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Background: The association between socio-economic marginalisation in urban poor neighbourhoods and the prevalence of violence, crime, drug use and drug dealing has been well documented. However few studies have explored the social context of the transition to, initiation and maintenance of drug injection career in slum areas in developing countries. This study examines the lived experience of young men in initiating and maintaining drug injection in slum areas, commonly named lorong, in the city of Makassar, Indonesia. Method: In-depth interviews were conducted with 18 male injecting drug users who attended a drop-in centre for drug users in the city. Results: The interviews revealed that the pharmacological effects of putaw street grade heroin and the economics of injection were factors in initiating and maintaining injection. Importantly, the intersection of socio-economic deprivation with pursuing the status of rewa local concept of masculinity and the dynamics of gang participation led many members of the lorong into a drug injection career, making them vulnerable for HIV and other blood-borne viral infections. Conclusion: To be more effective, the existing harm reduction programmes in Makassar that focus on individualistic behavioural changes need to be complemented with community-based programmes that take into consideration the social and structural context of risk-taking practices amongst young people in the lorong. Abstract Background: The association between socio-economic marginalisation in urban poor neighbourhoods and the prevalence of violence, crime, drug use and drug dealing has been well documented.

Experimental Trajectories of Young Users of Psycho-active Prescription Drugs in Urban Indonesia

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Indonesia became the fastest nation in HIV growth in Asia. The use of shared needles is the most contributor to the various HIV cases in Indonesia. This number increased rapidly to 19, people in Their number is currently estimated at 6, people. Nurul explained that Junkies is a slang term of drug injection users IDUs. The term was derived on the word play of junk and became the stigma that is given to their community. Junkies among drug users occupy the top level, not only because of the type of drugs they use heroin , but is known as a pete aka putauw. When compared with other types of drugs, the price is of course relatively more expensive and its use is through injection. Although not all of them, in general junkies are recognized as criminals. This condition causes them to be socially isolated, not only by the public, but also by their own families. In many cases when there is a junkie among family members, it is seen as a disgrace. Families will feel ashamed, hide it, and sometimes even cut the family connection. Especially those who come from well-established families and has an important position. Because the more they are isolated, the more difficult it is to stop. They are preoccupied with the drunk condition,' said Nurul. It seems that moral support becomes their spirit booster for mild and severe junkies. Because a smile for them has become the spirit booster. Frequently these junkies provide help for each other, especially to their severely ill friends whose family do not care anymore. They think that one day they will also need help,' said Nurul. Universitas Gadjah Mada. News News Report. Related News. Latest News. Latest Events. All Events. Crisis Center. Open toolbar Aksesbilitas.

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The social context of initiation into injecting drugs in the slums of Makassar, Indonesia

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