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Crack pipe sharing in context How sociostructural factors shape risk practices among noninjection drug users

机译：上下文中的高管共享社会结构因素如何影响非注射吸毒者的风险实践

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With the increasing prevalence of crack use in Canada in the previous decade, crack pipe sharing has emerged as a public health concern, implicated in the transmission of blood- and saliva-borne infections. Drawing on qualitative research with crack users in Victoria, Canada, participants' narratives of sharing pipes demonstrate how risk practices are shaped by social, structural, and environmental factors. Three main themes emerged: sharing pipes with friends and partners; economic motivations for sharing pipes; and the rules and etiquette of crack pipe sharing. Based on these themes we demonstrate that despite conventional views of drug equipment sharing as "bad behavior," in the lived experience of our participants sharing pipes is a rational and functional activity. Ramifications of these findings are considered in light of future public health programs featuring the dissemination of health information and distribution of safer crack pipe kits.
机译：在过去的十年中，随着加拿大使用裂纹的普及率不断提高，共享公共卫生已成为人们对裂纹管共享的关注，这涉及血液和唾液感染的传播。借助加拿大维多利亚州的高风险用户的定性研究，参与者对共享管道的叙述证明了风险实践是如何受到社会，结构和环境因素影响的。出现了三个主要主题：与朋友和合作伙伴共享管道;分享管道的经济动机;以及裂缝管道共享的规则和礼节。基于这些主题，我们证明了尽管将药物设备共享视为“不良行为”的传统观点，但在我们参与者共享管道的实际经验中，这是一种理性和功能性的活动。我们将根据未来的公共卫生计划（包括传播健康信息和分发更安全的防裂管套件）来考虑对这些发现的影响。

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