NEW HEROIN USERS

描述：（申请人摘要） 1996年，药物滥用预警网络（DAWN）估计， 在美国，与毒品有关的急诊室事件是海洛因 涉案 1997年12月，国家药物滥用研究所， 社区流行病学工作组（CEWG） 据报道，海洛因是旧金山弗朗西斯科毒品滥用的主要毒品 治疗方案的录取。 在这项申请中，我们建议进行一项 民族志调查的启动和延续的做法， 弗朗西斯科湾区的新海洛因使用者 使用人种学 抽样技术，我们将招募和登记120名参与者，18至25 在过去的30天内使用海洛因5次或以上。 建议的样本将一半是女性（60），一半是男性（60），我们 会根据受访者自认为的 主要给药途径：（40）注射器，（40）吸烟者和（40） 鼻内使用者。 在定性（录音）生活史访谈中， 回答，我们将重点研究以下课题：（1）过程 （2）进入使用海洛因的社会世界的因素; 影响进展到继续使用海洛因;（3）改变的过程 (or（4）不改变管理方式;（4）年轻人的方式 海洛因使用者管理他们海洛因、其他毒品使用和日常生活 活动;（5）参与者购买海洛因的行为类型/程度 青少年海洛因使用者的认知和态度 对毒品相关的健康风险，以及他们的主要高危行为; （7）社交网络对启动和持续的影响 吸食海洛因 本研究的成果将包括：（一）探索 青年海洛因使用者开始和继续使用海洛因的过程， 旧金山弗朗西斯科湾区。 (B)服务提供商的基本信息 和政策制定者有兴趣创造有效的干预措施， 新的海洛因使用者群体的需求 （c）为一个大型的 可以用控制组来检验突发假设的规模研究。

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.