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Substance Use, Injection Risk Behaviors, And Fentanyl‑Related Overdose Risk Among A Sample Of Pwid Post‑Hurricane Maria, Roberto Abadie, Manuel Cano, Patrick Habecker, Camila Gelpí‑Acosta

Department of Sociology: Faculty Publications

Background: While natural disasters like hurricanes are increasingly common, their long-term effects on people who inject drugs are not well understood. Although brief in duration, natural disasters can radically transform risk environments, increasing substance use and drug-related harms.

Methods: Based on a study of people who inject drugs (PWID) and injection risk behaviors in rural Puerto Rico, the present study uses data from two different phases of the parent study. Data for 110 participants were collected from December 2015 to January 2017, soon before Hurricane Maria landed in September 2017; the 2019 phase, in the aftermath of the hurricane, included …

“Caballo”: Risk Environments, Drug Sharing And The Emergence Of A Hepatitis C Virus Epidemic Among People Who Inject Drugs In Puerto Rico, Roberto Abadie, K. Dombrowski

Department of Sociology: Faculty Publications

Background: Sharing drug injection equipment has been associated with the transmission of HCV among PWID through blood contained in the cooker and cotton used to prepare and divide up the drug solution. While epidemiologists often subsume this practice under the sharing of “ancillary equipment,” more attention should be paid to the fact that indirect sharing takes place within the process of joint drug acquisition and preparation.

Methods: We employed an ethnographic approach observing active PWID (N = 33) in four rural towns in Puerto Rico in order to document drug sharing arrangements involved in “caballo”, as this practice is locally …

Migration To The Us Among Rural Puerto Ricans Who Inject Drugs: Influential Factors, Sources Of Support, And Challenges For Harm Reduction Interventions, Roberto Abadie, Patrick Habecker, C. Gelpi-Acosta, Kirk Dombrowski

Department of Sociology: Faculty Publications

Background: While PWID of Puerto Rican origin have been migrating to the US for decades, the range of factors influencing their migration to the US and the resources they draw on to do so are not well understood. This is particularly true for rural Puerto Rican PWID, and the present study is the first empirical research to document migration patterns among this population. The specificities of their migration raise important challenges that need to be documented in order to implement more effective harm reduction policies at home (Puerto Rico) and abroad (US).

Methods: This paper draws from data obtained employing …

“It Ruined My Life”: The Effects Of The War On Drugs On People Who Inject Drugs (Pwid) In Rural Puerto Rico, Roberto Abadie, C. Gelpi-Acosta, C. Davila, A. Rivera, Melissa Welch-Lazoritz, Kirk Dombrowski

Department of Sociology: Faculty Publications

Background—The War on Drugs has raised the incarceration rates of racial minorities for non-violent drug-related crimes, profoundly stigmatized drug users, and redirected resources from drug prevention and treatment to militarizing federal and local law enforcement. Yet, while some states consider shifting their punitive approach to drug use, to one based on drug treatment and rehabilitation, nothing suggests that these policy shifts are being replicated in Puerto Rico.

Methods—This paper utilizes data from 360 PWID residing in four rural towns in the mountainous area of central Puerto Rico. We initially recruited 315 PWID using respondent-driven sampling (RDS) and collected data about …

Hepatitis C Serosorting Among People Who Inject Drugs In Rural Puerto Rico, Ian Duncan, Ric Curtis, Juan Carlos Reyes, Roberto Abadie, Bilal Khan, Kirk Dombrowski

Department of Sociology: Faculty Publications

Due to the high cost of treatment, preventative measures to limit Hepatitis C (HCV) transmission among people who inject drugs (PWID) are encouraged by many public health officials. A key one of these is serosorting, where PWID select risk partners based on concordant HCV status. Research on the general U.S. population bySmith et al. (2013) found that knowledge of one's own HCV status facilitated serosorting behaviors among PWID, such that respondents with knowledge of their own status were more likely to ask potential partners about their status prior to sharing risk. Our objective was to see if this held true …

Understanding Differences In Hiv/Hcv Prevalence According To Differentiated Risk Behaviors In A Sample Of Pwid In Rural Puerto Rico, Roberto Abadie, Melissa L. Welch-Lazoritz, Camila Gelpi- Acosta, Juan Carlos Reyes, Kirk Dombrowski

Department of Sociology: Faculty Publications

Background: Blood contained in needles and injection equipment has been identified as a vector for HIV and HCV transmission among people who inject drugs (PWID). Yet, there is often a wide discrepancy in prevalence for both viruses. While microbiological differences between viruses influence prevalence, other variables associated with the way drugs are acquired and used, also play a role.

Methods: Respondent-driven sampling (RDS) methods recruited a sample of 315 current intravenous drug users in rural Puerto Rico. Information about type and frequency of use, HIV and HVC risk behaviors (sharing needles, cookers, cotton, and water), sexual behaviors, and alcohol use …