NEW HEROIN USERS

描述：(申请人摘要) 1996年，药物滥用警告网(曙光)估计，在所有 美国与毒品有关的急诊科事件为海洛因 牵涉其中。1997年12月，国家药物滥用研究所分部 社区流行病学工作组(CEWG)流行病学与防治部 据报道，海洛因是旧金山毒品的主要滥用药物 治疗项目入院。在此应用程序中，我们建议进行 关于开始和延续的习俗的人种学调查 旧金山湾区的新海洛因使用者。使用人种志 抽样技术，我们将招募和招募120名参与者，18至25人 年龄，在过去30天内使用海洛因五次或五次以上。 拟议的样本中将有一半是女性(60)，一半是男性(60)，我们 将根据受访者的自我认同进一步对样本进行分层 主要给药途径：(40)注射器，(40)吸烟者和(40) 鼻腔使用者。 在对每个人进行定性(录音)生活史访谈期间 应答者，我们将重点研究以下主题：(1)过程 开始使用海洛因的社交世界；(2)影响 影响海洛因持续使用的进程；(3)改变的过程 (或不改变)给药途径；(4)杨 海洛因吸毒者管理他们的海洛因以及其他毒品使用和日常生活 活动；(5)参与者购买海洛因的做法类型/水平 参与犯罪活动；(6)青少年吸毒者对犯罪的看法和态度 对毒品相关健康风险及其高危行为的认识； 以及，(7)社交网络对启动和持续的影响 吸食海洛因。这项研究的成果将包括：(A)探索 年青少年海洛因吸毒者的开始和继续吸食过程 旧金山湾区。(B)为服务提供者提供的基本信息 和政策制定者对创建有针对性的有效干预措施感兴趣 对于这一不断增长的新海洛因使用者群体。以及，(C)大型银行试点工作 可以与对照组一起检验紧急假说的规模研究。

DESCRIPTION: (Applicant's Abstract) In 1996, the Drug Abuse Warning Network (DAWN) estimated 14 percent of all drug-related emergency department episodes in the United States were heroin involved. In December 1997, the National Institute on Drug Abuse, Division of Epidemiology and Prevention, Community Epidemiology Work Group (CEWG) reported heroin was the primary drug of abuse of San Francisco's drug treatment program admissions. In this application, we propose to conduct an ethnographic investigation into the initiation and continuation practices of new heroin users in the San Francisco Bay Area. Employing ethnographic sampling techniques, we will recruit and enroll 120 participants, 18 to 25 years old, who have used heroin five or more times in the previous 30 days. Half of the proposed sample will be women (60) and half men (60), and we will further stratify the sample according to respondents' self-identified primary route of administration: (40) injectors, (40) smokers and (40) intranasal users. During qualitative (tape recorded) life history interviews with each respondent, we will focus on the following research topics: (1) the process of initiation into heroin-using social worlds; (2) the factors which influence progression to continued heroin use; (3) the process of changing (or not changing) routes of administration; (4) the ways in which young heroin users manage their heroin, and other drug use and everyday life activities; (5) participants' heroin purchasing practices types/levels of criminal involvement; (6) younger heroin users' perceptions of and attitudes toward drug-related health risks, as well as their a~al high-risk behaviors; and, (7) the impact of social networks on initiation and continuation of heroin use. The products of this research will include: (A) An exploration of the processes of initiation and continuation among young heroin users in the San Francisco Bay Area. (B) Essential information for service providers and policy makers interested in creating efficacious interventions targeted for this growing group of new heroin users. And, (c) pilot work for a large scale study that can test emergent hypotheses with a control group.