2012
DOI: 10.1080/00045608.2012.674896
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Spatial Epidemiology of HIV Among Injection Drug Users in Tijuana, Mexico

Abstract: The northwest border city of Tijuana is Mexico’s fifth largest and is experiencing burgeoning drug use and human immunodeficiency virus (HIV) epidemics. Since local geography influences disease risk, we explored the spatial distribution of HIV among injection drug users (IDUs). From 2006–2007, 1056 IDUs were recruited using respondent-driven sampling, and then followed for eighteen months. Participants underwent semi-annual surveys, mapping, and testing for HIV, tuberculosis, and syphilis. Using Average Neares… Show more

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Cited by 38 publications
(46 citation statements)
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“…For example, intra-national migration may be observed as movement between rural and urban settings, in and out of indigenous communities, and even across local metropolitan borders (Brouwer et al, 2012; King & Skeldon, 2010; Rachlis, Hogg, Wood, Li, & Kerr, 2008; Rachlis, Wood, Li, Hogg, & Kerr, 2008) and, as such, migration across intra-national borders may also carry syndemic risks. Additionally, some have characterized intra-urban mobility as a phenomenon akin to other forms of migration in order to describe health and social outcomes associated with population movement within metropolitan centers (Brouwer et al, 2012). …”
Section: Migration Classes and Injection Initiationmentioning
confidence: 99%
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“…For example, intra-national migration may be observed as movement between rural and urban settings, in and out of indigenous communities, and even across local metropolitan borders (Brouwer et al, 2012; King & Skeldon, 2010; Rachlis, Hogg, Wood, Li, & Kerr, 2008; Rachlis, Wood, Li, Hogg, & Kerr, 2008) and, as such, migration across intra-national borders may also carry syndemic risks. Additionally, some have characterized intra-urban mobility as a phenomenon akin to other forms of migration in order to describe health and social outcomes associated with population movement within metropolitan centers (Brouwer et al, 2012). …”
Section: Migration Classes and Injection Initiationmentioning
confidence: 99%
“…For the purposes of this review, intra-urban migration refers to people who mobilize within the same metropolitan context, experiencing different risk environments across neighborhoods and local districts (Brouwer et al, 2012; Brouwer et al, 2012). Because of the similarities between the health and social vulnerabilities associated with drug use among populations moving across cities and those experienced by populations moving across national and international borders, we argue that public health researchers should consider intra-urban movement within the context of other forms of migration.…”
Section: Migration Classes and Injection Initiationmentioning
confidence: 99%
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“…In Tijuana alone, it has been estimated that a population of approximately 10,000 people who inject drugs (PWID) is beset by severe drug-related harms ((Beletsky, Lozada, et al, 2013; Brouwer et al, 2012; Brouwer et al, 2006; Kori, Roth, Lozada, Vera, & Brouwer, 2013; Patricia et al, 2008; Pollini et al, 2010; Strathdee et al, 2005; Ulibarri et al, 2013; Volkmann et al, 2011). A substantial proportion of this population is believed to be opioid-dependent (Strathdee et al, 2005; Strathdee, Magis-Rodriguez, Mays, Jimenez, & Patterson, 2012).…”
mentioning
confidence: 99%