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Background: We report on an exploratory qualitative study investigating drug injectors' narratives of vein damage and groin femoral vein injection associated with the injection of crack-heroin speedball. Methods: We undertook 44 in-depth qualitative interviews among injectors of crack-heroin speedball in Bristol and London, England, in Findings: The data suggest an emerging culture of crack-based speedball injection. Injectors' narratives link Heroin or crack injection with shifts towards groin injection articulated as an acceptable risk, and not merely as a last resort in the face of increased vein deterioration associated with speedball.
s of vein damage linked to speedball emphasize 'missed hits' related to the local anaesthetic action of crack, the excess use of citric in the preparation of speedball injections and 'flushing' when making a hit. We find that groin injection persists despite an awareness of health risks and medical complications. Conclusions: We emphasize an urgent need for reviewing harm reduction in relation to vein care in the context of shifts to crack-based speedball injection, and the use of the femoral vein, among UK injectors.
There is an additional need for interventions to promote safer groin and speedball injecting as well as to prevent transitions toward groin and crack injection. Please enable it to take advantage of the complete set of features!
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RSS Link Copy. Full text links Cite Display options Display options. Abstract Background: We report on an exploratory qualitative study investigating drug injectors' narratives of vein damage and groin femoral vein injection associated with the injection of crack-heroin speedball. Comment in Facilitating groin injecting behaviour: harm reduction or harm production?
Zador DA. PMID: No abstract available. Similar articles Injecting-related health harms and overuse of acidifiers among people who inject heroin and crack cocaine in London: a mixed-methods study.
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Harris M, et al. Harm Reduct J. Demographic, HIV risk behavior, and health status characteristics of "crack" cocaine injectors compared to other injection drug users in three New England cities. Buchanan D, et al. Drug Alcohol Depend. Epub Sep PMID: The fine line between harm reduction and harm production--development of a clinical policy on femoral groin injecting.
Zador D, et al. Eur Addict Res. Epub Jun Ben Diane MK, et al. Presse Med. PMID: Review. HCV synthesis project: preliminary analyses of HCV prevalence in relation to age and duration of injection. Hagan H, et al.
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Epub May 2. See all similar articles. Cited by 12 articles Injecting-related health harms and overuse of acidifiers among people who inject heroin and crack cocaine in London: a mixed-methods study.
Local complications of pentazocine abuse: Case report and review. Kumar S, et al. Ind Psychiatry J. Developing a scale of domains of negative consequences of chronic heroin use. Moses TEH, et al. Addict Behav. Epub Jul Fire in the vein: Heroin acidity and its proximal effect on users' health. Ciccarone D, Harris M. Ciccarone D, et al.
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Epub Apr One decade "narcotic addicted patients with deep vein thrombosis" in st. Alzahra hospital of isfahan, iran. Abdar Esfahani M, Sayehmiri F. Abdar Esfahani M, et al. Addict Health. See all "Cited by" articles. Publication types Research Support, Non-U. Gov't Actions. MeSH terms Adult Actions.