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Auteur G. DERTADIAN
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High risk injecting behaviour among people who inject pharmaceutical opioids in Australia / J. IVERSEN ; G. DERTADIAN ; L. GEDDES ; L. MAHER in International Journal of Drug Policy, Vol.42 (April 2017)
Titre : High risk injecting behaviour among people who inject pharmaceutical opioids in Australia Type de document : Périodique Auteurs : J. IVERSEN ; G. DERTADIAN ; L. GEDDES ; L. MAHER Année de publication : 2017 Article en page(s) : 1-6 Langues : Anglais (eng) Mots-clés : Thésaurus Géographique
INJECTION ; MEDICAMENTS ; OPIOIDES ; REDUCTION DES RISQUES ; CONDUITE A RISQUE ; ECHANGE DE SERINGUES ; ETUDE TRANSVERSALE
Discipline : EPI Epidémiologie / Epidemiology Résumé : Background: Use of opioid analgesic medicines has doubled globally over the past decade, with a concomitant increase in prevalence of injection of pharmaceutical opioids (PO), including in Australia. This study investigates types of PO injected, methods used to prepare PO for injection and correlates of recent (last 6 months) PO injection among a large national sample of people who inject drugs (PWID).
Methods: The Australian NSP Survey (ANSPS), conducted annually at ~50 NSP services across Australia, consists of a brief self-administered questionnaire and provision of a capillary dried blood spot for HIV and hepatitis C antibody testing. Data from 2014 were used to conduct univariable and multivariable logistic regression analysis to determine factors independently associated with recent injection of PO.
Results: Among 1488 ANSPS respondents who were identified as opioid injectors, 57% (n = 848) reported injection of PO in the previous six months. The majority of PO injectors (85%) reported filtering PO prior to injection, although use of efficacious wheel filters was relatively rare (11%). Correlates of POs injection included daily injection (AOR = 1.65, 95% CI 1.31-2.08), receptive sharing of syringes (AOR = 2.00, 95% CI 1.43-2.78), receptive sharing of drug preparation equipment (AOR = 1.55, 95% CI 1.19-2.01), drug overdose in the previous year (AOR = 1.81, 95% CI 1.36-2.42) and residence in inner regional (AOR = 3.27, 95% CI 2.21-5.23) or outer regional/remote (AOR = 5.50, 95% CI 3.42-8.84) areas of Australia.
Conclusion: PO injection is geographically widespread among Australian PWID and takes place in the context of poly-drug use. People who inject POs are at high risk of overdose, injection related injury and disease and blood borne viral infections. Harm reduction services that target this group, including in non-urban areas, should deliver health education regarding PO-specific overdose risks, the requirement to adequately filter PO before injection and to ensure that both naloxone and specialist pill filters are readily accessible.
Domaine : Drogues illicites / Illicit drugs Affiliation : Viral Hepatitis Epidemiology and Prevention Program, The Kirby Institute, UNSW Australia, Sydney, NSW, Australia Cote : Abonnement Permalink :
in International Journal of Drug Policy > Vol.42 (April 2017) . - 1-6[article]
Titre : Qualitative research Type de document : Périodique Auteurs : L. MAHER ; G. DERTADIAN Année de publication : 2018 Article en page(s) : 167-172 Langues : Anglais (eng) Mots-clés : Thésaurus TOXIBASE
HISTOIRE ; ETUDE QUALITATIVE ; SOCIOLOGIE ; ANTHROPOLOGIE ; RECHERCHE
Discipline : SHS Sciences humaines et sociales / Human and social sciences Résumé : Background and aims: This narrative review aims to highlight key insights from qualitative research on drug use and drug users by profiling a selection of classic works.
Methods: Consensus methods were used to identify and select four papers published in 1938, 1969, 1973 and 1984 considered to be classics.
Results: These landmark qualitative studies included the first account of addiction as a social process, demonstrating that people have meaningful responses to drug use that cannot be reduced to their pharmacological effects; the portrayal of inner-city heroin users as exacting, energetic and engaged social agents; identification of the interactive social learning processes involved in becoming a drug user; the application of the 'career' concept to understanding transitions and trajectories of drug use over time; and the articulation of a framework for understanding drug use that incorporates the interaction between pharmacology, psychology and social environments.
Conclusions: These classic sociological and anthropological studies deployed qualitative research methods to show how drug use is shaped by complex sets of factors situated within social contexts, viewing drug users as agents engaged actively in social processes and worlds. Their findings have been used to challenge stereotypes about drug use and drug users, develop a deeper understanding of drug use among hidden, hard-to-research and under-studied populations, and provide the foundations for significant developments in scientific knowledge about the nature of drug use. They continue to retain their relevance, providing important correctives to biomedical and behaviourist paradigms, reminding us that drug use is a social process, and demonstrating how the inductive approach of qualitative research can strengthen the way we understand and respond to drug use and related harms.
Domaine : Plusieurs produits / Several products Sous-type de document : Revue de la littérature / Literature review Refs biblio. : 53 Affiliation : Kirby Institute for Infection and Immunity, University of New South Wales Sydney, Sydney, Australia Cote : Abonnement Permalink :
in Addiction > Vol.113, n°1 (January 2018) . - 167-172[article]