Historique
Périodique
Incarceration, addiction and harm reduction : inmates experience injecting drugs in prison
(Incarcération, addiction et réduction des risques d'injection de drogues en prison : l'expérience des détenus)
Auteur(s) :
W. SMALL ;
KAIN S. ;
LALIBERTE N. ;
M. T. SCHECHTER ;
M. V. O'SHAUGHNESSY ;
P. M. SPITTAL
Article en page(s) :
831-843
Refs biblio. :
32
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
SAN (Santé publique / Public health)
Thésaurus mots-clés
PRISON
;
INCARCERATION
;
CONDUITE A RISQUE
;
SANTE
;
INJECTION
;
VIH
;
REDUCTION DES RISQUES ET DES DOMMAGES
Thésaurus géographique
CANADA
Note générale :
Substance Use and Misuse, 2005, 40, (6), 831-843
Résumé :
ENGLISH :
Within Canadian prisons HIV/AIDS is becoming more common among inmates. While injection drug use in correctional facilities is documented to be a problem, qualitative research into the HIV risks faced inmates is lacking. The goal of this research was to qualitatively examine HIV risk associated wth injecting inside British Columbia prisons. A sample of 26 former male inmates who had recently used drugs within correctional facilities were recruited from a ongoing cohort study of injection drug users in Vancouver, Canada. Data for this study were collected through in-depth interviews conducted in 2001/2002. Analysis of these data involved identifying emergent themes and then exploring these central concepts in further interviews to confirm the accuracy of interpretation. The harms normally associated with drug addiction, and injection drug use are exacerbated in prison. Interpersonnal relationships and the possession of exchangeable ressources determine access to scarce syringes. The scaricity of seringes has resulted in patterns of sharing amongst large numbers of persons. Continual reuse of scarce syringes poses serious health hazards and bleach distribution is an inadequate solution. The findings of this study emphasize the need for effective harm reduction programs that provide an appropriate response to the problem of injection drug use among inmates. (Editor's abstract.)
ENGLISH :
Within Canadian prisons HIV/AIDS is becoming more common among inmates. While injection drug use in correctional facilities is documented to be a problem, qualitative research into the HIV risks faced inmates is lacking. The goal of this research was to qualitatively examine HIV risk associated wth injecting inside British Columbia prisons. A sample of 26 former male inmates who had recently used drugs within correctional facilities were recruited from a ongoing cohort study of injection drug users in Vancouver, Canada. Data for this study were collected through in-depth interviews conducted in 2001/2002. Analysis of these data involved identifying emergent themes and then exploring these central concepts in further interviews to confirm the accuracy of interpretation. The harms normally associated with drug addiction, and injection drug use are exacerbated in prison. Interpersonnal relationships and the possession of exchangeable ressources determine access to scarce syringes. The scaricity of seringes has resulted in patterns of sharing amongst large numbers of persons. Continual reuse of scarce syringes poses serious health hazards and bleach distribution is an inadequate solution. The findings of this study emphasize the need for effective harm reduction programs that provide an appropriate response to the problem of injection drug use among inmates. (Editor's abstract.)
Affiliation :
VIDUS Project, BC Centre for Excellence in HIV/AIDS, 215 Dunlevy St., Vancouver, BC, V6A 3A5. E-mail : wsmallcfenet.ubc.ca
Canada. Canada.
Canada. Canada.
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