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High dead-space syringe use among people who inject drugs in Tijuana, Mexico

dc.creatorRafful, Claudia
dc.creatorZule, William
dc.creatorGonzález-Zúñiga, Patricia E.
dc.creatorWerb, Dan
dc.creatorMedina-Mora, María Elena
dc.creatorMagis-Rodriguez, Carlos
dc.creatorStrathdee, Strathdee A.
dc.date.accessioned2017-06-29T03:52:17Z
dc.date.available2017-06-29T03:52:17Z
dc.date.issued2015es_ES
dc.identifier2747es_ES
dc.identifier.issn0095-2990es_ES
dc.identifier.urihttps://doi.org/10.3109/00952990.2015.1011742es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/4596
dc.description.abstractes_ES
dc.language.isoenges_ES
dc.publisherLondon : Informa Healthcarees_ES
dc.relation41 (3) 220-225 p.es_ES
dc.relationversión del editores_ES
dc.rightsacceso cerradoes_ES
dc.subject.meshAdultes_ES
dc.subject.meshDrug Userses_ES
dc.subject.meshFemalees_ES
dc.subject.meshHumanses_ES
dc.subject.meshMalees_ES
dc.subject.meshMexicoes_ES
dc.subject.meshMiddle Agedes_ES
dc.subject.meshNeedle Sharinges_ES
dc.subject.meshNeedle-Exchange Programses_ES
dc.subject.meshPrevalencees_ES
dc.subject.meshProspective Studieses_ES
dc.subject.meshRisk-Takinges_ES
dc.subject.meshSubstance Abuse, Intravenous/epidemiologyes_ES
dc.subject.meshSyringeses_ES
dc.titleHigh dead-space syringe use among people who inject drugs in Tijuana, Mexicoes_ES
dc.title.alternativees_ES
dc.typeartículoes_ES
dc.contributor.affiliationUniversity of California , San Diego, La Jolla, CA .es_ES
dc.contributor.emailsstrathdee@ucsd.edues_ES
dc.relation.jnabreviadoAM J DRUG ALCOHOL ABUSEes_ES
dc.relation.journalThe American Journal of Drug and Alcohol Abusees_ES
dc.identifier.placeInglaterraes_ES
dc.date.published2015es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1097-9891es_ES
dc.identifier.doi10.3109/00952990.2015.1011742es_ES
dc.description.monthMayes_ES
dc.description.abstractotrodiomaBackground: High dead-space syringes (HDSS) are believed to confer an elevated risk of acquiring HIV and other blood-borne infections. Objectives: We identified prevalence and correlates of HDSS use among injection drug users (IDU) in Tijuana, Mexico, where syringe purchase and possession is legal without a prescription. Methods: Beginning in 2011, IDU who reported being 18 years or older and injected drugs within the last month were recruited into a prospective study. At baseline and semi-annually, 557 IDU underwent HIV-testing and interviewer-administered surveys. Logistic regression was used to identify correlates of using HDSS. Results: Of 557 IDU, 40% had ever used HDSS, mostly because no other syringe type was available (72%), or because they were easier to get (20%). Controlling for sex and age at first injection, use of HDSS was associated with cocaine as the first drug injected (Adjusted Odds Ratio [AOR]: 2.68; Confidence Interval 95% [CI]: 1.15–6.22), having been stopped or arrested by police (AOR: 1.84; 95% CI: 1.11–3.07), being deported from the US (AOR: 1.64; 95% CI:1.06–2.53), and believing it is illegal to carry syringes (AOR:1.78; 95% CI: 1.01–3.15). Conclusion: Use of HDSS is surprisingly common among IDU in Tijuana. Efforts are needed to expand coverage of low-dead space syringes through existing syringe exchange programs. Education is required to increase awareness of the harms associated with HDSS, and to inform IDU that syringe possession is legal across Mexico.es_ES
dc.subject.meshmes_ES
dc.subject.kwes_ES
dc.subject.koHIVes_ES
dc.subject.koHigh dead-space syringeses_ES
dc.subject.koMexicoes_ES
dc.subject.koInjection drug usees_ES
dc.subject.koPeople who inject drugses_ES


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