Dalhousie University School of Health and Human Performance, Halifax, Nova Scotia, Canada.
Dalhousie University School of Health and Human Performance, Halifax, Nova Scotia, Canada.
Int J Drug Policy. 2017 Jan;39:14-20. doi: 10.1016/j.drugpo.2016.08.016. Epub 2016 Oct 19.
A complex array of intersecting social contextual factors are known to influence safer and/or unsafe practices among people who inject drugs. However, less is known about the social contextual factors that may specifically influence injection practices for young people who inject drugs. In this qualitative study, we explored with young people, ages 18-29, living in an urban centre in Nova Scotia, Canada, their perceptions and experiences of the social contextual factors that influence their safer and/or unsafe injection practices. We found that many of the social contextual factors the young people reported as influencing unsafe practices are at the micro-environmental level, and a number of these factors also affect adults (as per the literature). Methadone maintenance treatment was identified by a number of the participants as an important factor influencing safer practices. An expansion of harm reduction services and supports may help to address many of the social contextual factors identified by young people who inject drugs and should be considered given their important role in reducing the harms associated with injection drug use.
已知复杂的交叉社会背景因素会影响注射毒品者的安全和/或不安全行为。然而，对于可能会特别影响青少年注射毒品者注射行为的社会背景因素了解较少。在这项定性研究中，我们探索了居住在加拿大新斯科舍省一个城市中心的年龄在 18 至 29 岁的年轻人对影响他们安全和/或不安全注射行为的社会背景因素的看法和经验。我们发现，年轻人报告的许多影响不安全行为的社会背景因素都处于微观环境层面，其中一些因素也会影响成年人（根据文献）。美沙酮维持治疗被许多参与者确定为影响安全行为的一个重要因素。扩大减少伤害服务和支持可能有助于解决年轻人报告的许多社会背景因素，鉴于它们在减少与注射毒品使用相关的危害方面的重要作用，应该考虑这一点。
