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Flashblood: Blood sharing among female injecting drug users in Tanzania

Identifieur interne : 001E81 ( Pmc/Corpus ); précédent : 001E80; suivant : 001E82

Flashblood: Blood sharing among female injecting drug users in Tanzania

Auteurs : Sheryl A. Mccurdy ; Michael W. Ross ; Mark L. Williams ; G. P. Kilonzo ; M. T. Leshabari

Source :

RBID : PMC:4407801

Abstract

Aims

This study examined the association between the blood-sharing practice “flashblood” and demographic factors, HIV status, and variables associated with risky sex and drug behaviors among female injecting drug users. Flashblood is a syringe full of blood passed from someone who has just injected heroin to someone else who injects it in lieu of heroin.

Design

A cross-sectional study.

Setting

Dar es Salaam, Tanzania.

Participants

One hundred and sixty-nine female injecting drug users (IDUs) were recruited using purposive sampling for hard-to-reach populations.

Measurements

The association between flashblood use, demographic and personal characteristics and risky sex and drug use variables was analyzed by t-test and χ2 test. The association between flashblood use and residential neighborhood was mapped.

Findings

Flashblood users were more likely to: be married (p=.05), have lived in the current housing situation for a shorter time (p<.000), have been forced as a child to have sex by a family member(p=.007), inject heroin more in the last 30 days (p=.005), smoke marijuana at an earlier age (p=.04), use contaminated rinse-water (p<.03), pool money for drugs (p<.03), and share drugs (p=.00). Non-flashblood users were more likely to live with their parents (p=.003). Neighborhood flashblood use was highest near downtown and in the two next adjoining suburbs and lowest in the most distant suburbs.

Conclusions

These data indicate that more vulnerable women who are heavy users and living in shorter term housing are injecting flashblood. The practice of flashblood appears to be spreading from the inner city to the suburbs.


Url:
DOI: 10.1111/j.1360-0443.2010.02908.x
PubMed: 20331567
PubMed Central: 4407801

Links to Exploration step

PMC:4407801

Le document en format XML

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<name sortKey="Ross, Michael W" sort="Ross, Michael W" uniqKey="Ross M" first="Michael W." last="Ross">Michael W. Ross</name>
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<name sortKey="Kilonzo, G P" sort="Kilonzo, G P" uniqKey="Kilonzo G" first="G. P." last="Kilonzo">G. P. Kilonzo</name>
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<nlm:aff id="A2"> Muhimbili University of Health and Allied Sciences Department of Psychiatry, Medical School</nlm:aff>
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<name sortKey="Leshabari, M T" sort="Leshabari, M T" uniqKey="Leshabari M" first="M. T." last="Leshabari">M. T. Leshabari</name>
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<sec id="S1">
<title>Aims</title>
<p id="P1">This study examined the association between the blood-sharing practice “flashblood” and demographic factors, HIV status, and variables associated with risky sex and drug behaviors among female injecting drug users. Flashblood is a syringe full of blood passed from someone who has just injected heroin to someone else who injects it in lieu of heroin.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P2">A cross-sectional study.</p>
</sec>
<sec id="S3">
<title>Setting</title>
<p id="P3">Dar es Salaam, Tanzania.</p>
</sec>
<sec id="S4">
<title>Participants</title>
<p id="P4">One hundred and sixty-nine female injecting drug users (IDUs) were recruited using purposive sampling for hard-to-reach populations.</p>
</sec>
<sec id="S5">
<title>Measurements</title>
<p id="P5">The association between flashblood use, demographic and personal characteristics and risky sex and drug use variables was analyzed by
<italic>t</italic>
-test and χ
<sup>2</sup>
test. The association between flashblood use and residential neighborhood was mapped.</p>
</sec>
<sec id="S6">
<title>Findings</title>
<p id="P6">Flashblood users were more likely to: be married (p=.05), have lived in the current housing situation for a shorter time (p<.000), have been forced as a child to have sex by a family member(p=.007), inject heroin more in the last 30 days (p=.005), smoke marijuana at an earlier age (p=.04), use contaminated rinse-water (p<.03), pool money for drugs (p<.03), and share drugs (p=.00). Non-flashblood users were more likely to live with their parents (p=.003). Neighborhood flashblood use was highest near downtown and in the two next adjoining suburbs and lowest in the most distant suburbs.</p>
</sec>
<sec id="S7">
<title>Conclusions</title>
<p id="P7">These data indicate that more vulnerable women who are heavy users and living in shorter term housing are injecting flashblood. The practice of flashblood appears to be spreading from the inner city to the suburbs.</p>
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School of Public Health, University of Texas Health Science Center at Houston</aff>
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Muhimbili University of Health and Allied Sciences Department of Psychiatry, Medical School</aff>
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Muhimbili University of Health and Allied Sciences Department of Behavioral Sciences, School of Public Health</aff>
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<corresp id="FN1">Sheryl A. McCurdy, School of Public Health, University of Texas Health Science Center at Houston, 7000 Fannin Street, Suite 2630, Houston, Texas 77030, U.S.A.,
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<pmc-comment>elocation-id from pubmed: 10.1111/j.1360-0443.2010.02908.x</pmc-comment>
<abstract>
<sec id="S1">
<title>Aims</title>
<p id="P1">This study examined the association between the blood-sharing practice “flashblood” and demographic factors, HIV status, and variables associated with risky sex and drug behaviors among female injecting drug users. Flashblood is a syringe full of blood passed from someone who has just injected heroin to someone else who injects it in lieu of heroin.</p>
</sec>
<sec id="S2">
<title>Design</title>
<p id="P2">A cross-sectional study.</p>
</sec>
<sec id="S3">
<title>Setting</title>
<p id="P3">Dar es Salaam, Tanzania.</p>
</sec>
<sec id="S4">
<title>Participants</title>
<p id="P4">One hundred and sixty-nine female injecting drug users (IDUs) were recruited using purposive sampling for hard-to-reach populations.</p>
</sec>
<sec id="S5">
<title>Measurements</title>
<p id="P5">The association between flashblood use, demographic and personal characteristics and risky sex and drug use variables was analyzed by
<italic>t</italic>
-test and χ
<sup>2</sup>
test. The association between flashblood use and residential neighborhood was mapped.</p>
</sec>
<sec id="S6">
<title>Findings</title>
<p id="P6">Flashblood users were more likely to: be married (p=.05), have lived in the current housing situation for a shorter time (p<.000), have been forced as a child to have sex by a family member(p=.007), inject heroin more in the last 30 days (p=.005), smoke marijuana at an earlier age (p=.04), use contaminated rinse-water (p<.03), pool money for drugs (p<.03), and share drugs (p=.00). Non-flashblood users were more likely to live with their parents (p=.003). Neighborhood flashblood use was highest near downtown and in the two next adjoining suburbs and lowest in the most distant suburbs.</p>
</sec>
<sec id="S7">
<title>Conclusions</title>
<p id="P7">These data indicate that more vulnerable women who are heavy users and living in shorter term housing are injecting flashblood. The practice of flashblood appears to be spreading from the inner city to the suburbs.</p>
</sec>
</abstract>
<kwd-group>
<kwd>substance use</kwd>
<kwd>women</kwd>
<kwd>HIV/AIDS</kwd>
<kwd>risk behavior</kwd>
<kwd>Africa</kwd>
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