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Article : Périodique
S. G. MARS ; P. BOURGOIS ; G. KARANDINOS ; F. MONTERO ; D. CICCARONE |This qualitative study documents the pathways to injecting heroin by users in Philadelphia and San Francisco before and during a pharmaceutical opioid pill epidemic. Data was collected through in-depth, semi-structured interviews (conducted betw[...]
Article : Périodique
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 [...]
Article : Périodique
The loss of functioning veins (venous sclerosis) is a root cause of suffering for long-term heroin injectors. In addition to perpetual frustration and loss of pleasure/esteem, venous sclerosis leads to myriad medical consequences including skin [...]
Article : Périodique
D. LEWER ; J. FREER ; E. KING ; S. LARNEY ; L. DEGENHARDT ; E. J. TWEED ; V. D. HOPE ; M. HARRIS ; T. MILLAR ; A. HAYWARD ; D. CICCARONE ; K. I. MORLEY |AIMS: To summarize evidence on the frequency and predictors of health-care utilization among people who use illicit drugs. DESIGN: Systematic search of MEDLINE, EMBASE and PsychINFO for observational studies reporting health-care utilization pub[...]
Article : Périodique
S. G. MARS ; J. N. FESSEL ; P. BOURGOIS ; F. MONTERO ; G. KARANDINOS ; D. CICCARONE |Heroin overdose, more accurately termed 'heroin-related overdose' due to the frequent involvement of other drugs, is the leading cause of mortality among regular heroin users. (Degenhardt et al., 2010) Heroin injectors are at greater risk of hos[...]
Article : Périodique
Heroin uncertainties: Exploring users' perceptions of fentanyl-adulterated and -substituted 'heroin'
Background: The US is experiencing an unprecedented opioid overdose epidemic fostered in recent years by regional contamination of the heroin supply with the fentanyl family of synthetic opioids. Since 2011 opioid-related overdose deaths in the [...]Nouveauté
![Illicit fentanyls in the opioid street market: desired or imposed? [Addiction debate]](https://bdoc.ofdt.fr/img_cache/586a3bcf41c23b526b9c9d9606de6b55.png)
Article : Périodique
Background: Illicitly manufactured fentanyl and its analogues are appearing in countries throughout the world, often disguised as heroin or counterfeit prescription pills, with resulting high overdose mortality. Possible explanations for this ph[...]
Article : Périodique
This commentary revisits the political turmoil and scientific controversy over epidemiological study findings linking high HIV seroincidence to syringe exchange attendance in Vancouver in the mid-1990s. The association was mobilized polemically [...]
Article : Périodique
Since 2001, heroin-related overdose deaths in the United States have risen six-fold, a rise unaccounted for by the expanding user population. Has heroin become a more dangerous drug? Reports of fentanyl and its analogs, often concealed in or sol[...]
Bulletin : Périodique
International Journal of Drug Policy, Vol.46 - August 2017 - Special section: US heroin in transition
D. CICCARONE, Éditeur scientifique | 2017
Article : Périodique
The high prevalence of stimulant abuse and its harmful consequences make the screening, diagnosis, and referral for treatment of persons with stimulant abuse a top concern for primary care providers. Having a working knowledge of use patterns, c[...]
Article : Périodique
There have been large structural changes in the US heroin market over the past 20 years. Colombian-sourced heroin entered the market in the mid-1990s, followed by a large fall in the price per pure gram and the exit of Asian heroin. By the 2000s[...]
Article : Périodique
BACKGROUND: The US has seen a rapid increase in synthetic opioid-related overdose deaths. We investigate Ohio, a state with one of the highest overdose death rates in 2017 and substantial numbers of deaths related to fentanyl, carfentanil, and o[...]
Article : Périodique
Background and Aims: Heroin-related overdose is linked to polydrug use, changes in physiological tolerance and social factors. Individual risk can also be influenced by the structural risk environment including the illicit drug market. We hypoth[...]
Article : Périodique
S. G. MARS ; P. BOURGOIS ; G. KARANDINOS ; F. MONTERO ; D. CICCARONE |Since the 1990s, U.S. heroin consumers have been divided from the full range of available products: east of the Mississippi River, Colombian-sourced powder heroin (PH) dominates the market while, to the west, Mexican-sourced "black tar" (BTH) is[...]
