ABSTRACT

Multiple factors contribute to co-occurring issues such as violence, HIV, and mental disorders among people who inject drugs (PWID), particularly those residing in limited resource settings. Using an ecological framework, this study explored multilevel determinants of co-occurring violence, HIV, mental health, and substance use issues among PWID. Data were collected via semi-structured in-depth interviews with 31 men and women PWID in India. Findings revealed factors at the community (e.g., stigma), interpersonal (e.g., abusive partners), and individual (e.g., financial stress) levels. Findings highlight the need for prevention and intervention programs addressing factors at multiple ecological levels to reduce comorbidity among PWID.

摘要

多种因素导致注射吸毒者（尤其是居住在资源有限环境中的注射吸毒者）中同时出现暴力、艾滋病毒和精神障碍等问题。本研究利用生态框架，探讨了吸毒者中同时发生的暴力、艾滋病毒、心理健康和药物使用问题的多层次决定因素。数据是通过对印度 31 名男性和女性吸毒者进行半结构化深度访谈收集的。调查结果揭示了社区（例如耻辱）、人际（例如虐待伴侣）和个人（例如经济压力）层面的因素。研究结果强调，需要针对多个生态层面的因素制定预防和干预计划，以减少吸毒者的合并症。