Risk of violence in drug rehabilitation centers: perceptions of people who inject drugs in Tijuana, Mexico

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dc.contributor.affiliationDivision of Global Public Health, University of California, San Diego, School of Medicine, San Diego, California, USA
dc.contributor.emailsstrathdee@ucsd.edu
dc.creatorHarvey-Vera, Alicia Yolandaes_ES
dc.creatorGonzález-Zúñiga, Patriciaes_ES
dc.creatorVargas-Ojeda, Adría Carolinaes_ES
dc.creatorMedina-Mora, María Elenaes_ES
dc.creatorMagis-Rodríguez, Carlos Leonardoes_ES
dc.creatorWagner, Karlaes_ES
dc.creatorStrathdee, Steffanie Annees_ES
dc.creatorWerb, Danieles_ES
dc.date2016
dc.date.accessioned2025-10-07T16:53:59Z
dc.date.accessioned2026-03-27T15:33:00Z
dc.date.available2025-10-07T16:53:59Z
dc.date.issued2016
dc.date.published2016
dc.descriptionBackground: In 2009, Mexico reformed its health law to partially decriminalize drug possession considered for personal use and to increase mandatory referrals to certified drug rehabilitation centers in lieu of incarceration. Concurrently, news media reported violent attacks perpetrated by drug cartels against Mexican drug rehabilitation centers and instances of human rights violations by staff against people who inject drugs (PWID) in treatment. In many cases, these violent situations took place at "Peer Support" (Ayuda Mutua) drug rehabilitation centers that house a large number of drug-dependent PWID. In an effort to understand barriers to treatment uptake, we examined prevalence and correlates of perceived risk of violence at drug rehabilitation centers among PWID in Tijuana, Mexico. Methods: Secondary analysis of baseline data collected between March 2011 and May 2013 of PWID recruited into a prospective cohort study in Tijuana. Interviewer-administered surveys measured perceived risk of violence at drug rehabilitation centers by asking participants to indicate their level of agreement with the statement "going to rehabilitation puts me at risk of violence". Logistic regression was used to examine factors associated with perceived risk of violence. Results: Of 733 PWID, 34.5 % perceived risk of violence at drug rehabilitation centers. In multivariate analysis, reporting ever having used crystal methamphetamine and cocaine (separately), having a great or urgent need to get help for drug use, and ever receiving professional help for drug/alcohol use were negatively associated with perceived risk of violence at drug rehabilitation centers, while having been told by law enforcement that drug rehabilitation attendance is mandatory was positively associated with perceived risk of violence. All associations were significant at a 0.05 alpha level. Conclusion: The perception of violence at drug rehabilitation centers among PWID does not represent the lived experience of those PWID who attended professionalized services, reported a great or urgent need to get help for their drug use and had a history of using crystal and cocaine. Professionalizing service delivery and engaging law enforcement in their new role of decriminalization and service referral for PWID could address the perceptions of violence at drug rehabilitation centers. Similarly, health authorities should expand periodic inspections at drug rehabilitation centers to guarantee quality service provision and minimize PWIDs' concerns about violence.es_ES
dc.formatPDFes_ES
dc.identifier.doi10.1186/s13011-015-0044-z
dc.identifier.eissn1747-597X
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeInglaterra
dc.identifier.urihttps://doi.org/10.1186/s13011-015-0044-z
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/8447
dc.language.isoenges_ES
dc.publisherBioMed Centrales_ES
dc.relation11:5
dc.relation.jnabreviadoSUBST ABUSE TREAT PREV POLICY
dc.relation.jnabreviadoSUBST ABUSE TREAT PREV POLICY
dc.relation.journalSubstance Abuse Treatment, Prevention, and Policy
dc.rightsAcceso Cerradoes_ES
dc.subject.kwHIV testing
dc.subject.kwIDUs
dc.subject.kwPWID
dc.subject.kwMexico
dc.subject.kwDrug rehabilitation
dc.subject.kwFear
dc.subject.kwViolence
dc.titleRisk of violence in drug rehabilitation centers: perceptions of people who inject drugs in Tijuana, Mexicoes_ES
dc.typeArtículoes_ES

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