
Page(s) :
1187-1196
Langue(s) :
Anglais
Refs biblio. :
12
Domaine :
Drogues illicites / Illicit drugs
Thésaurus mots-clés
INJECTION
;
TYPE D'USAGE
;
INITIATION
;
JEUNE
;
PAIR
;
SOCIAL
;
MILIEU SOCIOCULTUREL
;
FACTEUR DE RISQUE
Thésaurus géographique
AUSTRALIE
Résumé :
FRANÇAIS :
300 jeunes usagers de drogue par injection de Melbourne ont été interrogés par des pairs dans les premières années suivant le début de l'injection, sur les circonstances entourant leur initiation. La plupart présentaient des signes de rupture sociale. La première injection de drogue était le plus souvent des amphétamines (moyenne d'âge 16 ans), mais avec un glissement vers l'héroïne comme drogue de préférence. La plupart d'entre eux ont identifié une personne précise qui les avait initiés (certains étaient revendeurs) et plus de la moitié avaient par la suite initié d'autres personnes : au bout de 5 ans, 237 jeunes usagers en avaient initié 420 autres. Le principe de l'exemple en tant que phénomène communicatif peut permettre d'estimer la dynamique de population parmi les usagers de drogue par injection. Les programmes d'éducation destinés aux pairs semblent être l'approche de réduction des risques la plus efficace pour les nouveaux usagers de drogue par injection.
ENGLISH :
Initiation into injecting is a crucial event for continued reproduction of an injecting drug using (IDU) population and for exposure to blood-borne viruses, but little is known about how this happens. Three hundred young injectors were interviewed in Melbourne by peer workers within the first few years of beginning to inject, about the circumstances surrounding their initiation. Most had indications of social disruption, including having left school early, unemployment, family disruption, homelessness and incarceration. First drug injected was most often amphetamines (average age 16 years), most having already used amphetamines by a different route of administration, but with a steady movement thereafter to heroin as the drug of choice. The most common scenario was one in which injecting was unplanned but the person was active in bringing about the initiation. Most identified a significant other who initiated them (few of whom were dealers), and over half had subsequently initiated others into injecting, on average 0.6 per year; after 5 years 237 young injectors had initiated at least 420 others. Those who initiated multiple others were more likely to be unemployed, to inject multiple drugs and to have dealt. Modelling injecting as a communicable phenomenon, where appropriate, may help estimate population dynamics among IDUs. Peer education programmes are likely to be the most effective harm reduction approach among new injectors.
300 jeunes usagers de drogue par injection de Melbourne ont été interrogés par des pairs dans les premières années suivant le début de l'injection, sur les circonstances entourant leur initiation. La plupart présentaient des signes de rupture sociale. La première injection de drogue était le plus souvent des amphétamines (moyenne d'âge 16 ans), mais avec un glissement vers l'héroïne comme drogue de préférence. La plupart d'entre eux ont identifié une personne précise qui les avait initiés (certains étaient revendeurs) et plus de la moitié avaient par la suite initié d'autres personnes : au bout de 5 ans, 237 jeunes usagers en avaient initié 420 autres. Le principe de l'exemple en tant que phénomène communicatif peut permettre d'estimer la dynamique de population parmi les usagers de drogue par injection. Les programmes d'éducation destinés aux pairs semblent être l'approche de réduction des risques la plus efficace pour les nouveaux usagers de drogue par injection.
ENGLISH :
Initiation into injecting is a crucial event for continued reproduction of an injecting drug using (IDU) population and for exposure to blood-borne viruses, but little is known about how this happens. Three hundred young injectors were interviewed in Melbourne by peer workers within the first few years of beginning to inject, about the circumstances surrounding their initiation. Most had indications of social disruption, including having left school early, unemployment, family disruption, homelessness and incarceration. First drug injected was most often amphetamines (average age 16 years), most having already used amphetamines by a different route of administration, but with a steady movement thereafter to heroin as the drug of choice. The most common scenario was one in which injecting was unplanned but the person was active in bringing about the initiation. Most identified a significant other who initiated them (few of whom were dealers), and over half had subsequently initiated others into injecting, on average 0.6 per year; after 5 years 237 young injectors had initiated at least 420 others. Those who initiated multiple others were more likely to be unemployed, to inject multiple drugs and to have dealt. Modelling injecting as a communicable phenomenon, where appropriate, may help estimate population dynamics among IDUs. Peer education programmes are likely to be the most effective harm reduction approach among new injectors.
Affiliation :
Macfarlane Burnet Centre for Medical Research, Victoria, Australia