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      Un Jalón, Un Volteón, y Otra Vez: High-Risk Crack Smoking Paraphernalia in México City

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          Abstract

          During the past decade, crack smoking has increased in Mexico among poor urban populations. Despite this increasing prevalence, little is known about the types of paraphernalia used and related sharing practices and physical harms. Data come from in-depth semi-structured interviews and observations with 156 current crack smokers in Mexico City. Findings reveal a complex, crack-smoking process in Mexico City that represents an interconnected structure of paraphernalia items and pipes that could contribute to detrimental health consequences. Specifically, we identify essential paraphernalia items that make the smoking of crack possible; describe the home- made construction of two categories of pipes; and the sharing practices and physical harms associated with these paraphernalia. Results point towards a smoking process that is embedded in impoverished urban neighborhoods sustained by an accessible street-level crack market. Discussed are the policy and intervention implications associated with reducing crack related health consequences in Mexico and other Latin American countries.

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          Author and article information

          Journal
          8113536
          5126
          J Psychoactive Drugs
          J Psychoactive Drugs
          Journal of psychoactive drugs
          0279-1072
          2159-9777
          25 October 2016
          29 June 2016
          Sep-Oct 2016
          01 September 2017
          : 48
          : 4
          : 295-302
          Affiliations
          [1 ]Professor (AV), Associate Professor (AC), University of Southern California
          [2 ]Assistant Professor, University of Miami
          [3 ]SEISYC AC
          [4 ]Associate Professor, University of Maryland
          Author notes
          Corresponding Author: *Avelardo Valdez, Ph.D., Professor, University of Southern California, School of Social Work & Sociology, 1150 South Olive Street, Suite 1400, Los Angeles, California 90015, Tel: 213.821.6464, a.valdez@ 123456usc.edu
          Article
          PMC5441841 PMC5441841 5441841 nihpa815187
          10.1080/02791072.2016.1198510
          5441841
          27356211
          71000a3c-fcd3-41ad-b1ee-45b02c744fa8
          History
          Categories
          Article

          health risks,crack,paraphernalia,Mexico City,urban neighborhoods

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