Heroin-gel capsules and groin injecting practices among ethnic Vietnamese in Melbourne, Australia

Background Evidence of harms associated with temazepam gel capsule injecting among injecting drug users in Australia led to its withdrawal from manufacture in Australia. Subsequently, diphenhydramine gel capsule injecting was identified among a subset of ethnic Vietnamese injecting drug users. Metho...

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Main Authors: Higgs, P., Dwyer, Robyn, Duong, D., Thach, M., Hellard, M., Power, R., Maher, L.
Format: Journal Article
Published: Elsevier BV 2009
Online Access:http://hdl.handle.net/20.500.11937/26556
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author Higgs, P.
Dwyer, Robyn
Duong, D.
Thach, M.
Hellard, M.
Power, R.
Maher, L.
author_facet Higgs, P.
Dwyer, Robyn
Duong, D.
Thach, M.
Hellard, M.
Power, R.
Maher, L.
author_sort Higgs, P.
building Curtin Institutional Repository
collection Online Access
description Background Evidence of harms associated with temazepam gel capsule injecting among injecting drug users in Australia led to its withdrawal from manufacture in Australia. Subsequently, diphenhydramine gel capsule injecting was identified among a subset of ethnic Vietnamese injecting drug users. Methods Observational fieldwork around an active street-based illicit drug marketplace together with targeted purposive sampling enabled 66 ethnic Vietnamese injecting drug users to be recruited for in-depth interview. Results Data revealed that the injection of gel capsules increases exposure to non-viral infections. Analysis of participant interviews show how participants have established their own ways of reducing these harms including thinning the drug solution by jacking regularly during injection. Controversially, femoral vein administration of diphenhydramine–heroin cocktails was also seen as a harm reduction strategy by participants. Discussion Health education campaigns to address the potentially negative consequences of gel capsule groin injection will not be successful unless health workers and policy makers work with drug users and incorporate local understandings and meanings of risk in health promotion activities.
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institution Curtin University Malaysia
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spelling curtin-20.500.11937-265562017-09-13T15:55:38Z Heroin-gel capsules and groin injecting practices among ethnic Vietnamese in Melbourne, Australia Higgs, P. Dwyer, Robyn Duong, D. Thach, M. Hellard, M. Power, R. Maher, L. Background Evidence of harms associated with temazepam gel capsule injecting among injecting drug users in Australia led to its withdrawal from manufacture in Australia. Subsequently, diphenhydramine gel capsule injecting was identified among a subset of ethnic Vietnamese injecting drug users. Methods Observational fieldwork around an active street-based illicit drug marketplace together with targeted purposive sampling enabled 66 ethnic Vietnamese injecting drug users to be recruited for in-depth interview. Results Data revealed that the injection of gel capsules increases exposure to non-viral infections. Analysis of participant interviews show how participants have established their own ways of reducing these harms including thinning the drug solution by jacking regularly during injection. Controversially, femoral vein administration of diphenhydramine–heroin cocktails was also seen as a harm reduction strategy by participants. Discussion Health education campaigns to address the potentially negative consequences of gel capsule groin injection will not be successful unless health workers and policy makers work with drug users and incorporate local understandings and meanings of risk in health promotion activities. 2009 Journal Article http://hdl.handle.net/20.500.11937/26556 10.1016/j.drugpo.2008.05.001 Elsevier BV restricted
spellingShingle Higgs, P.
Dwyer, Robyn
Duong, D.
Thach, M.
Hellard, M.
Power, R.
Maher, L.
Heroin-gel capsules and groin injecting practices among ethnic Vietnamese in Melbourne, Australia
title Heroin-gel capsules and groin injecting practices among ethnic Vietnamese in Melbourne, Australia
title_full Heroin-gel capsules and groin injecting practices among ethnic Vietnamese in Melbourne, Australia
title_fullStr Heroin-gel capsules and groin injecting practices among ethnic Vietnamese in Melbourne, Australia
title_full_unstemmed Heroin-gel capsules and groin injecting practices among ethnic Vietnamese in Melbourne, Australia
title_short Heroin-gel capsules and groin injecting practices among ethnic Vietnamese in Melbourne, Australia
title_sort heroin-gel capsules and groin injecting practices among ethnic vietnamese in melbourne, australia
url http://hdl.handle.net/20.500.11937/26556