Historique
Article de Périodique
Explaining the geographical variation of HIV among injection drug users in the United States (2003)
(Expliquer les variations géographiques du VIH chez les usagers de drogue par voie intraveineuse aux Etats-Unis)
Auteur(s) :
CICCARONE, D. ;
BOURGOIS, P.
Année
2003
Page(s) :
2049-2063
Langue(s) :
Français
Refs biblio. :
35
Domaine :
Drogues illicites / Illicit drugs
Discipline :
MAL (Maladies infectieuses / Infectious diseases)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
FACTEUR DE RISQUE
;
VIH
;
MATERIEL D'INJECTION
;
HEROINE
;
GEOGRAPHIE
;
ANALYSE CHIMIQUE
Note générale :
Substance Use and Misuse, 2003, 38, (14), 2049-2063
Note de contenu :
fig. ; tabl.
Résumé :
ENGLISH :
Distinct physical and chemical types of street heroin exist worldwide, but their impact on behavior and disease acquisition is not well understood or documented. This article presents a hypothesis to explain the unequal diffusion of HIV among injection drug users in the United States by examining the distribution and use of one type of heroin-"Mexican black tar." Drawing on ethnographic, clinical, epidemiological, and laboratory data, we suggest that the chemical properties of black tar heroin promote the following safer injection practices : (1) the rinsing of syringes with water to prevent clogging ; (2) the heating of cookers to promote dissolution ; and (3) a rapid transition from venous injection to subcutaneous or intramuscular injections. (Editor's abstract.)
Affiliation :
Urban Hlth. Study, Dept. Family and Community Medicine Dept. Anthropology, History and Social Med., Univ. CA, 3180 18th st, San Francisco, CA 94110. E-mail : ciccaronfcm.ucsf.edu
Etats-Unis. United States.
Etats-Unis. United States.
Cote :
Abonnement