Circumstances, pedagogy and rationales for injection initiation among new drug injectors

Lloyd Goldsamt, Alex Harocopos, Paul Kobrak, John J. Jost, Michael C. Clatts

Research output: Contribution to journalArticle

Abstract

Injection drug use is especially risky for new injectors. To understand the social and environmental contexts in which risks occur, we interviewed individuals who had initiated injection within the past 3 years (n = 146, 69.2% male) about the circumstances and rationales for their initial injection events. Respondents typically initiated injection due to tolerance (49.3%) and/or for experimentation (61.1%). Most (86.2%) did not possess the technical skills required to self-inject, and relied on the assistance of someone older (58.5%). While low levels of syringe sharing (5.8%) were reported, a majority of respondents (60.5%) engaged in at least one type of behavioral risk. Female injectors were more likely than male injectors to rely on another individual (95.5 vs. 82.2%), often a sex partner (40.5 vs. 7.2%), for assistance. The diversity seen in early injection practices highlights the need for tailored prevention messages to reach this population prior to the onset of injection risk.

Original languageEnglish (US)
Pages (from-to)258-267
Number of pages10
JournalJournal of Community Health
Volume35
Issue number3
DOIs
StatePublished - Jun 2010

Fingerprint

Teaching
drug
Injections
assistance
Pharmaceutical Preparations
tolerance
drug use
Needle Sharing
event
Population
Surveys and Questionnaires

Keywords

  • Drug injectors
  • HCV
  • Heroin
  • HIV
  • Injection initiation

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

Circumstances, pedagogy and rationales for injection initiation among new drug injectors. / Goldsamt, Lloyd; Harocopos, Alex; Kobrak, Paul; Jost, John J.; Clatts, Michael C.

In: Journal of Community Health, Vol. 35, No. 3, 06.2010, p. 258-267.

Research output: Contribution to journalArticle

Goldsamt, Lloyd ; Harocopos, Alex ; Kobrak, Paul ; Jost, John J. ; Clatts, Michael C. / Circumstances, pedagogy and rationales for injection initiation among new drug injectors. In: Journal of Community Health. 2010 ; Vol. 35, No. 3. pp. 258-267.
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