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Exploration of Heroin Use Behaviors and its Associated Risk Factors among Youth with Heroin-Dependence in Dar es Salaam, Tanzania
Current Issue
Volume 1, 2014
Issue 2 (April)
Pages: 14-20   |   Vol. 1, No. 2, April 2014   |   Follow on         
Paper in PDF Downloads: 21   Since Aug. 28, 2015 Views: 1538   Since Aug. 28, 2015
Authors
[1]
Ezekiel H. Mbao, College of Nursing, International Medical and Technological University P.O. Box 77594, Dar es Salaam, Tanzania.
[2]
Tumbwene E. Mwansisya, College of Health Sciences, University of Dodoma, P.o Box 395, Dodoma, Tanzania.
Abstract
Objective: Heroin abuse among youth in Tanzania continued to increase over the past decades. This study sought to explore heroin abuse among youth in Dar es Salaam. Methodology: The study comprised of 16 participants (15 males) aged between 18 to 25 years who were obtained through snow ball sampling technique. In-depth interviews and focus group discussions were conducted to inquire their general knowledge, attitude, practices and the associated risks on heroin use. The sample size was determined by saturation principle; till when the researchers found no further new information emerging from in-depth interviews. Main findings: Most participants reported peer pressure and lack of formal employment as contributing factors for engaging in heroin use. Though most participants acknowledged heroin use to be accompanied with several consequences, but found difficult to abstain from it. The underlying reasons for these were continuous peer pressure, lack of effective drug rehabilitation services and withdrawal syndrome. The risk factors that reported to be associated with heroin use included mental illnesses, marital conflicts, risk to infections, robbery, legal problems, and rejection from families, friends and community at large. Conclusion and recommendations: This study demonstrated that individuals with heroin dependence encounter several difficulties towards abstinence including complexity of peer pressure and other patterns of social networks. Thus, future studies are warranted to explore the complex relationship between heroin use and associated risk factors in Tanzania.
Keywords
Heroin Abuse, Illicit Drugs, Knowledge, Youth, Risk Factors, Dependence
Reference
[1]
Affinnih, Y.H., Revisiting sub-Saharan African countries' drug problems: health, social, economic costs, and drug control policy. Subst Use Misuse, 2002. 37(3): p. 265-90.
[2]
Beckerleg, S., M. Telfer, and A. Sadiq, A rapid assessment of heroin use in Mombasa, Kenya. Subst Use Misuse, 2006. 41(6-7): p. 1029-44.
[3]
Muhondwa E, M.R., Mayunga F: , An assessment of the treatment needs of drug users in Dar es Salaam. Report by Christ Compassion in Action prepared for Save the Children UK,, in Tanzania Programme 2002.2002.
[4]
Beckerleg, S., M. Telfer, and G.L. Hundt, The rise of injecting drug use in East Africa: a case study from Kenya. Harm Reduct J, 2005. 2: p. 12.
[5]
Gossop, M., et al., Frequency of non-fatal heroin overdose: survey of heroin users recruited in non-clinical settings. BMJ, 1996. 313(7054): p. 402.
[6]
McCurdy, S.A., et al., Heroin and HIV risk in Dar es Salaam, Tanzania: youth hangouts, mageto and injecting practices. AIDS Care, 2005. 17 Suppl 1: p. S65-76.
[7]
Atkinson, J., et al., HIV risk behaviors, perceived severity of drug use problems, and prior treatment experience in a sample of young heroin injectors in Dar es Salaam, Tanzania. Afr J Drug Alcohol Stud, 2011. 10(1): p. 1-9.
[8]
AIDS, T.C.f., Tanzania Commission for AIDS (TACAIDS), Zanzibar AIDS Commission (ZAC), National Bureau of Statistics (NBS), Office of the Chief Government Statistician (OCGS), and Macro International Inc., Tanzania HIV/AIDS and Malaria Indicator Survey, 2007-08, TACAIDS, ZAC, NBS, OCGS, and Macro International Inc.,, 2008: Dar es Salaam, Tanzania.
[9]
Frydenberg, E. and R. Lewis, Boys play sport and girls turn to others: age, gender and ethnicity as determinants of coping. J Adolesc, 1993. 16(3): p. 253-66.
[10]
Sharp, L.K. and M.S. Lipsky, Screening for depression across the lifespan: A review of measures for use in primary care settings. American Family Physician, 2002. 66(6): p. 1001-1008.
[11]
Maxwell, J.A., Qualitative research design : an interactive approach. 2nd ed. Applied social research methods series. 2005, Thousand Oaks, CA: Sage Publications. xiv, 174 p.
[12]
Holsti, O.R., Content analysis for the social sciences and humanities. 1969, Reading, Mass.,: Addison-Wesley Pub. Co. 235 p.
[13]
Hien, N.T., et al., Risk factors of HIV infection and needle sharing among injecting drug users in Ho Chi Minh City, Vietnam. J Subst Abuse, 2001. 13(1-2): p. 45-58.
[14]
Bohnert, A.S., C.P. Bradshaw, and C.A. Latkin, A social network perspective on heroin and cocaine use among adults: evidence of bidirectional influences. Addiction, 2009. 104(7): p. 1210-8.
[15]
Day, E., et al., Pilot study of a social network intervention for heroin users in opiate substitution treatment: study protocol for a randomized controlled trial. Trials, 2013. 14: p. 264.
[16]
Neaigus, A., et al., Transitions to injecting drug use among noninjecting heroin users: social network influence and individual susceptibility. J Acquir Immune Defic Syndr, 2006. 41(4): p. 493-503.
[17]
Roddy, J., C.L. Steinmiller, and M.K. Greenwald, Heroin purchasing is income and price sensitive. Psychol Addict Behav, 2011. 25(2): p. 358-64.
[18]
UNICEF, Childhood Poverty in Tanzania: Deprivations and Disparities in Child Well-Being, 2009.
[19]
Ho, H.T. and L. Maher, Co vay co tra (What goes around comes around): culture, risk and vulnerability to blood-borne viruses among ethnic Vietnamese injecting drug users. Drug Alcohol Rev, 2008. 27(4): p. 420-8.
[20]
Maher, L., Drugs, public health and policing in indigenous communities. Drug Alcohol Rev, 2004. 23(3): p. 249-51.
[21]
Maher, L.a.S., W.,, Heroin use in Sydney indo Chinese communities,: A review of NDARC RESEARCH .National Drug and Alcohol Research Centre., 1997, University of New South Wales. p. 16.
[22]
Hare, R.D., Manual for the revised psychopathy checklist., ed. n. Edition. 2003 Toronto.: Multi-Health Systems.
[23]
Curry, A.D. and C.A. Latkin, Gender differences in street economy and social network correlates of arrest among heroin injectors in Baltimore, Maryland. J Urban Health, 2003. 80(3): p. 482-93.
[24]
Morse, J.M., Qualitative generalizability. Qualitative Health Research, 1999. 9: p. 5-6.
[25]
Twigg Iii, H.L., et al., Effect of highly active antiretroviral therapy on viral burden in the lungs of HIV-infected subjects. J Infect Dis, 2008. 197(1): p. 109-16.
[26]
Ho, T.W., et al., Randomized controlled trial of an oral CGRP receptor antagonist, MK-0974, in acute treatment of migraine. Neurology, 2008. 70(16): p. 1304-12.
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