Diagnóstico macrosocial de riesgo del consumo de drogas en México

Aurrecoechea, Valeriano Raúl García; Rodríguez-Kuri, Solveig E.; Alcaráz, Alberto Javier Córdova; Cáceres, María del Carmen Fernández

doi:10.1016/j.aipprr.2016.11.005

Cited by 6 publications

(4 citation statements)

References 6 publications

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“…Estimates from 2018 suggest that there are approximately 12,000 PWID in Tijuana; an estimate that is over ten times the national average for Mexico [6,7]. Tijuana is located along Mexico's north western border, a region which has the highest level of risk for substance use in the country [8], and substantially more heroin use when compared to other regions of Mexico [9]. Tijuana has also been the site of a concentrated HIV epidemic driven by risk behaviors like IDU and sex work, as well as the scarcity of services addressing these behaviors.…”

Section: Injection Drug Use In Tijuana Mexicomentioning

confidence: 99%

“…Tijuana has also been the site of a concentrated HIV epidemic driven by risk behaviors like IDU and sex work, as well as the scarcity of services addressing these behaviors. In addition, HIV prevalence in this area is estimated to be between 4.2 and 7.7% among PWID populations, and with approximately 30.5% of HIV cases among women [8,[10][11][12][13]. Furthermore, Tijuana serves as a key node along a drug trafficking corridor that supplies cocaine, opioids, and methamphetamine from Mexico into the United States and into Canada [14,15].…”

Section: Injection Drug Use In Tijuana Mexicomentioning

confidence: 99%

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The role of drug treatment and recovery services: an opportunity to address injection initiation assistance in Tijuana, Mexico

Meyers

Rafful

Jain

et al. 2020

Subst Abuse Treat Prev Policy

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Background In the U.S. and Canada, people who inject drugs’ (PWID) enrollment in medication-assisted treatment (MAT) has been associated with a reduced likelihood that they will assist others in injection initiation events. We aimed to qualitatively explore PWID’s experiences with MAT and other drug treatment and related recovery services in Tijuana Mexico, a resource-limited setting disproportionately impacted by injection drug use. Methods PReventing Injecting by Modifying Existing Responses (PRIMER) seeks to assess socio-structural factors associated with PWID provision of injection initiation assistance. This analysis drew on qualitative data from Proyecto El Cuete (ECIV), a Tijuana-based PRIMER-linked cohort study. In-depth qualitative interviews were conducted with a subset of study participants to further explore experiences with MAT and other drug treatment services. Qualitative thematic analyses examined experiences with these services, including MAT enrollment, and related experiences with injection initiation assistance provision. Results At PRIMER baseline, 607(81.1%) out of 748 participants reported recent daily IDU, 41(5.5%) reported recent injection initiation assistance, 92(12.3%) reported any recent drug treatment or recovery service access, and 21(2.8%) reported recent MAT enrollment (i.e., methadone). Qualitative analysis (n = 21; female = 8) revealed that, overall, abstinence-based recovery services did not meet participants’ recovery goals, with substance use-related social connections in these contexts potentially shaping injection initiation assistance. Themes also highlighted individual-level (i.e., ambivalence and MAT-related stigma) and structural-level (i.e., cost and availability) barriers to MAT enrollment. Conclusion Tijuana’s abstinence-based drug treatment and recovery services were viewed as unable to meet participants’ recovery-related goals, which could be limiting the potential benefits of these services. Drug treatment and recovery services, including MAT, need to be modified to improve accessibility and benefits, like preventing transitions into drug injecting, for PWID.

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Section: Injection Drug Use In Tijuana Mexicomentioning

confidence: 99%

Section: Injection Drug Use In Tijuana Mexicomentioning

confidence: 99%

The role of drug treatment and recovery services: an opportunity to address injection initiation assistance in Tijuana, Mexico

Meyers

Rafful

Jain

et al. 2020

Subst Abuse Treat Prev Policy

View full text Add to dashboard Cite

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“…Since the diagnostic studies that preceded the one presented here, the measurement indicators have shown variations since the conditions of the social context in which substance use takes place have also changed. Firstly, it should be noted that the number of urban municipalities in Mexico has altered with respect to the previous version of the study (García et al, 2016) because of demographic changes in Mexico, from 371 to 426. Moreover, certain information sources are no longer available or the level of specificity of their data has changed, from having municipal to state representativity or from state to regional representativity, such as the National Addictions Survey, the 2011 version of which (Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz, Instituto Nacional de Salud Pública, & Secretaría de Salud, 2012) contains data at the regional level, while the previous survey (Secretaría de Salud, 2009), which included state data, is already too outdated to be considered as a parameter in this diagnosis.…”

Section: Measurementsmentioning

confidence: 99%

“…Accordingly, since 1997, the Centros de Integración Juvenil (CIJ) have conducted a risk diagnosis of drug use in municipalities and delegations in Mexico on the basis of macrosocial indicators. This project constitutes a second update of the study, "Macrosocial risks of drug dependence at the municipal level and strategic care network in Mexico," published in 1997 (Salinas et al, 1997), and first updated in 2011 (García, Rodríguez, Córdova, & Fernández, 2016). The results of these diagnoses have supported decision-making in the establishment of care units, at least at the CIJ, where three of the five units that have come into operation since the last study have been installed in municipalities classified as high-risk (García et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Diagnosis of macrosocial risks of drug use in Mexican municipalities

Rodríguez-Kuri¹,

García-Aurrecoechea²,

Benítez-Villa³

et al. 2019

Salud Ment

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Introduction. Factors associated with drug use are defined in terms of their proximity to the phenomenon and can be classified as individual, microsocial, and macrosocial. Macrosocial factors include variables of a geographic, economic, demographic, and social nature, which can be compiled from population censuses and surveys. Objective. To determine the levels of risk for drug use in municipalities in Mexico based on macro-social indicators. Method. Retrospective cross-sectional study, based on the analysis of population data, weighted by the Delphi method. Results. Sixty-four municipalities with a high or very high risk of drug use were identified. Factors such as the volume of drug seizures, prevalence of student use, alcohol supply, and inequality among the population were weighted as the factors with greatest risk for drug use. Discussion and conclusion. These data serve as a benchmark for guiding the efficient, rational administration of resources assigned for dealing with the problem of addictions, since they make it possible to identify localities with a greater need for care services. RESUMENIntroducción. Los factores asociados al consumo de drogas se definen en función de su proximidad con el fenómeno y pueden clasificarse en individuales, microsociales y macrosociales. Entre los factores macrosociales se incluyen variables de tipo geográfico, económico, demográfico y social, que es posible integrar a partir de censos y encuestas poblacionales. Objetivo. Determinar niveles de riesgo del consumo de drogas en municipios de la República Mexicana con base en indicadores macrosociales. Método. Estudio transversal retrospectivo, basado en el análisis de datos poblacionales, ponderados mediante el método Delphi. Resultados. Se identificaron 64 municipios con alto o muy alto riesgo de consumo de drogas. Factores como el volumen de decomisos de drogas, prevalencia de consumo en estudiantes, oferta de alcohol y desigualdad entre la población fueron ponderadas como los factores de mayor riesgo para el consumo de drogas. Discusión y conclusión. Estos datos representan un referente para orientar la administración eficiente y racional de los recursos destinados a atender el problema de las adicciones en tanto permiten identificar localidades que requieren servicios de atención con mayor prioridad.Palabras clave: Factores de riesgo, usuarios de drogas, determinantes sociales de la salud, salud mental, técnica Delphi, abuso de sustancias.

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