Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk.

Accounts of health-related risk behaviour are generated in a social context of risk acceptability and moral responsibility. Drawing upon qualitative semi-structured interviews with injecting drug users (IDUs) in Belgrade, Serbia (n = 67) and Podgorica and Bar, Montenegro (n = 32), we explore drug in...

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Publicado en:Health, Risk & Society Vol. 10; no. 3; pp. 221 - 241
Autores principales: Rhodes T, Prodanovic A, Zikic B, Kuneski E, Pavicevic T, Karadzic D, Bernays S
Formato: research Journal Article
Publicado: Taylor & Francis Ltd Jun2008
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Taylor & Francis Ltd
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        atl: Trust, disruption and responsibility in accounts of injecting equipment sharing and hepatitis C risk.
      aug:
        au:
          Rhodes T
          Prodanovic A
          Zikic B
          Kuneski E
          Pavicevic T
          Karadzic D
          Bernays S
        affil: Centre for Research on Drugs and Health Behaviour, London School of Hygiene and Tropical Medicine, UK
      sug:
        subj:
          Hepatitis C Risk Factors
          Injections Equipment and Supplies
          Persons Who Use Intravenous Drugs
          Trust
          Antibodies
          Environment
          Funding Source
          Hepatitis C Transmission
          Interpersonal Relations
          Knowledge
          Pharmacy, Retail
          Qualitative Studies
          Risk Taking Behavior
          Semi-Structured Interview
          Yugoslavia
          Human
      ab: Accounts of health-related risk behaviour are generated in a social context of risk acceptability and moral responsibility. Drawing upon qualitative semi-structured interviews with injecting drug users (IDUs) in Belgrade, Serbia (n = 67) and Podgorica and Bar, Montenegro (n = 32), we explore drug injectors' accounts of sharing injecting equipment, and 'discriminative' and 'exceptional' sharing specifically, alongside accounts of hepatitis C risk. We find that accounts emphasize discriminative and exceptional sharing as acceptable given the circumstances, with normative syringe sharing presented as unacceptable and irresponsible. Two key themes emerged in descriptions of discriminative and exceptional sharing: 'trust' based in social relations, ensuring that sharing took place under 'reduced risk' conditions; and 'disruptions' to safety routine brought about by accidents, unexpected events, drug withdrawal and the environment. In accounts of environmental disruption, a lack of trust (and blame) was identified in relation to pharmacies and police. Whereas trust accounts justified sharing as reduced risk, disruption accounts accepted risk opportunity but appealed to a denial of agency. In addition, accounts portrayed a general context of risk and uncertainty in relation to hepatitis C, characterized by a lack of trust in knowledge about others' disclosed antibody status, a lack of faith in expert helping systems and confusion about HCV transmission.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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