title: Shooting gallery attendance among IDUs in Tijuana and Ciudad Juarez, Mexico: correlates, prevention opportunities, and the role of the environment.
abstract: We identified factors associated with shooting gallery attendance among injection drug users (IDUs) in two Mexico-US border cities. IDUs in Tijuana (n=222) and Ciudad Juarez (n=205), Mexico, who were >or=18 years and injected illicit drugs in the last month were recruited using respondent-driven sampling (RDS). An interviewer-administered survey collected sociodemographic and behavioral data. Logistic regression was used to examine correlates of shooting gallery attendance in each of the two cities. Homelessness and being arrested for syringe possession--both structural level factors--were associated with shooting gallery use in both cities. In Ciudad Juarez, younger age and having overdosed were also associated with shooting gallery use. Our study highlights the need for structural interventions that mitigate homelessness among IDUs and facilitate changes in law enforcement practices associated with shooting gallery use. Harm reduction interventions based within shooting galleries should also be considered to prevent transmission of blood-borne pathogens among IDUs.
authors: Department of Family and Preventive Medicine, School of Medicine, University of California, San Diego, 9500 Gilman Drive, La Jolla, CA 92093-0622, USA.
authors: Morgan
authors: M
authors: Philbin
authors: Robin A
authors: RA
authors: Pollini
authors: Rebecca
authors: R
authors: Ramos
authors: Remedios
authors: R
authors: Lozada
authors: Kimberly C
authors: KC
authors: Brouwer
authors: Maria Elena
authors: ME
authors: Ramos
authors: Michelle
authors: M
authors: Firestone-Cruz
authors: Patricia
authors: P
authors: Case
authors: Steffanie A
authors: SA
authors: Strathdee
mesh_terms: D000328:Adult; D005260:Female; D015658:HIV Infections / Q000517:prevention & control; D006703:Ill-Housed Persons; D006801:Humans; D013287:Illicit Drugs; D007407:Interviews as Topic; D035846:Law Enforcement; D008297:Male; D008800:Mexico; D015819:Substance Abuse, Intravenous / Q000517:prevention & control; D013594:Syringes; D014505:Urban Population
chemical_list: D013287:Illicit Drugs