Abstract
Because of ongoing resistance in Florida's legislature to interventions involving exchanges of sterile syringes for contaminated ones, Miami/Dade County's population of injection drug users (IDUs) reduce risk of HIV and hepatitis C infection by buying illegal syringes, participating in illegal syringe exchanges, or decontaminating their paraphernalia. Although it is completely legal, wherewithal for decontamination of injection paraphernalia, including sodium hypochlorite (laundry bleach), water, and cotton for filtering drugs, only appears sporadically in Miami/Dade's risk locales (called "get-off" houses). To ensure consistent decontamination, our intervention instituted regular delivery of these goods to known risk locales. In addition, personnel in half of the locales received training in techniques for optimal decontamination. RNA polymerase chain reaction measured impact of this intervention in terms of viral load found on harvested paraphernalia. Regular delivery of cleansing paraphernalia provided opportunities for observation and characterization of adaptations among people who run risk locales. These people may lead highly stable lives or highly changeable ones, but in most cases their roles as regular hosts of injection activities continue with only brief hiatuses due to incarceration, eviction, or familial dissolution. Proprietors of risk locales maintain their roles as facilitators of self-injection because they use that role to make money or to obtain opportunities to inject drugs and also because their clientele demands they continue.
| Original language | English |
|---|---|
| Pages (from-to) | 1017-1028 |
| Number of pages | 12 |
| Journal | Substance Use and Misuse |
| Volume | 41 |
| Issue number | 6-7 |
| DOIs | |
| State | Published - Jul 11 2006 |
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Keywords
- Decontamination
- Injection drug use
- Intervention
- Long-term follow-up
- Risk locale
- Runners
- Shooting galleries
ASJC Scopus subject areas
- Psychiatry and Mental health
- Medicine (miscellaneous)
- Psychology(all)
Cite this
Changes in the "get-off" : Social process and intervention in risk locales. / Page, John; Llanusa-Cestero, Renee.
In: Substance Use and Misuse, Vol. 41, No. 6-7, 11.07.2006, p. 1017-1028.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Changes in the "get-off"
T2 - Social process and intervention in risk locales
AU - Page, John
AU - Llanusa-Cestero, Renee
PY - 2006/7/11
Y1 - 2006/7/11
N2 - Because of ongoing resistance in Florida's legislature to interventions involving exchanges of sterile syringes for contaminated ones, Miami/Dade County's population of injection drug users (IDUs) reduce risk of HIV and hepatitis C infection by buying illegal syringes, participating in illegal syringe exchanges, or decontaminating their paraphernalia. Although it is completely legal, wherewithal for decontamination of injection paraphernalia, including sodium hypochlorite (laundry bleach), water, and cotton for filtering drugs, only appears sporadically in Miami/Dade's risk locales (called "get-off" houses). To ensure consistent decontamination, our intervention instituted regular delivery of these goods to known risk locales. In addition, personnel in half of the locales received training in techniques for optimal decontamination. RNA polymerase chain reaction measured impact of this intervention in terms of viral load found on harvested paraphernalia. Regular delivery of cleansing paraphernalia provided opportunities for observation and characterization of adaptations among people who run risk locales. These people may lead highly stable lives or highly changeable ones, but in most cases their roles as regular hosts of injection activities continue with only brief hiatuses due to incarceration, eviction, or familial dissolution. Proprietors of risk locales maintain their roles as facilitators of self-injection because they use that role to make money or to obtain opportunities to inject drugs and also because their clientele demands they continue.
AB - Because of ongoing resistance in Florida's legislature to interventions involving exchanges of sterile syringes for contaminated ones, Miami/Dade County's population of injection drug users (IDUs) reduce risk of HIV and hepatitis C infection by buying illegal syringes, participating in illegal syringe exchanges, or decontaminating their paraphernalia. Although it is completely legal, wherewithal for decontamination of injection paraphernalia, including sodium hypochlorite (laundry bleach), water, and cotton for filtering drugs, only appears sporadically in Miami/Dade's risk locales (called "get-off" houses). To ensure consistent decontamination, our intervention instituted regular delivery of these goods to known risk locales. In addition, personnel in half of the locales received training in techniques for optimal decontamination. RNA polymerase chain reaction measured impact of this intervention in terms of viral load found on harvested paraphernalia. Regular delivery of cleansing paraphernalia provided opportunities for observation and characterization of adaptations among people who run risk locales. These people may lead highly stable lives or highly changeable ones, but in most cases their roles as regular hosts of injection activities continue with only brief hiatuses due to incarceration, eviction, or familial dissolution. Proprietors of risk locales maintain their roles as facilitators of self-injection because they use that role to make money or to obtain opportunities to inject drugs and also because their clientele demands they continue.
KW - Decontamination
KW - Injection drug use
KW - Intervention
KW - Long-term follow-up
KW - Risk locale
KW - Runners
KW - Shooting galleries
UR - http://www.scopus.com/inward/record.url?scp=33745714308&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=33745714308&partnerID=8YFLogxK
U2 - 10.1080/10826080600669470
DO - 10.1080/10826080600669470
M3 - Article
C2 - 16809184
AN - SCOPUS:33745714308
VL - 41
SP - 1017
EP - 1028
JO - Substance Use and Misuse
JF - Substance Use and Misuse
SN - 1082-6084
IS - 6-7
ER -