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https://www.readbyqxmd.com/read/29160436/use-of-injected-heroin-and-risk-of-hepatitis-c-in-three-cities-in-colombia
#1
Dedsy Yajaira Berbesi-Fernández, Angela Maria Segura-Cardona, Liliana Patricia Montoya-Velez, Alexandra Ángel Santamaría
INTRODUCTION: Hepatitis C is one of the most neglected diseases by governments internationally. OBJECTIVE: Identify the prevalence of hepatitis C and associated injection drug users in three cities of factors Colombia. METHODS: Cross-sectional study of 668 injecting drug users recruited through respondent-driven sampling, inquired about demographic characteristics and risk behaviors. Laboratory testing was used on filter paper and cases of hepatitis C viral load tests with RNA were confirmed...
July 2017: Revista Brasileira de Epidemiologia, Brazilian Journal of Epidemiology
https://www.readbyqxmd.com/read/29156310/context-and-characteristics-of-illicit-drug-use-in-coastal-and-interior-tanzania
#2
Jenny Tiberio, Yovin Ivo Laurent, Joel Ndayongeje, Amani Msami, Susie Welty, Alois Ngonyani, Syangu Mwankemwa, Moza Makumbuli, Willi McFarland, Meghan D Morris
BACKGROUND: An increase in heroin seizures in East Africa may signal wider local consumption of illicit drugs. Most information about drug use in Tanzania is from the economic capital, Dar es Salaam, and well-travelled Zanzibar. More data are needed on the extent, trends, and characteristics of illicit drug use in the vast coast and interior of the country. METHODS: The study was a rapid assessment, triangulating data from in-depth interviews of primary key informants (people who use drugs [PWUD]), secondary informants (police, community members, service providers), and ethnographic mapping of hotspots in 12 regions of Tanzania...
November 16, 2017: International Journal on Drug Policy
https://www.readbyqxmd.com/read/29152809/the-harm-reduction-impact-of-cryptomarkets-inequality-and-opportunity
#3
Harry R Sumnall
No abstract text is available yet for this article.
November 19, 2017: Addiction
https://www.readbyqxmd.com/read/29145882/what-goes-around-the-process-of-building-a-community-based-harm-reduction-research-project
#4
Chelsea Jalloh, Shohan Illsley, John Wylie, Paula Migliardi, Ethan West, Debbie Stewart, Javier Mignone
BACKGROUND: Often, research takes place on underserved populations rather than with underserved populations. This approach can further isolate and stigmatize groups that are already made marginalized. What Goes Around is a community-based research project that was led by community members themselves (Peers). CASE PRESENTATION: This research aimed to implement a community-based research methodology grounded in the leadership and growing research capacity of community researchers and to investigate a topic which community members identified as important and meaningful...
November 16, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/29143680/abortion-as-empowerment-reproductive-rights-activism-in-a-legally-restricted-context
#5
Julia McReynolds-Pérez
BACKGROUND: This paper analyzes the strategies used by activist health professionals in Argentina who justify providing abortion despite legal restrictions on the procedure. These "insider activists" make a case for abortion rights by linking pregnancy termination to a woman's ability to exert agency at a key point in her reproductive life, and argue that refusing women access to the procedure constitutes a grievous health risk. This argument frames pregnancy termination as an issue of empowerment and also as a medical necessity...
November 8, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29143673/the-heptestcontest-a-global-innovation-contest-to-identify-approaches-to-hepatitis-b-and-c-testing
#6
Joseph D Tucker, Kathrine Meyers, John Best, Karyn Kaplan, Razia Pendse, Kevin A Fenton, Isabelle Andrieux-Meyer, Carmen Figueroa, Pedro Goicochea, Charles Gore, Azumi Ishizaki, Giten Khwairakpam, Veronica Miller, Antons Mozalevskis, Michael Ninburg, Ponsiano Ocama, Rosanna Peeling, Nick Walsh, Massimo G Colombo, Philippa Easterbrook
BACKGROUND: Innovation contests are a novel approach to elicit good ideas and innovative practices in various areas of public health. There remains limited published literature on approaches to deliver hepatitis testing. The purpose of this innovation contest was to identify examples of different hepatitis B and C approaches to support countries in their scale-up of hepatitis testing and to supplement development of formal recommendations on service delivery in the 2017 World Health Organization hepatitis B and C testing guidelines...
November 1, 2017: BMC Infectious Diseases
https://www.readbyqxmd.com/read/29143430/power-discourse-and-resistance-poststructuralist-influences-in-nursing
#7
Dave Holmes, Marilou Gagnon
Based on our respective research programs (psychiatry, forensic psychiatry, public health, HIV/AIDS, harm reduction) this article aims to use purposely non-conventional means to present the substantial contribution of poststructuralist perspectives to knowledge development in nursing science in general and in our current research in particular. More specifically, we call on the work of Michel Foucault and Deleuze & Guattari to politicize nursing science using examples from our empirical research programs with marginal and often highly marginalized populations...
November 15, 2017: Nursing Philosophy: An International Journal for Healthcare Professionals
https://www.readbyqxmd.com/read/29137602/behaviour-change-interventions-to-reduce-second-hand-smoke-exposure-at-home-in-pregnant-women-a-systematic-review-and-intervention-appraisal
#8
Mukesh Dherani, Syeda Nosheen Zehra, Cath Jackson, Veena Satyanaryana, Rumana Huque, Prabha Chandra, Atif Rahman, Kamran Siddiqi
BACKGROUND: Second-hand smoke (SHS) exposure during pregnancy is associated with poor pregnancy and foetal outcomes. Theory-based behaviour change interventions (BCI) have been used successfully to change smoking related behaviours and offer the potential to reduce exposure of SHS in pregnant women. Systematic reviews conducted so far do not evaluate the generalisability and scalability of interventions. The objectives of this review were to (1) report the BCIs for reduction in home exposure to SHS for pregnant women; and (2) critically appraise intervention-reporting, generalisability, feasibility and scalability of the BCIs employed...
November 14, 2017: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29136556/industry-interests-in-gambling-research-lessons-learned-from-other-forms-of-hazardous-consumption
#9
S Cowlishaw, S L Thomas
Research indicates that the evidential bases for many harm reduction policies targeting hazardous consumptions (including tobacco, alcohol and gambling) have been distorted by commercial industries that derive revenue from such commodities. These distortions are best illustrated by research on tobacco and alcohol, which indicates similar tactics used by industries to determine favourable policy environments through engineering of evidence, among other approaches. Although there is concern that gambling research is similarly vulnerable to commercial interests, the relevant literature lags far behind other fields and the aim of this paper is to increase familiarity with tactics used by industries for influencing research...
November 6, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/29132364/-i-m-not-strong-enough-i-m-not-good-enough-i-can-t-do-this-i-m-failing-a-qualitative-study-of-low-socioeconomic-status-smokers-experiences-with-accesssing-cessation-support-and-the-role-for-alternative-technology-based-support
#10
Veronica C Boland, Richard P Mattick, Hayden McRobbie, Mohammad Siahpush, Ryan J Courtney
BACKGROUND: The social gradient in smoking rates persist with an overrepresentation of smoking and its associated harms concentrated within lower socioeconomic status (SES) populations. Low-SES smokers are motivated to quit but face multiple barriers when engaging a quit attempt. An understanding of the current treatment service model from the perspectives of treatment-seeking low-SES smokers is needed to inform the design of alternative smoking cessation support services tailored to the needs of low-SES populations...
November 13, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/29128711/polysubstance-use-profiles-among-electronic-dance-music-party-attendees-in-new-york-city-and-their-relation-to-use-of-new-psychoactive-substances
#11
Fermín Fernández-Calderón, Charles M Cleland, Joseph J Palamar
BACKGROUND: Electronic Dance Music (EDM) party attendees are often polysubstance users and are at high risk for use of new psychoactive substances (NPS). We sought to identify patterns of use of common illegal drugs among EDM party attendees, sociodemographic correlates, and use of NPS as a function of patterns of use of more common drugs to inform prevention and harm reduction. METHOD: Using time-space-sampling, 1045 individuals aged 18-40 were surveyed entering EDM parties in New York City...
November 4, 2017: Addictive Behaviors
https://www.readbyqxmd.com/read/29120311/alberta-s-provincial-take-home-naloxone-program-a-multi-sectoral-and-multi-jurisdictional-response-to-overdose
#12
Lisa K Freeman, Stacey Bourque, Nick Etches, Karin Goodison, Claire O'Gorman, Kay Rittenbach, Christopher A Sikora, Mark Yarema
SETTING: Alberta is a prairie province located in western Canada, with a population of approximately 4.3 million. In 2016, 363 Albertans died from apparent drug overdoses related to fentanyl, an opioid 50-100 times more toxic than morphine. This surpassed the number of deaths from motor vehicle collisions and homicides combined. INTERVENTION: Naloxone is a safe, effective, opioid antagonist that may quickly reverse an opioid overdose. In July 2015, a committee of community-based harm reduction programs in Alberta implemented a geographically restricted take-home naloxone (THN) program...
November 9, 2017: Canadian Journal of Public Health. Revue Canadienne de Santé Publique
https://www.readbyqxmd.com/read/29120012/hepatitis-c-virus-dynamics-among-intravenous-drug-users-suggest-that-an-annual-treatment-uptake-above-10-would-eliminate-the-disease-by-2030
#13
Philip Bruggmann, Sarah Blach, Pierre Deltenre, Jan Fehr, Roger Kouyos, Daniel Lavanchy, Beat Müllhaupt, Andri Rauch, Homie Razavi, Patrick Schmid, David Semela, Marcel Stoeckle, Franco Negro
BACKGROUND AND AIMS: In Switzerland, the prevalence of hepatitis C virus (HCV) among people who inject drugs (PWID) has been decreasing owing to active harm reduction efforts and an aging population. Recent advances in HCV therapeutics may provide an opportunity to direct treatment to high-risk populations, with a goal of reducing HCV prevalence and preventing new infections. In order to guide these efforts, the current project was undertaken with the following aims: (1) to develop a simple model to estimate the number of new HCV infections using available data on PWID; (2) to examine the impact of intervention strategies (prevention and treatment) on new and total HCV infections among PWID...
November 9, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/29117858/measuring-improvement-in-knowledge-of-drug-policy-reforms-following-a-police-education-program-in-tijuana-mexico
#14
J Arredondo, S A Strathdee, J Cepeda, D Abramovitz, I Artamonova, E Clairgue, E Bustamante, M L Mittal, T Rocha, A Bañuelos, H O Olivarria, M Morales, G Rangel, C Magis, L Beletsky
BACKGROUND: Mexico's 2009 "narcomenudeo reform" decriminalized small amounts of drugs, shifting some drug law enforcement to the states and mandating drug treatment diversion instead of incarceration. Data from Tijuana suggested limited implementation of this harm reduction-oriented policy. We studied whether a police education program (PEP) improved officers' drug and syringe policy knowledge, and aimed to identify participant characteristics associated with improvement of drug policy knowledge...
November 8, 2017: Harm Reduction Journal
https://www.readbyqxmd.com/read/29112294/internal-funding-required-to-improve-hiv-care
#15
Hannah Brownstein, Peter Higgs
In their recent review, O'Keefe et al. (2017) describe the ways in which people who inject drugs (PWID) in low- and middle-income countries (LMICs) are confronted with particular challenges compared to PWID in upper-middle-income countries, including the increased risk of HIV and hepatitis C, greater stigma and discrimination, and greater interaction with the justice system.(1) To help manage the HIV burden among PWID and to help strengthen the public health responses to injecting drug use, LMICs have relied on substantial funding from international donors (PEPFAR, World Bank, DFID, and Global Fund)...
November 7, 2017: Journal of Viral Hepatitis
https://www.readbyqxmd.com/read/29111580/drug-residues-in-used-syringes-in-switzerland-a-comparative-study
#16
Elodie Lefrançois, Marc Augsburger, Pierre Esseiva
Harm reduction services, including needle exchange programs, have been implemented in Switzerland for over twenty years. Their main aim is to lessen the negative social and/or physical consequences associated with illicit drug consumption and, therefore, improve prevention messages. To this end, knowledge about illicit drug consumption practices is necessary. Periodic self-report surveys are the primary source of data for monitoring drug users' behaviour. Analysis of residual content of used syringes can bring further and objective knowledge about consumed products through analytically confirmed data...
November 7, 2017: Drug Testing and Analysis
https://www.readbyqxmd.com/read/29083287/the-impact-of-e-cigarettes-on-smoking-and-related-outcomes-in-veteran-smokers-with-psychiatric-comorbidity
#17
Gerald W Valentine, Kathryn Hefner, Peter I Jatlow, Robert A Rosenheck, Ralitza Gueorguieva, Mehmet Sofuoglu
OBJECTIVE: Compared to the general U.S. population, smokers with comorbid psychiatric and/or substance use disorders (SUD) have lower quit rates after evidence-based treatments, and disproportionately high smoking-related deaths. Improved modalities for reducing tobacco-related harm in this subpopulation are needed. Because electronic cigarettes (e-cigarettes) can now deliver physiologically relevant levels of nicotine to consumers, they represent an additional nicotine delivery system that could be used in cessation interventions...
October 30, 2017: Journal of Dual Diagnosis
https://www.readbyqxmd.com/read/29080208/who-receives-nalmefene-and-how-does-it-work-in-the-real-world-a-single-arm-phase-iv-study-of-nalmefene-in-alcohol-dependent-outpatients-baseline-and-1-month-results
#18
Pablo Barrio, Lluisa Ortega, Josep Guardia, Carlos Roncero, Lara Yuguero, Antoni Gual
BACKGROUND: Alcohol dependence remains a major health problem from both a public health and clinical perspective. Harm reduction strategies have been increasingly recognized as suitable treatment goals. Nalmefene has been recently approved for this precise therapeutic indication after completion of phase III trials. However, more data from routine practice settings are needed in order to obtain evidence with high external validity. The aim of this study was to conduct a single-arm, phase IV study with alcohol-dependent outpatients starting nalmefene for the first time...
October 27, 2017: Clinical Drug Investigation
https://www.readbyqxmd.com/read/29067855/barriers-and-facilitators-of-access-to-hiv-harm-reduction-and-sexual-and-reproductive-health-services-by-women-who-inject-drugs-role-of-community-based-outreach-and-drop-in-centers
#19
Sylvia Ayon, James Ndimbii, Fatma Jeneby, Taib Abdulrahman, Onesmus Mlewa, Bangyuan Wang, Allan Ragi, Gitau Mburu
There is limited data regarding women who inject drugs, and how harm-reduction services can be made more women-centered. This study explored experiences of Kenyan women who inject drugs, with regard to access to HIV, harm reduction and sexual and reproductive health (SRH) services. A total of 45 women who inject drugs and 5 key stakeholders participated in-depth interviews and focus group discussions. Thematic analysis of the data revealed that stigma, long distances, lack of confidentiality, user fees, multiple appointments, drug users' unfamiliarity with health facilities, disconnect in communication with healthcare providers, and healthcare providers' lack of understanding of women's needs were factors that impede women's access to health services...
October 25, 2017: AIDS Care
https://www.readbyqxmd.com/read/29067831/social-and-structural-factors-increase-inconsistent-condom-use-by-sex-workers-one-time-and-regular-clients-in-northern-uganda
#20
Putu Duff, Josephine Birungi, Sabina Dobrer, Monika Akello, Godfrey Muzaaya, Kate Shannon
While sex workers (SWs) bear the brunt of the epidemic in Uganda, there remains a dearth of empirical research on the structural drivers of HIV prevention among SWs. This study examined the drivers of inconsistent condom use by one-time and regular clients of young women SWs in Gulu, Northern Uganda. Data were drawn from the Gulu Sexual Health Study, a cross-sectional study of young SWs, aged 14 years and older (2011-2012). SWs were recruited using peer/SW-led outreach, in partnership with The AIDS Support Organization and other CBOs...
October 25, 2017: AIDS Care
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