Shooting gallery attendance among IDUs in Tijuana and Ciudad Juarez, Mexico: Correlates, prevention opportunities, and the role of the environment

被引:41
作者
Philbin, Morgan [1 ]
Pollini, Robin A. [1 ]
Ramos, Rebecca [2 ]
Lozada, Remedios [3 ]
Brouwer, Kimberly C. [1 ]
Ramos, Maria Elena [4 ]
Firestone-Cruz, Michelle [1 ]
Case, Patricia [5 ]
Strathdee, Steffanie A. [1 ]
机构
[1] Univ Calif San Diego, Sch Med, Dept Family & Prevent Med, La Jolla, CA 92093 USA
[2] US Mexico Border Hlth Assoc, El Paso, TX USA
[3] Pro COMUSIDA, Tijuana, Baja California, Mexico
[4] Programa Companeros, Chihuahua, Mexico
[5] Fenway Commun Hlth, Fenway Inst, Boston, MA USA
关键词
HIV/AIDS; IDU; Mexico; shooting gallery;
D O I
10.1007/s10461-008-9372-6
中图分类号
R1 [预防医学、卫生学];
学科分类号
1004 ; 120402 ;
摘要
We identified factors associated with shooting gallery attendance among injection drug users (IDUs) in two Mexico-US border cities. IDUs in Tijuana (n = 222) and Ciudad Juarez (n = 205), Mexico, who were >= h18 years and injected illicit drugs in the last month were recruited using respondent-driven sampling (RDS). An interviewer-administered survey collected sociodemographic and behavioral data. Logistic regression was used to examine correlates of shooting gallery attendance in each of the two cities. Homelessness and being arrested for syringe possession - both structural level factors - were associated with shooting gallery use in both cities. In Ciudad Juarez, younger age and having overdosed were also associated with shooting gallery use. Our study highlights the need for structural interventions that mitigate homelessness among IDUs and facilitate changes in law enforcement practices associated with shooting gallery use. Harm reduction interventions based within shooting galleries should also be considered to prevent transmission of blood-borne pathogens among IDUs.
引用
收藏
页码:552 / 560
页数:9
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