AIDS and Behavior

, Volume 11, Issue 2, pp 253–262

A Qualitative Exploration of Gender in the Context of Injection Drug Use in Two US–Mexico Border Cities

  • Michelle Firestone Cruz
  • Andrea Mantsios
  • Rebeca Ramos
  • Patricia Case
  • Kimberly C. Brouwer
  • Maria Elena Ramos
  • Wendy Davila Fraga
  • Carl A. Latkin
  • Cari L. Miller
  • Steffanie A. Strathdee
Original Paper

DOI: 10.1007/s10461-006-9148-9

Cite this article as:
Cruz, M.F., Mantsios, A., Ramos, R. et al. AIDS Behav (2007) 11: 253. doi:10.1007/s10461-006-9148-9

Abstract

Injection drug use is of increasing concern along the U.S.–Mexico border where Tijuana and Ciudad (Cd.) Juarez are located. We conducted a qualitative study to explore the context of drug use, with a focus on gender differences. In-depth interviews were conducted with 10 male and 10 female injection drug users (IDUs) in Tijuana and 15 male and 8 female IDUs in Cd. Juarez. Topics included types of drugs used, injection settings, access to sterile needles and environmental influences. Interviews were taped, transcribed and translated. Content analysis was conducted to identify themes. Several themes emerged with respect to gender: (a) how drugs were obtained; (b) where drugs were used; (c) relationship dynamics surrounding drug use; and (d) sex in exchange for money or drugs. Men reported buying and injecting in shooting galleries and other locations, whereas women tended to buy and inject drugs with people they knew and trusted. All men reported having shared syringes in shooting galleries, often with strangers. In these two cities, venue-based interventions may be more appropriate for male IDUs, whereas personal network interventions may be more appropriate among female IDUs.

Keywords

Injection drug use Gender Mexico Social networks 

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Michelle Firestone Cruz
    • 1
  • Andrea Mantsios
    • 1
  • Rebeca Ramos
    • 2
  • Patricia Case
    • 3
  • Kimberly C. Brouwer
    • 1
  • Maria Elena Ramos
    • 2
  • Wendy Davila Fraga
    • 4
  • Carl A. Latkin
    • 5
  • Cari L. Miller
    • 6
  • Steffanie A. Strathdee
    • 1
    • 5
  1. 1.Division of International Health and Cross-Cultural Medicine, Department of Family and Preventive MedicineUniversity of California San Diego School of MedicineSan DiegoUSA
  2. 2.Programa CompañerosCiudad JuárezMéxico
  3. 3.The Fenway InstituteBostonUSA
  4. 4.Universidad Autónoma de Baja California–Tijuana School of MedicineTijuanaUSA
  5. 5.The Johns Hopkins Bloomberg School of Public HealthBaltimoreUSA
  6. 6.BC Centre for Excellence in HIV/AIDSVancouverCanada

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