scholarly journals The social determinants of emergency department and hospital use by injection drug users in Canada

1999 ◽  
Vol 76 (4) ◽  
pp. 409-418 ◽  
Author(s):  
Anita Palepu ◽  
Steffanie A. Strathdee ◽  
Robert S. Hogg ◽  
Aslam H. Anis ◽  
Sandra Rae ◽  
...  
2002 ◽  
Vol 13 (2) ◽  
pp. 137-144 ◽  
Author(s):  
Francisco Inácio Bastos ◽  
Maria de Fatima de Pina ◽  
Célia L. Szwarcwald

2002 ◽  
Vol 30 (4) ◽  
pp. 548-559 ◽  
Author(s):  
Kim M. Blankenship ◽  
Stephen Koester

In public health and the social sciences, there is growing recognition of the role that social context plays in determining health. Frequently, social relations of inequality are among the most important features of social context identified in this work, and emphasis is placed on identifying and addressing these inequalities in order to improve health. Within the field of HIV/AIDS prevention as well, researchers have begun to look beyond individuals for an understanding of the structural causes of HIV-related risk. This research demands that greater attention be paid to the social mechanisms and contextual factors that lead to HIV risk. Among these factors are law and social policy, which form a part of the context in which risk-taking occurs and which can promote both HIV transmission and prevention. On the one hand, laws limiting access to sterile injection equipment have contributed to HIV-related risk behavioxs among injection drug users (IDUS).


2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Karla D. Wagner ◽  
Jennifer Jackson Bloom ◽  
Susan Dodi Hathazi ◽  
Bill Sanders ◽  
Stephen E. Lankenau

Young female injection drug users (IDUs) are at risk for HIV/HCV, and initiating the use of a new drug may confer additional and unexpected risks. While gender differences in the social context of injection drug use have been identified, it is unknown whether those differences persist during the initiation of a new drug. This mixed-methods study examined the accounts of 30 young female IDUs in Los Angeles, CA, USA from 2004 to 2006, who described the social context of initiating injection drug use and initiating ketamine injection. The analysis aimed to understand how the social context of young women’s injection events contributes to HIV/HCV risk. Women’s initiation into ketamine injection occurred approximately 2 years after their first injection of any drug. Over that time, women experienced changes in some aspects of the social context of drug injection, including the size and composition of the using group. A significant proportion of women described injection events characterized by a lack of control over the acquisition, preparation, and injection of drugs, as well as reliance on friends and sexual partners. Findings suggest that lack of control over drug acquisition, preparation, and injection may elevate women’s risk; these phenomena should be considered as a behavioral risk factor when designing interventions.


Addiction ◽  
1997 ◽  
Vol 92 (10) ◽  
pp. 1339-1347 ◽  
Author(s):  
STEFFANIE A. STRATHDEE ◽  
DAVID M. PATRICK ◽  
CHRISTOPHER P. ARCHIBALD ◽  
MARIANNA OFNER ◽  
PETER G. A. CORNELISSE ◽  
...  

2005 ◽  
Vol 27 (1) ◽  
pp. 62-66 ◽  
Author(s):  
T. Kerr ◽  
E. Wood ◽  
E. Grafstein ◽  
T. Ishida ◽  
K. Shannon ◽  
...  

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