Titre : | Beyond needle sharing: meta-analyses of social context risk behaviors of injection drug users attending needle exchange programs (2006) |
Auteurs : | K. KSOBIECH |
Type de document : | Article : Périodique |
Dans : | Substance Use and Misuse (Vol.41, n°10-12, 2006) |
Article en page(s) : | 1379-1394 |
Note générale : | Substance Use and Misuse, 2006, 41, (10-12), 1379-1394 |
Langues: | Anglais |
Discipline : | PRE (Prévention - RdRD / Prevention - Harm reduction) |
Mots-clés : |
Thésaurus mots-clés REDUCTION DES RISQUES ET DES DOMMAGES ; ECHANGE DE SERINGUES ; CONDUITE A RISQUE ; USAGER ; INJECTION ; MOTIVATIONThésaurus géographique ETATS-UNIS |
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) |
Domaine : | Drogues illicites / Illicit drugs |
Sous-type de document : | Méta-analyse / Meta-analysis |
Affiliation : | Advertising and Public Relations, Diederich College of Communication, Marquette University, Etats-Unis. United States. |
Centre Emetteur : | 13 OFDT |
Cote : | Abonnement |
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