دورية أكاديمية

Intersections between syndemic conditions and stages along the continuum of overdose risk among women who inject drugs in Mexicali, Mexico.

التفاصيل البيبلوغرافية
العنوان: Intersections between syndemic conditions and stages along the continuum of overdose risk among women who inject drugs in Mexicali, Mexico.
المؤلفون: Gonzalez-Nieto, Pablo, Salimian, Anabel, Arredondo, Jaime, Angulo, Lourdes, García de Loera, Alejandra, Slim, Said, Shoptaw, Steve, Cambou, Mary C., Pitpitan, Eileen V., Goodman-Meza, David
المصدر: Harm Reduction Journal; 6/24/2023, Vol. 20 Issue 1, p1-11, 11p
مصطلحات موضوعية: DRUG abuse, DRUG overdose, SAFE injection sites (Community health services), SYNDEMICS, NEEDLE exchange programs, HARM reduction, SEXUAL health
مصطلحات جغرافية: MEXICALI (Mexico), MEXICO
مستخلص: Background: Research on women who inject drugs is scarce in low- and middle-income countries. Women experience unique harms such as sexism and sexual violence which translate into negative health outcomes. The present work aims to provide insight into the experiences of women who inject drugs at the US–Mexico border to identify social and health-related risk factors for overdose to guide harm reduction interventions across the Global South. Methods: We recruited 25 women ≥ 18 years of age accessing harm reduction and sexual health services at a non-governmental harm reduction organization, "Verter", in Mexicali, Mexico. We employed purposeful sampling to recruit women who inject drugs who met eligibility criteria. We collected quantitative survey data and in-depth interview data. Analyses of both data sources involved the examination of descriptive statistics and thematic analysis, respectively, and were guided by the syndemic and continuum of overdose risk frameworks. Results: Survey data demonstrated reports of initiating injection drug use at a young age, experiencing homelessness, engaging in sex work, being rejected by family members, experiencing physical violence, injecting in public spaces, and experiencing repeated overdose events. Interview data provided evidence of stigma and discrimination toward women, a lack of safe spaces and support systems, risk of overdose-related harms, sexual violence, and the overall need for harm reduction services. Conclusion: Women who inject drugs in Mexicali describe experiences of violence, overdose, and public injecting. Women are particularly vulnerable in the Mexicali context, as this area faces a noticeable lack of health and social services. Evidenced-based harm reduction strategies such as safe consumption sites and overdose prevention strategies (e.g., naloxone distribution and training) may benefit this population. Evidence from local organizations could help close the gap in service provision in low-resource settings like Mexico, where government action is almost nonexistent. [ABSTRACT FROM AUTHOR]
Copyright of Harm Reduction Journal is the property of BioMed Central and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
قاعدة البيانات: Complementary Index
الوصف
تدمد:14777517
DOI:10.1186/s12954-023-00815-9