title: Exploration of a crack use setting and its impact on drug users' risky drug use and sexual behaviors: the case of piaules in a Montréal neighborhood.
abstract: From July 2011, a one-year study based on ethnographic methodology was carried out in "crack houses" in the neighborhood of Hochelaga-Maisonneuve in Montréal, Canada. The study aimed to explore the operational style of a specific indoor drug use setting and its impact on users' risky sexual and drug use behaviors in a context of drug market change. A thematic analysis of observational and interview notes was conducted. This study stresses the importance to examine the role of environmental factors in relation to crack smoking's health-related risks and to complement individual-based interventions with structural strategies. The study's limitations are noted.
authors.affiliation: 1Faculty of Medicine, Université de Sherbrooke, Sherbrooke, Québec; Researcher, Research Chair on addiction, Université de Sherbrooke , Sherbrooke , Québec.
authors.forename: Elise
authors.initials: E
authors.lastname: Roy
authors.forename: Nelson
authors.initials: N
authors.lastname: Arruda
mesh_terms: D000328:Adult; D019970:Cocaine-Related Disorders / Q000523:psychology*; D016578:Crack Cocaine; D055030:Drug Users / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009864:Ontario; D012111:Residence Characteristics; D012309:Risk-Taking; D060386:Sex Workers; D012725:Sexual Behavior / Q000523:psychology*
chemical_list: D016578:Crack Cocaine
keywords: Montréal; crack; crack house; drug use patterns; ethnography; risk environment; sex work