Evidence map›Paper›PMID 20381396›Full record

ArticleInternational journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases2010

High prevalence of abscesses and self-treatment among injection drug users in Tijuana, Mexico.

Robin A Pollini, Manuel Gallardo, Samreen Hasan, Joshua Minuto, Remedios Lozada, Alicia Vera, María Luisa Zúñiga, Steffanie A Strathdee

Abstract read
In one paragraph

Article in International journal of infectious diseases : IJID : official publication of the International Society for Infectious Diseases, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

30 citing papers in PubMed.

  1. Review
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  12. Review
  13. How and why patients self-treat chronic wounds.International wound journal · 2017
    Article
  14. Article
  15. Healthcare avoidance by people who inject drugs in Bangkok, Thailand.Journal of public health (Oxford, England) · 2016
    Article
  16. Article
  17. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Robin A PolliniDepartment of Medicine, University of California-San Diego, La Jolla, CA 92093, USA. rpollini@ucsd.edu
Manuel Gallardo
Samreen Hasan
Joshua Minuto
Remedios Lozada
Alicia Vera
María Luisa Zúñiga
Steffanie A Strathdee

Funding

Impact of Drug Policy Reform on the HIV Risk Environment among IDUs in TijuanaR37DA019829 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2010 to 2019
$6.7M
Epidemiologic Study on Changing HIV Risks Among FSW-IDUs on the Mexico-US BorderR01DA023877 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2008 to 2012
$3.3M
Epidemiology of HIV and Hepatitis C Among Injecting Drug Users in TijuanaR01DA019829 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2005 to 2009
$2.9M
Defining the Role of Mexican Pharmacies in HIV Prevention-A Mixed Method ApproachK01DA022923 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI POLLINI, ROBIN A · 2007 to 2011
$758k
Drug Market Characteristics: Antecedents and Sequelae on the U.S. Mexico BorderR21DA024381 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2007 to 2009
$672k
NIDA NIH HHS K01 DA022923NIDA NIH HHS K01DA022923NIDA NIH HHS R01 DA019829NIDA NIH HHS R01DA019829NIDA NIH HHS R01 DA023877NIDA NIH HHS R21 DA024381NIDA NIH HHS R21DA024381NIDA NIH HHS R37 DA019829
6 · The paper itself

Abstract

backgroundSoft tissue infections are common among injection drug users (IDUs), but information on correlates and treatment in this highly marginalized population is lacking.

methodsSix hundred twenty-three community-recruited IDUs in Tijuana, Mexico, completed a detailed interview on abscess history and treatment. Univariate and multiple logistic regressions were used to identify factors independently associated with having an abscess in the prior 6 months.

resultsOverall, 46% had ever had an abscess and 20% had had an abscess in the past 6 months. Only 12% had sought medical care for their most recent abscess; 60% treated the abscess themselves. The most common self-treatment method was to apply heated (24%) or unheated (23%) Aloe vera leaf. Other methods included draining the wound with a syringe (19%) or knife (11%). Factors independently associated with recent abscess were having income from sex work (adjusted odds ratio (aOR) 4.56, 95% confidence interval (CI) 2.08-10.00), smoking methamphetamine (aOR 1.65, 95% CI 1.05-2.62), seeking someone to help with injection (aOR 2.06, 95% CI 1.18-3.61), and reporting that police affected where they used drugs (aOR 2.14, 95% CI 1.15-3.96).

conclusionsAbscesses are common among IDUs in this setting, but appropriate treatment is rare. Interventions to reduce barriers to medical care in this population are needed. Research on the effectiveness of Aloe vera application in this setting is also needed, as are interventions to provide IDU sex workers, methamphetamine smokers, and those who assist with injection with the information and equipment necessary to reduce abscess risk.

Indexed as

Self CareAbscessAdultAloeAmphetamine-Related DisordersDrainageFemaleHumansMaleMexicoPhytotherapyProspective StudiesRisk FactorsSex WorkSoft Tissue InfectionsSubstance Abuse, IntravenousAbscessInjection drug useSoft tissue infectionTreatment seeking

Identifiers

PMID20381396
PMCPMC2917477

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.