Experiences and perceptions of people who use heroin: public health lessons from Hermosillo, Mexico

Abstract: Heroin consumption in Mexico is low compared with its use in the United States; however, this practice is more common in the northern region of Mexico than in the rest of the country, being documented only in cities that are located exactly at the Mexico-U.S. border. The Mexican legal fram...

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Main Authors: Silvia Magali Cuadra-Hernández, Sergio Salazar-Arriola, Armando Arredondo-López, María Beatriz Duarte-Gómez, Verónica Cuadra-Hernández, Celina Rueda-Neria
Format: Article
Language:English
Published: Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz 2018-11-01
Series:Cadernos de Saúde Pública
Subjects:
Online Access:http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018001105008&lng=en&tlng=en
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author Silvia Magali Cuadra-Hernández
Sergio Salazar-Arriola
Armando Arredondo-López
María Beatriz Duarte-Gómez
Verónica Cuadra-Hernández
Celina Rueda-Neria
author_facet Silvia Magali Cuadra-Hernández
Sergio Salazar-Arriola
Armando Arredondo-López
María Beatriz Duarte-Gómez
Verónica Cuadra-Hernández
Celina Rueda-Neria
author_sort Silvia Magali Cuadra-Hernández
collection DOAJ
description Abstract: Heroin consumption in Mexico is low compared with its use in the United States; however, this practice is more common in the northern region of Mexico than in the rest of the country, being documented only in cities that are located exactly at the Mexico-U.S. border. The Mexican legal framework is focused on rehabilitation, but its effects on the lives of users are unknown. The objective of this research was to analyze how the regulatory Mexican framework is conceptualized and practiced in the daily life of a group of heroin users from a northern city, where consumption has recently spread and has not been documented. We collected the official registered data from users and conducted a qualitative study in Hermosillo, Sonora. A research on the legal framework was conducted, as well as on the city’s context. Data on heroin users can be found at HIV health center, as there is no other source of such records. The Mexican legal framework aims at rehabilitation and at avoiding criminalization; however, the daily life of users drives them towards crime circuits: people commit crimes to stay in prison, where they can control the addiction and get heroin, in case of abstinence. The Mexican State has no empirical information to improve its programs and laws related to the use of heroin. The daily practices of users become not only epidemiological but social risks to the community and to the users themselves. Also, the lack of access due to stigmatization, criminalization and violence, increases the inequities, creating a cycle that reproduces poverty and suffering as part of a social structure. Therefore, changes are needed in the justice system.
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spelling doaj.art-79b46b6f154c4e2b945e82f87f951ee62022-12-21T20:47:52ZengEscola Nacional de Saúde Pública, Fundação Oswaldo CruzCadernos de Saúde Pública1678-44642018-11-01341110.1590/0102-311x00179417S0102-311X2018001105008Experiences and perceptions of people who use heroin: public health lessons from Hermosillo, MexicoSilvia Magali Cuadra-HernándezSergio Salazar-ArriolaArmando Arredondo-LópezMaría Beatriz Duarte-GómezVerónica Cuadra-HernándezCelina Rueda-NeriaAbstract: Heroin consumption in Mexico is low compared with its use in the United States; however, this practice is more common in the northern region of Mexico than in the rest of the country, being documented only in cities that are located exactly at the Mexico-U.S. border. The Mexican legal framework is focused on rehabilitation, but its effects on the lives of users are unknown. The objective of this research was to analyze how the regulatory Mexican framework is conceptualized and practiced in the daily life of a group of heroin users from a northern city, where consumption has recently spread and has not been documented. We collected the official registered data from users and conducted a qualitative study in Hermosillo, Sonora. A research on the legal framework was conducted, as well as on the city’s context. Data on heroin users can be found at HIV health center, as there is no other source of such records. The Mexican legal framework aims at rehabilitation and at avoiding criminalization; however, the daily life of users drives them towards crime circuits: people commit crimes to stay in prison, where they can control the addiction and get heroin, in case of abstinence. The Mexican State has no empirical information to improve its programs and laws related to the use of heroin. The daily practices of users become not only epidemiological but social risks to the community and to the users themselves. Also, the lack of access due to stigmatization, criminalization and violence, increases the inequities, creating a cycle that reproduces poverty and suffering as part of a social structure. Therefore, changes are needed in the justice system.http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018001105008&lng=en&tlng=enHeroin DependenceSocial StigmaViolenceQualitative Analysis
spellingShingle Silvia Magali Cuadra-Hernández
Sergio Salazar-Arriola
Armando Arredondo-López
María Beatriz Duarte-Gómez
Verónica Cuadra-Hernández
Celina Rueda-Neria
Experiences and perceptions of people who use heroin: public health lessons from Hermosillo, Mexico
Cadernos de Saúde Pública
Heroin Dependence
Social Stigma
Violence
Qualitative Analysis
title Experiences and perceptions of people who use heroin: public health lessons from Hermosillo, Mexico
title_full Experiences and perceptions of people who use heroin: public health lessons from Hermosillo, Mexico
title_fullStr Experiences and perceptions of people who use heroin: public health lessons from Hermosillo, Mexico
title_full_unstemmed Experiences and perceptions of people who use heroin: public health lessons from Hermosillo, Mexico
title_short Experiences and perceptions of people who use heroin: public health lessons from Hermosillo, Mexico
title_sort experiences and perceptions of people who use heroin public health lessons from hermosillo mexico
topic Heroin Dependence
Social Stigma
Violence
Qualitative Analysis
url http://www.scielosp.org/scielo.php?script=sci_arttext&pid=S0102-311X2018001105008&lng=en&tlng=en
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