[Show abstract][Hide abstract] ABSTRACT: During the last decade, the veterinary anesthetics have gained popularity as recreational drugs. The aim of this study was to document the use of "anestecia de caballo" (xylazine) and its consequences among drug users in Puerto Rico. The study combined a cross-sectional survey with 89 drug users and two focus groups conducted in Mayagüez with frontline drug treatment providers. Drug users were recruited from communities of the San Juan metropolitan area using a variety of ethnographic and outreach strategies. A short questionnaire developed for the study collected information on sociodemographics, xylazine use, and its consequences. The two focus groups were conducted to discuss the details related to xylazine use, its consequences, and utilization awareness. The sample comprised 63 males (70.8%) and 26 females with a mean age of 37.2 years. The mean number of years of drug use was 14.3, with a mean frequency of drug use of 5.9 times daily. More than 65% reported speedball as the principal drug of use. The prevalence of xylazine use was 80.7%. More than 42% of the sample used xylazine in a mixture with speedball. The main route of administration of xylazine was injection but 14% reported the use of xylazine by inhalation. More than 35% of the sample reported skin lesions and 21.1% reported at least one overdose episode. Multiple logistic regression analysis revealed that males (OR = 3.47, CI = 1.10-12.00) and those who reported speedball as their main drug of use (OR = 9.34, CI = 2.51-34.70) were significantly more likely to be xylazine users. Focus groups revealed that drug users claimed to recognize the presence of xylaxine in a mixture of speedball based on its effects, taste, the color of the drug (dark brown), and its odor. In conclusion, the use of xylazine among drug users in Puerto Rico seems to be an emerging trend with potentially serious health consequences.
Journal of Urban Health 03/2012; 89(3):519-26. DOI:10.1007/s11524-011-9662-6 · 1.90 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study was aimed at examining the relationship between suicidal attempts, polydrug use, and depression in adolescents. A sample of 691 adolescents and their parents were interviewed. Subjects who met the criteria for depression and those who used alcohol were significantly more likely to be suicidal attempters (OR = 6.8, p < 0.001; OR = 7.5, p < 0.001). Polydrug users were significantly more likely to attempt suicide (OR = 8.8, p = 0.032). Adolescents with mothers who met the criteria for depression were more likely to report suicide attempts (OR = 2.4, p = 0.069). Health professionals need to screen for polydrug use and depression to prevent future suicidal behaviors.
Archives of suicide research: official journal of the International Academy for Suicide Research 04/2011; 15(2):151-9. DOI:10.1080/13811118.2011.565274
[Show abstract][Hide abstract] ABSTRACT: Introduction: A growing body of research shows that youth violence is becoming a critical public health problem. Understanding youth violence from a public health perspective demands a comprehensive approach that explores not only quantitative indicators of violence risk but also youth's perceptions and subjective experiences of this phenomenon. Objective: This study aims to explore how violence is perceived and experienced by adolescents living in high-risk communities in San Juan, Puerto Rico. Methods: Two focus groups (4 females and 5 males) and five semi-structured interviews (3 females and 2 males) with adolescents living in high-risk violence communities were conducted. Mean age for participants was 18 years old. Semi-structured interviewees were selected based on their violent behavior history whereas focus group participants were identified as resilient. Interviews focused on eliciting narratives on the experience and meanings ascribed to violence as victims, witnesses and/or perpetrators. Data was analyzed using a categorical-content approach with QSR NVivo and organized following a situational analysis framework. Results: Narratives portrayed the individual motivations that rationalized violent behavior, the peer-level conditions and the community context in which these behaviors are inscribed. Perceptions of violence and experience violence as perpetrators, victims and witness also emerged. Six major thematic domains emerged from participants' narratives: drug wars, fights and guns, couples and family violence, violence rationalization and resilience. Conclusions: Although perceived as a serious concern in their lives, violence is assumed as a customary element in their communities, fostering feelings of fatalism, hyper-vigilance, depression, and rationalization of violence as a defense mechanism.
138st APHA Annual Meeting and Exposition 2010; 11/2010
[Show abstract][Hide abstract] ABSTRACT: Few studies have explored HIV+ status and suicidal behavior among drug users. In PR, intravenous drug use (IDU) is the main risk factor in HIV transmission, making HIV+ IDUs the most important group to study. The purpose of this study was to determine if self-reported HIV status among IDUs was associated with suicidal behavior (ideation and attempts). In this cross-sectional study, 400 IDUs not in treatment from the San Juan metropolitan area were recruited from copping areas and shooting galleries using ethnographic mapping strategies. Multiple logistic regression models were used to evaluate the association between each suicidal behavior with self-reported HIV status and socio-demographic, health-related, and substance use variables. No multicollinearity or interactions were found. Most IDUs were males, not high school graduates, not employed, and had been incarcerated. Mean age was 32.89.1 years; mean time of injecting drugs was 11.610.2 yrs. Prevalences of suicidal ideation (31%), attempts (23%) and depression (83%) were higher than in the general population. Self-reported HIV+ status was not associated with suicide attempts, but being HIV(-) was associated with ideation. The strongest risk factors for attempts were cocaine use and depression; for ideation, cocaine use and recent health care due to mental problem. Other significant risk factors for suicidal behavior included: being female, living alone, having ≥8 lifetime sexual partners, not using speedball, and lifetime use of crack, sedatives/tranquilizers, and other opiates. Suicidal behavior is an important problem among IDUs that needs to be addressed.
138st APHA Annual Meeting and Exposition 2010; 11/2010
[Show abstract][Hide abstract] ABSTRACT: This research aims to understand the circumstances associated with school dropout in a cohort of Puerto Rican adolescents.
The study collected data from adolescents and their parents. Information related to school dropout among adolescents was obtained from the second year follow-up data from the longitudinal study funded by NIDA "Risky Families Embedded in Risky Environments" (Grant No. R01 DA 15301). Data was collected employing a self-administered and a face-to-face interview protocol. Prediction of school dropout was assessed throughout adolescent characteristics, family background, school experiences and behaviors. Results: During the second follow-up, two years after the baseline assessment, approximately 6.2% of the adolescents reported dropping out from school. Logistic regression analysis indicates that older adolescents (OR = 6.6, 1.37-31.67), whose mother used drugs during pregnancy (OR = 4.9, 1.31-17.91), who reported high rates of absenteeism (OR = 4.8, 1.63-14.13), high school grade retention (OR = 3.7, 1.14-12.05), and attended school where teachers were attacked or wounded by students (O R =7.0, 1.44-34.17) were more likely to dropout of school.
: These findings emphasize the need to further understand the effects of different elements of adolescents' environment such as family and school. It has been posited that dropping out of school is a process whose characteristics can be detected long before it occurs. The fact that students who dropout are more likely to report skip classes and grade retention can be relevant elements in prevention and early intervention for teachers and other school personnel.
Puerto Rico health sciences journal 12/2009; 28(4):307-12. · 0.67 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: During the last decade the veterinary anesthetics have gained popularity as recreational drugs. The aim of this study was to document the use of anestecia de caballo (Xylazine) and its consequences among drug users in Puerto Rico. A total of 87 drug users were recruited from communities of the San Juan metropolitan area using a variety of ethnographic and outreach strategies. A short questionnaire developed for the study collected information on sociodemographics, Xylazine use and its consequences. Two focus groups were conducted to discuss the details related to Xylazine use, its consequences and utilization awareness. The majority was male (66.7%) with a mean age of 37.7 years. The mean number of years of drug use was 14.5, with a mean frequency of drug use of 6.1 times daily. More than 65% reported speedball as the principal drug of use. The prevalence of Xylazine use was 73.8%. More than 56% of the sample use Xylazine in a mixture with speedball. The main route of administration of Xylazine was injection but 14% reported the use of Xylazine by inhalation. More than 36% of the sample reported skin lesions and 26% reported at least an overdose episode. Focus groups reveal that drug user tend to recognize that Xylaxine is present in a mixture of speedball based on its effects, taste, the color of the drug (dark brown) and odor. In conclusion, the use of Xylazine among injection drug users in Puerto Rico seems to be an emerging trend with devastating health consequences.
137st APHA Annual Meeting and Exposition 2009; 11/2009
[Show abstract][Hide abstract] ABSTRACT: Efforts to translate, package, and diffuse HIV/AIDS research into practice have gained momentum with the Centers for Disease Control and Prevention's (CDC's) launch of three projects: the Prevention Research Synthesis Project, which identifies evidence-based interventions studies; the Replicating Effective Programs Project, which supports the translation of evidence-based interventions into materials suitable for use in local prevention programs; and the Diffusion of Effective Behavioral Interventions Project, which moves behavioral interventions into full-scale practice across the United States. This article describes the CDC's fast-track process of translation, packaging, and diffusion of an HIV intervention for Hispanic/Latino injection drug users, the Modelo de Intervención Psicomédica conducted by the Diffusion of Effective Behavioral Interventions Project in collaboration with a CBA organization and the original researchers.
AIDS education and prevention: official publication of the International Society for AIDS Education 10/2009; 21(5 Suppl):171-85. DOI:10.1521/aeap.2009.21.5_supp.171 · 1.51 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This paper documents the experience of a researcher who uses her research center as a training site to develop behavioral science researchers. It addresses the importance of students' selection, the flexibility of the research environment and the multiple activities provided to develop young students into researchers. Comments of some participants of the Facilitator-Mentoring Model are also documented.
Puerto Rico health sciences journal 04/2009; 28(1):60-5. · 0.67 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Injection drug users (IDUs) contaminate preparation materials with blood-borne pathogens by using syringes as measuring and dispensing devices. In collaboration with IDUs, we developed a preventive intervention consisting of four new preparation practices aimed at avoiding the use of syringes in the preparation, and reducing the contamination of the materials. This report describes the results of a pilot trial introducing the new practices to ascertain their adoption potential and their potential efficacy in reducing contamination. Participants comprised 37 active IDUs among whom the new practices were promoted during 16 weeks. In addition to self-reported behaviors, the study collected cookers and plastic caps from shooting galleries and tested them for the presence of blood residues. Adoption rates were: (1) cleaning of skin area with hand sanitizer--65.6%; (2) directly pouring water with a dropper into the cooker--56.3%; (3) drawing drug solution with a preparation syringe and syringe filter--34.4%; and, (4) backload rinsing syringes--53.1%. Rates of blood residues detected in cookers and plastic caps were 41.7% prior to the trial, 28.6% at week 8, 24.6% at week 14, and 12.0% at week 18. We believe the results of the pilot trial are compelling and suggest that this intervention merits further formal testing.
AIDS and Behavior 04/2009; 13(3):523-31. DOI:10.1007/s10461-009-9540-3 · 3.49 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Reducing sex risk behaviors among high-risk injection drug users (IDUs) and crack smokers is a continuing challenge for HIV prevention. Based on a longitudinal study of sexually active Puerto Rican IDUs and crack smokers in New York (n = 573) and Puerto Rico (n = 264), baseline predictors of changes in sex risk (number of unprotected sex acts) at 6- and 36-month follow-up interviews were examined. In New York, predictors of higher sex risk were being younger, having primary partners, having more other sex partners, never exchanging sex, having lower self-efficacy for reducing sex risk behaviors and being HIV-negative, and these predictors were significant at both postbaseline periods. In Puerto Rico, short-term predictors included being male, having primary partners, never exchanging sex, lower sex risk norms and lower self-efficacy. However, only having primary partners was significant in longer-term behaviors. Results indicated the need for enhancing self-efficacy and for developing risk reduction strategies related to community differences.
AIDS Education and Prevention 09/2008; 20(4):325-37. DOI:10.1521/aeap.2008.20.4.325 · 1.59 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study examines the influence of peer norms on sharing of injection paraphernalia (e.g., indirect sharing behaviors, including sharing of cookers, cotton, rinse water and back/front loading) among Puerto Rican injection drug users (IDUs) in Bayamón, Puerto Rico, and East Harlem, New York City. Data were collected from 873 Puerto Rican IDUs recruited in the two locations by outreach workers. Multiple logistic regression was conducted using sociodemographic and other control variables (e.g., education, frequency of injection, pooling money to buy drugs, use of needle exchange program, injection in galleries and syringe sharing behaviors) and two types of norms related to sharing of injection paraphernalia-encouraging risk norms (what others approve) and objecting to risk norms (what others disapprove). One type of norms, encouraging or approval norms, was associated with indirect sharing in New York but not in Puerto Rico. Pooling money to buy drugs, use of shooting galleries and syringe sharing was associated with indirect sharing in both locations. Prevention programs to reduce indirect sharing behaviors should take into consideration different types of risk norms in order to reduce indirect sharing risk behaviors.
AIDS Education and Prevention 07/2008; 20(3):249-57. DOI:10.1521/aeap.2008.20.3.249 · 1.59 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study investigates the role of neighborhoods in adolescent violence in poor neighborhoods in San Juan, Puerto Rico. The study is part of a larger longitudinal project examining risk and resilience in adolescents' ages 12 to 15 years old and their caregivers. Using a cross-sectional design, a self-completion questionnaire, and an interviewer questionnaire, the authors assessed violent behaviors among participants across demographics, characteristics, and neighborhood social disorganization using the concepts of physical disorders and social disorder. Adolescent violence was positively associated with social disorder. The finding that adults in these neighborhoods walk around with visible firearms and engage in fighting, may have led adolescents to perceive that violence is an accepted behavior. Furthermore, socially disorganized neighborhoods might be less likely to organize on their own behalf because the occurrence of negative experience limits the amount of social support and resources that are available in the neighborhood.
[Show abstract][Hide abstract] ABSTRACT: A cross sectional study was conducted from 2002-2004 to record the evolution of HIV-1 infection in Puerto Rico by monitoring the expression of antiretroviral resistance-associated mutations.
Samples were analyzed by using the TRUGENE HIV-1 Genotyping Kit and the OpenGene DNA Sequencing System.
Mutations in the HIV-1 virus were detected in 92.7% of men and 94.8% of women. Of these, 75.1% of men and 72.4% of women had HIV-1 with resistance to at least one medication. The average number of HIV mutations was 6.1 in men and 5.3 in women. In 2002 and 2003, strains were most frequently resistant to the antiretroviral drugs zalcitabine, lamivudine and didanosine, while in 2004, strains were most frequently resistant to zalcitabine, lamivudine, and efavirenz. The most prevalent mutations in the reverse transcriptase gene were M184V, K103N, T215Y, and M41L. The most prevalent mutations in the protease gene were L63P, M361, L90M, A71V, and L101.
Significant differences between men and women were recorded in the levels of HIV-1 expressed mutations and resistance. When comparing these results with data from 2000 and 2001, results indicate that expression of resistant mutations has remained constant.
[Show abstract][Hide abstract] ABSTRACT: Injection drug users (IDUs) in San Juan, Puerto Rico are characterized by high rates of daily injecting, injection of shared drugs, re-use of injection syringes, and use of shooting galleries. They lack adequate access to new injection syringes and drug preparation equipment, and experience elevated rates of HIV and HCV infection. Between April and August, 2006, researchers and active IDUs collaborated in the development of an experimental HIV/HCV intervention aimed at identifying drug preparation items and practices that will enable IDUs to make drug solutions without potentially contaminated injection syringes contacting materials used to prepare drugs. The collaboration involved discussing and testing a variety of drug preparation items and practices in office and community settings. The process was repeated until concerns that had been raised were resolved, and a tentative set of intervention items and practices to be evaluated in a community field trial was identified. Throughout, a strong emphasis was placed on the capacity of an item or practice to address common problems confronted by IDUs (blunted needles, clogged syringes, injected particles) in addition to the core aim of reducing contamination of preparation materials by blood in injection syringes.
This report describes the final selection of items and practices: 1) A small water bottle that permits IDUs to add approximately .05 cc water drops directly to drug powder in cookers; 2) A preparation syringe (a type of ancillary equipment not used for injecting) that permits IDUs to pull up a measurable amount of water to add to drug powder, an alternative to producing water drops; 3) A filtering device, the Sterifilt filter, attached to a preparation syringe, which eliminates the need for cotton or cigarette filters; 4) Use of a preparation syringe to distribute drug solution by backloading to injection syringe(s); 5) A small water bottle enabling IDUs to clean injection syringes by backload rinsing. The overarching aim of this experimental HIV/HCV intervention was to promote the safe re-use of drug preparation and injection items, and to impact the large number of IDUs in San Juan who maintain personal injection syringes, but currently use communal ancillary equipment in shooting galleries and inject drug solutions prepared with other IDUs' injection syringes.
[Show abstract][Hide abstract] ABSTRACT: During the 1990s non-injected heroin use (NIHU) increased notably in several countries. However, very few studies have examined the drug-using practices and other problem behaviors of NIHUs. In this study, we compared male and female NIHUs from Puerto Rico across a number of domains.
Recruitment proceeded through visits to drug-copping areas and the local hangouts in their vicinity. Subjects were eligible if they were 18 to 25 years old, had never injected any drugs, and had recently used heroin or cocaine. Study participants were administered a computer-assisted personal interview.
Of the 412 NIHUs recruited at the time of this study, 74 (18.0%) were females. Female NIHUs were more likely to report sexual assaults and more likely to manifest severe symptomatology of post-traumatic stress disorder than male NIHUs (35.1% vs. 3.6%, p<.01, and 40.5% vs. 25.7%, p=.01, respectively). Females were less likely to report a source of emotional support than males (86.5% vs. 95.3%, p<.01). Close to one in four of the females (23.0%) reported a history of sexually transmitted infections, compared to three percent of the males (p<.01). HIV seroprevalence among females was 4.3% compared to 0.6% among males (p=.01).
Female heroin users seem to present a host of different needs compared to male heroin users. Given the scarcity of existing programs for female drug users in Puerto Rico, designing supportive systems that effectively address the specific needs of drug-using women should become a high-priority public health issue.
Puerto Rico health sciences journal 09/2007; 26(3):205-11. · 0.67 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Research suggests that sexual silence, family loyalty, and homophobia foster health-compromising behaviors among adult Latino gay males, but little is known about the effect of these sociocultural factors on the lives of Latino children and young teens characterized by gender nonconformity and homosexual orientation. This exploratory study of Puerto Rican men who have sex with men (MSM) used multisession qualitative interviews to examine early life experiences related to gender identity and homosexual orientation, and the place of drug use and risky sexual behavior in sexual identity formation. Gay male and transsexual female participants described at least one sympathetic family member, usually a female, who accepted cross-gender behavior and/or homosexual orientation. Half of the participants experienced unwanted sex as minors, and all were subjected to bullying by schoolmates. As pubescent youth, participants frequented adult gay venues where they were exposed to high-risk sexual and drug-related behaviors. Interventions for sexually questioning and gay/transsexual Puerto Rican youth are proposed.
Youth & Society 08/2007; 39(3):362-384. DOI:10.1177/0044118X07305998 · 1.82 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: We analyzed early sexual activity among Hispanic 14 to 15-year-old adolescents residing in a poor neighborhood in Puerto Rico.
Information from a sample of 325 adolescents was collected from a randomized sample of community households. Logistic regression analysis was used to identify the variables that help explained adolescents' sexual behavior.
Adolescents whose parents reported poor communication and poor parent control were more likely to engage in early sexual activity that those peers that did not report this type of family relationship. Adolescents who reported poor parent bonding and lack of discipline were more likely to engage in early sexual relationships.
Intervention and prevention programs need to be aware and address the role of the Hispanic culture in gender differences in early sexual activity in adolescence. If sexual norms related to gender role are changing in Puerto Rico, is a question that needs to be answered in future research.
Puerto Rico health sciences journal 07/2007; 26(2):119-26. · 0.67 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: More than half of all AIDS cases among Puerto Ricans have been attributed to injection drug use. Predictors of injection drug use cessation were examined among Puerto Rican injection drug users (IDUs) in New York and Puerto Rico. Analysis of baseline and 6-month follow-up data from 670 IDUs in NY and 316 in PR showed that 47% NY and 20% in PR reported cessation of injection at follow-up (p < .001). In multivariate analyses, having been in drug treatment since baseline was the only significant predictor of cessation for both sites (NY: AOR = 1.80; PR: AOR = 3.10). Increasing availability of methadone maintenance treatment, especially in PR, was indicated.
The American Journal of Drug and Alcohol Abuse 04/2007; 33(2):291-9. DOI:10.1080/00952990601175037 · 1.78 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: This study examined mobility on the airbridge between New York (NY) and Puerto Rico (PR) for Puerto Rican drug users and its relationship to HIV risk. Over 1,200 Puerto Rican injection drug users (IDUs) and crack smokers were recruited by outreach workers in NY and PR; interview data included questions on mobility (lifetime residences and recent trips). Two-thirds of the NY sample had lived in PR; one-quarter of the PR sample had lived in NY; the most commonly sited reasons for moving were family-related. Fewer than 10% had visited the other location in the prior 3 years. Variables related to risk were number of moves, recent travel, and having used drugs in PR (all with p < 0.05). Implications included the need to enhance risk reduction efforts for IDUs in PR and address sexual risk among mobile drug users.
Journal of Urban Health 03/2007; 84(2):243-54. DOI:10.1007/s11524-006-9151-5 · 1.90 Impact Factor
[Show abstract][Hide abstract] ABSTRACT: Despite an overall decrease in AIDS incidence in Puerto Rico, our studies continue to show high prevalence of HIV risk behaviors among injection drug users (IDUs). This study seeks to evaluate whether the occurrence of injection-related and sex-related HIV risk behaviors among IDUs in Puerto Rico varies with the presence of anxiety symptomatology. Subjects included 557 IDUs, recruited from street settings in poor neighborhoods in Puerto Rico. Symptoms of severe anxiety were reported by 37.1% of the study sample. Participants with severe anxiety symptoms were more likely to share needles, cotton, and rinse water; to pool money to buy drugs; and to engage in backloading, than those without severe anxiety symptoms. Participants with severe anxiety symptomatology were also more likely to practice unprotected vaginal or oral sex. The findings from this study alert HIV prevention and treatment programs to the need to address anxiety disorders within their programs.
AIDS and Behavior 02/2007; 11(1):145-50. DOI:10.1007/s10461-006-9090-x · 3.49 Impact Factor