| Titre : | The social geography of AIDS and hepatitis risk : Qualitative approaches for assessing local differences in sterile-syringe access among injection drug users. (2000) |
| Auteurs : | M. SINGER ; G. BARTON ; A. GORRY DE PUGA ; R. HEIMER ; K. KHOSHNOOD ; C. SIANO ; K. Springer ; T. STOPKA ; Department of Epidemiology and Public Health. Yale School of Medicine. New Haven. USA ; Hispanic Health Council. Hartford. USA |
| Type de document : | Article |
| Dans : | American journal of public health (vol. 90, n° 7, 2000) |
| Pagination : | 1049-1056 |
| Langues: | Anglais |
| Mots-clés : | Sida ; Virose ; Infection ; VIH ; Rétrovirus ; Virus ; Toxicomanie ; Prévention santé ; Epidémiologie ; Facteur risque ; Evaluation ; Toxicomane ; Homme ; Etats Unis ; Amérique ; Immunopathologie ; Appareil digestif [pathologie] ; Foie [pathologie] ; Amérique du Nord |
| Résumé : | [BDSP. Notice produite par INIST lBsR0xzD. Diffusion soumise à autorisation]. While significant gains have been achieved in understanding and reducing AIDS and hepatitis risks among injection drug users (IDUs), it is necessary to move beyond individual-level characteristics to gain a fuller understanding of the impact of socialk context on risk. In this study, 6 qualitative methods were used in combination with more tranditional epidemiologic survey approaches and laboratory bioassay procedures to examine neighborhood differences in access to sterile syringes among IDUs in 3 northeastern cities. These methods consisted of (1) neighborhood-based IDU focus groups to construct social maps of local equipment acquisition and drug use sites ; (2) ethnographic descriptions of target neighborhoods ; (3) IDU diary keeping on drug use and injection equipment acquisition ; (4) ethnographic day visits with IDUs in natural settings ; (5) interviews with IDUs about syringe acquisition and collection of syringes for laboratory analysis ; and (6) focused field observation and processual interviewing during drug injection. Preliminary findings from each of these methods are reported to illustrate the methods'value in elucidating the impact of local and regional social factors on sterile syringe access. |
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