Wagner Karla D, Moynihan Matthew J, Strathdee Steffanie A, Cuevas-Mota Jazmine, Clark Maureen, Zúñiga María Luisa, Volkmann Tyson A, Teshale Eyasu, Garfein Richard S
Division of Global Public Health, Department of Medicine, University of California San Diego, 92093, USA.
J Ethn Subst Abuse. 2012;11(4):362-78. doi: 10.1080/15332640.2012.735182.
The authors report the results of qualitative (n = 19) and quantitative (n = 545) interviews with young injection drug users (IDUs) in San Diego, California about their experiences using drugs in Tijuana, Mexico, and associated risks for HIV infection. Young IDUs who have ever traveled to Mexico (n = 365) used a variety of injection (54%) and noninjection (30%) drugs there and appear to be heavier users than those who have never traveled to Mexico. Sociocultural themes influencing drug use in Mexico included interactions among the purpose of travel, drug preference, and route of administration; familiarity with the border region; evolving relationships with the United States and Mexican drug markets; and the experience of crossing the U.S.-Mexico border. Interventions for IDUs in border regions need to be sensitive to the ethnicity, familiarity with the border region, and life history of participants, as well as differences in national policies that could influence drug use and risk for HIV on both sides of the border.
作者报告了对加利福尼亚州圣地亚哥市年轻注射吸毒者(IDU)进行定性访谈(n = 19)和定量访谈(n = 545)的结果,内容涉及他们在墨西哥蒂华纳吸毒的经历以及感染艾滋病毒的相关风险。曾前往墨西哥的年轻注射吸毒者(n = 365)在那里使用了多种注射类毒品(54%)和非注射类毒品(30%),而且与从未去过墨西哥的人相比,他们似乎吸毒量更大。影响在墨西哥吸毒的社会文化主题包括旅行目的、毒品偏好和给药途径之间的相互作用;对边境地区的熟悉程度;与美国和墨西哥毒品市场不断演变的关系;以及穿越美墨边境的经历。边境地区针对注射吸毒者的干预措施需要考虑到参与者的种族、对边境地区的熟悉程度和生活史,以及可能影响边境两侧吸毒行为和艾滋病毒感染风险的国家政策差异。