Historique
Article de Périodique
Beyond needle sharing: meta-analyses of social context risk behaviors of injection drug users attending needle exchange programs (2006)
Auteur(s) :
K. KSOBIECH
Article en page(s) :
1379-1394
Sous-type de document :
Méta-analyse / Meta-analysis
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Thésaurus mots-clés
REDUCTION DES RISQUES ET DES DOMMAGES
;
ECHANGE DE SERINGUES
;
CONDUITE A RISQUE
;
USAGER
;
INJECTION
;
MOTIVATION
Thésaurus géographique
ETATS-UNIS
Note générale :
Substance Use and Misuse, 2006, 41, (10-12), 1379-1394
Résumé :
This study gathered data from U.S. and international needle exchange programs (NEPs). Of particular interest were outcome measures of dependent variables related to behaviors within social contexts of injection drug users (IDUs), an area not well understood. Thirty-one studies, with a total of 86 separate measures of 36 dependent variables were included. Because combining all results into a single meta-analysis would be inappropriate, dependent variables were placed into five categories for five separate meta-analyses: risky contexts, injection frequency, sharing drug paraphernalia, drug preparation, and syringe use. NEP attendance was inversely related to declines in all categorical behaviors except for "risky context." NEP attenders are slightly more likely to be in a risky circumstance when injecting drugs than non-attenders. While injection frequency declined only slightly among NEP attenders, that result may be interpreted as a positive outcome, given the often-stated criticism that providing clean needles encourages increased drug use. NEP use was weakly associated with a decrease in the sharing of drug paraphernalia. Clean needles alone do not appear to be sufficient motivation to motivate major changes in contextual risk behaviors analyzed herein. Research is needed to assess the impact of interpersonal IDU relationships with other stakeholders (clinic employees, van drivers, medical personnel, nutritionists, sexual partners, etc.) on IDU drug-using behaviors at many levels. (Author's abstract)
Affiliation :
Advertising and Public Relations, Diederich College of Communication, Marquette University, Etats-Unis. United States.