Evidence map›Paper›PMID 26812913›Full record

ArticleSubstance abuse treatment, prevention, and policy2016

Risk of violence in drug rehabilitation centers: perceptions of people who inject drugs in Tijuana, Mexico.

Alicia Yolanda Harvey-Vera, Patricia González-Zúñiga, Adriana Carolina Vargas-Ojeda, Maria Elena Medina-Mora, Carlos Leonardo Magis-Rodríguez, Karla Wagner, Steffanie Anne Strathdee, Daniel Werb

Open access · goldAbstract read
In one paragraph

Article in Substance abuse treatment, prevention, and policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% of its field
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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
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 at 5 institutions in 2 countries.

Alicia Yolanda Harvey-VeraDivision of Global Public Health, University of California, San Diego, School of Medicine, San Diego, California, USA. alvera@ucsd.edu.
Patricia González-ZúñigaDivision of Global Public Health, University of California, San Diego, School of Medicine, San Diego, California, USA. pgonzalez@ucsd.edu.
Adriana Carolina Vargas-OjedaUniversidad Autónoma de Baja California, Facultad de Medicina y Psicología, Tijuana, Baja California, Mexico. caro_vargas@uabc.edu.mx.
Maria Elena Medina-MoraInstituto Nacional de Psiquiatría de México, Ciudad de Mexico, Distrito Federal, Mexico. mmedina@hsph.harvard.edu.
Carlos Leonardo Magis-RodríguezCentro Nacional para la Prevención y Control del VIH/SIDA, Ciudad de Mexico, Distrito Federal, Mexico. carlos.magis@gmail.com.
Karla WagnerDivision of Global Public Health, University of California, San Diego, School of Medicine, San Diego, California, USA. kdwagner@ucsd.edu.
Steffanie Anne StrathdeeDivision of Global Public Health, University of California, San Diego, School of Medicine, San Diego, California, USA. sstrathdee@ucsd.edu.
Daniel WerbDivision of Global Public Health, University of California, San Diego, School of Medicine, San Diego, California, USA. dwerb@ucsd.edu.
Universidad Autónoma de Baja California · MXUniversity of California, San Diego · USUniversity of San Diego · USCentro Medico Nacional Siglo XXI · MXInstituto Nacional de Psiquiatría · MX

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
University of California Global Health Institute Program for Fellows and ScholarsR25TW009343 · FIC · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI COHEN, CRAIG R, STRATHDEE, STEFFANIE A. · 2012 to 2017
$6.4M
Police Training to Reduce Occupational Needlesticks and HIV among Substance UsersR01DA039073 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BELETSKY, LEO, STRATHDEE, STEFFANIE A. · 2015 to 2019
$3.2M
Preventing HIV by modifying the context for injecting initiationDP2DA040256 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI WERB, DANIEL M · 2015 to 2015
$2.3M
AIDS International Training Program in the US Mexico Border RegionD43TW008633 · FIC · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STRATHDEE, STEFFANIE A. · 2010 to 2014
$1.5M
Sex/Drug Tourism at the US/Mexico Border: Social Network Influences on HIV Risk.K01DA031031 · NIDA · UNIVERSITY OF NEVADA RENO · PI WAGNER, KARLA D. · 2010 to 2014
$882k
Canadian Institutes of Health Research MOP 79297FIC NIH HHS 1R25TW009343-03FIC NIH HHS 5D43TW008633-03FIC NIH HHS D43 TW008633FIC NIH HHS R25 TW009343NIDA NIH HHS DP2 DA040256NIDA NIH HHS DP2 DA040256-01NIDA NIH HHS K01 DA031031NIDA NIH HHS R01 DA039073NIDA NIH HHS R37 DA019829
6 · The paper itself

Abstract

backgroundIn 2009, Mexico reformed its health law to partially decriminalize drug possession considered for personal use and to increase mandatory referrals to certified drug rehabilitation centers in lieu of incarceration. Concurrently, news media reported violent attacks perpetrated by drug cartels against Mexican drug rehabilitation centers and instances of human rights violations by staff against people who inject drugs (PWID) in treatment. In many cases, these violent situations took place at "Peer Support" (Ayuda Mutua) drug rehabilitation centers that house a large number of drug-dependent PWID. In an effort to understand barriers to treatment uptake, we examined prevalence and correlates of perceived risk of violence at drug rehabilitation centers among PWID in Tijuana, Mexico.

methodsSecondary analysis of baseline data collected between March 2011 and May 2013 of PWID recruited into a prospective cohort study in Tijuana. Interviewer-administered surveys measured perceived risk of violence at drug rehabilitation centers by asking participants to indicate their level of agreement with the statement "going to rehabilitation puts me at risk of violence". Logistic regression was used to examine factors associated with perceived risk of violence.

resultsOf 733 PWID, 34.5 % perceived risk of violence at drug rehabilitation centers. In multivariate analysis, reporting ever having used crystal methamphetamine and cocaine (separately), having a great or urgent need to get help for drug use, and ever receiving professional help for drug/alcohol use were negatively associated with perceived risk of violence at drug rehabilitation centers, while having been told by law enforcement that drug rehabilitation attendance is mandatory was positively associated with perceived risk of violence. All associations were significant at a 0.05 alpha level.

conclusionThe perception of violence at drug rehabilitation centers among PWID does not represent the lived experience of those PWID who attended professionalized services, reported a great or urgent need to get help for their drug use and had a history of using crystal and cocaine. Professionalizing service delivery and engaging law enforcement in their new role of decriminalization and service referral for PWID could address the perceptions of violence at drug rehabilitation centers. Similarly, health authorities should expand periodic inspections at drug rehabilitation centers to guarantee quality service provision and minimize PWIDs' concerns about violence.

Indexed as

Health Knowledge, Attitudes, PracticeAdultFemaleHealth Services AccessibilityHumansMaleMexicoMiddle AgedProspective StudiesSubstance Abuse, IntravenousSubstance Abuse Treatment CentersViolence

Identifiers

PMID26812913
PMCPMC4728769
OpenAlexW2312120841

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.