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The equipment distribution model has been transferred to address concerns surrounding crack cocaine smoking.
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An abundance of evidence demonstrates the effectiveness of needle and syringe programs which are considered as an essential component of an HIV prevention program. In terms of harm reduction, transferring the model of safer injection kits is one option and holds some appeal.
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Like other drug use related problems, options to reduce negative consequences span the four pillars of drug policy from prevention to drug treatment to law enforcement to harm reduction. Greater intensity of methamphetamine use was also positively associated with unprotected sex in a sample of 261 HIV-positive MSM in California. Low rates of condom use (one third of the time during vaginal sex and one quarter of the time during anal sex) in another study lend support to this finding. A study of sexually active adults in California found that non-injection methamphetamine use was inversely associated with condom use, regardless of the type of intercourse. Studies show crystal methamphetamine increases sex drive and can enable longer sexual episodes it also leads to drying of the mucosa, which can cause tears in the genital region and facilitate transmission of HIV or other sexually transmitted infections. Ĭrystal methamphetamine smoking has also been linked with risky sexual behaviours. Populations most often associated with smoking crystal methamphetamine include homeless/street-involved youth, gay men, sex workers, and youth in the party scene.
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A systematic review concluded an HCV prevalence ranging from 2.3 to 5.3% among never-injecting drug users represents a serious health concern among this population but the causal mechanism of transmission was unclear. Heated and damaged pipes may lead to injuries to the lips and mouth and when shared these pipes may be a vector for Hepatitis C virus (HCV) transmission. Within the context of a broader health promotion and prevention program, pilot testing of safer smoking kits to initiate discussion and education on the risks associated with sharing pipes and unprotected sex for some communities (e.g., homeless/street-involved youth) is worth pursuing.Ĭrystal methamphetamine smoking is associated with many negative health consequences and is linked with transmission of Hepatitis C virus (HCV). ConclusionsĬhanging pipe sharing behaviours may be difficult because many participants considered sharing to be integral to the social experience of smoking crystal methamphetamine. Demand for harm reduction kits was mixed. Many reported having sex with multiple partners and being less likely to use condoms while on the drug.
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Heated pipes were unlikely to cause direct injuries, but participants mentioned having dry, cracked lips, which may be a vector for disease transmission.
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Pipe sharing was widespread among participants and was deemed integral to the social experience of smoking crystal methamphetamine. Participants (n = 32) were asked questions about motivations for crystal methamphetamine use, the process of smoking, health problems experienced, sharing behaviour, risky sexual practices, and the ideal contents of a harm reduction kit. Target groups included homeless/street-involved youth, sex workers, men who have sex with men, and youth in the party scene. Methodsįive focus groups were conducted with crystal methamphetamine smokers recruited by community health agencies and youth shelters in Toronto, Canada. We examined whether or not a kit for crystal methamphetamine smoking might have some potential to reduce the negative health effects of crystal methamphetamine smoking. Crystal methamphetamine smoking is associated with many negative health consequences, including the potential for transmission of hepatitis.