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"We don't need services. We have no problems": exploring the experiences of young people who inject drugs in accessing harm reduction services


, : "We don't need services. We have no problems": exploring the experiences of young people who inject drugs in accessing harm reduction services. Journal of the International Aids Society 18(2 Suppl 1): 19442-19442

Evidence suggests that people who inject drugs often begin their drug use and injecting practices in adolescence, yet there are limited data available on the HIV epidemic and the responses for this population. The comprehensive package of interventions for the prevention, treatment and care of HIV infection among people who inject drugs first laid out in 2009 (revised in 2012) by World Health Organization, United Nations Office of Drugs and Crime and Joint United Nations Programme on HIV/AIDS, does not consider the unique needs of adolescent and young people. In order to better understand the values and preferences of young people who inject drugs in accessing harm reduction services and support, we undertook a series of community consultations with young people with experience of injecting drugs during adolescence. Community consultations (4-14 persons) were held in 14 countries. Participants were recruited using a combined criterion and maximum variation sampling strategy. Data were analyzed using collaborative qualitative data analysis. Frequency analysis of themes was conducted. Nineteen community consultations were organized with a total of 132 participants. All participants had experienced injecting drugs before the age of 18. They had the following age distribution: 18-20 (37%), 21-25 (48%) and 26-30 (15%). Of the participants, 73.5% were male while 25.7% were female, with one transgender participant. Barriers to accessing the comprehensive package included: lack of information and knowledge of services, age restrictions on services, belief that services were not needed, fear of law enforcement, fear of stigma, lack of concern, high cost, lack of outreach, lack of knowledge of HCV/TB and lack of youth friendly services. The consultations provide a rare insight into the lived experiences of adolescents who inject drugs and highlight the dissonance between their reality and current policy and programmatic approaches. Findings suggest that harm reduction and HIV policies and programmes should adapt the comprehensive package to reach young people and explore linkages to other sectors such as education and employment to ensure they are fully supported and protected. Continued participation of the community of young people who inject drugs can help ensure policy and programmes respond to the social exclusion and denial of rights and prevent HIV infection among adolescents who inject drugs.

US$29.90

PMID: 25724510


Other references

Triana, E.M.; Roca, W.M., 1989: Electrophoretic study of germplasm of the common bean phaseolus vulgaris l. in secondary centers of genetic diversity the case of southeastern africa. 238 samples of Phaseolus vulgaris L. from Malawi, Zambia, Tanzania, Uganda, Rhodesia and Zimbabwe of the south-eastern of Africa were analyzed for their phaseolin types using the SDS-PAGE electrophoresis. Tracing them back to their centers of orig...

Rimler, K.; Suschka, A.; Toth, M., 1959: Rapid fattening of chickens. Trials were made with 7 types of chickens which were given the same high quality concentrate mixture low in fibre. To 52 days best weight gains and efficiency of feed conversion and lowest amount and price of feed per kg gain were with Plymouth x...

Moore D.P., 1970: Sulfur requirement and metabolism in plants. Muth, Od J. E. Oldfield (edited By). Symposium: Sulfur In Nutrition. X 251p. Illus. The Avi Publishing Co., Inc: Westport, Conn., U.s.a. 80-96

Annie Souriau, 1986: Random walk of the Earth's pole related to the Chandler wobble excitation. Geophysical Journal International 86(2): 455-465

Luettge, U.; Haridasan, M.; Fernandes, G.W.; Mattos, E.A.D.; Trimborn, P.; Franco, A.C.; Caldas, L.S.; Ziegler, H., 1998: Photosynthesis of mistletoes in relation to their hosts at various sites in tropical Brazil. Chlorophyll a fluorescence parameters showing the instantaneous performance and carbon-isotope ratios reflecting long-term behaviour of leaves were determined for a large number of mistletoe/host-pairs in the cerrado belt of Brazil. Study sites we...

Wilcove, DS., 1986: Owls and old-growth. Trends in Ecology and Evolution, 15: 113-114

Warner, D.M.; Folster, J.P.; Shafer, W.M.; Jerse, A.E., 2008: Regulation of the MtrC-MtrD-MtrE efflux-pump system modulates the in vivo fitness of Neisseria gonorrhoeae. The Neisseria gonorrhoeae MtrC-MtrD-MtrE multidrug-resistance efflux pump expels macrolide antibiotics, penicillin, and antimicrobial effectors of the innate defense. Mutation of the mtrR locus, which encodes a transcriptional repressor of the mtr...

Hinton,J.W.; Chamberlain,M.J., 2010: Space and habitat use by a red wolf pack and their pups during pup-rearing. During summer 2005, we evaluated space and habitat use by red wolves (<i>Canis rufus</i>) during pup-rearing. Home-range sizes for red wolves (3 ad, 3 juv, and 4 pups) varied from 3.48 km<sup>2</sup> to 12.24 km<sup>2...

Inoue, K.; Oda, Y.; Tomiyasu, K.; Kondo, M., 1999: Hypertrophic cranial pachymeningitis with inflammatory valvular disease. Internal Medicine 38(1): 74-74

Skorepová, M.; Stuchlík, D., 2006: Chronic pyoderma vegetans triggered by Trichophyton mentagrophytes. Chronic vegetating pyoderma is usually associated with staphylococci and streptococci. A case that started as a therapeutically resistant tinea of the hand caused by Trichophyton mentagrophytes is described. The vegetating skin lesion was associat...