Kontakt 2020, 22(3):207-212 | DOI: 10.32725/kont.2020.029

Needle fixation among drug usersSocial Sciences in Health - Original article

Alena Hajšmanová1, Alena Kajanová1,*, Tomáš Mrhálek2
1 University of South Bohemia in České Budějovice, Faculty of Health and Social Sciences, Institute of Social and Special-paedagogical Sciences, České Budějovice, Czech Republic
2 University of South Bohemia in České Budějovice, Faculty of Pedagogy, České Budějovice, Czech Republic

Needle fixation describes the state in which drug users derive satisfaction from using needles, regardless of the substance applied via the needle. The phenomenon is essential for therapeutic approaches for needle-addicted persons, as it significantly affects the success level of the therapeutic process. Goals: To describe the prevalence of individual dimensions of needle fixation among drug users in the city of Plzeň, considering their factors of drug use.

Methods: The data were collected with the help of the NEFPRO questionnaire working with fixation dimensions, specifically: preference of the effect of intravenous application, sexual satisfaction, sexual experience, pain, substitution, ritual and flushing. The questionnaire was complemented with several questions related to age, gender, time of abuse and the primary drug abused. The said variables were statistically tested in the SPSS program in relation to the fixation dimensions, by t-test for independent averages, ANOVA and bivariant correlations. The data were collected among injection drug users (N = 89) in Plzeň in cooperation with Spolek Ulice Plzeň, a non-profit organization providing field programs.

Results: The dimension of needle fixation most frequently present among the users was substitution (94.4%) and sexual practice (89.9%), followed by sexual pleasure (78.6%) and pain (66.3%); the remaining dimensions were marginally represented. A statistically significant relationship (p < 0.05) was identified between gender and the dimensions of pain and flushing; the type of drugs used shows a relation with the dimension of rituals. None of the dimensions significantly relate to age or duration of use.

Keywords: Drug addiction; Needle fixation; Ritual

Received: April 14, 2020; Revised: July 1, 2020; Accepted: August 17, 2020; Prepublished online: August 19, 2020; Published: August 28, 2020  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Hajšmanová A, Kajanová A, Mrhálek T. Needle fixation among drug users. Kontakt. 2020;22(3):207-212. doi: 10.32725/kont.2020.029.
Download citation

References

  1. Giddings D, Christo G, Davy J (2003). Reasons for Injecting and Not Injecting: a qualitative study to inform therapeutic intervention. Drugs (Abingdon Engl) 10(1): 95-104. DOI: 10.1080/0968763021000040932. Go to original source...
  2. Hampl K (2001). Rituální složka závislosti. Alkoholizmus a drogové závislosti [Ritual component of addiction. Alcoholism and drug addiction]. 36(4-5): 269-272.
  3. Hinton S, Signal TD, Ghea VC (2013). Addicted to the needle: the relationship between needle fixation and impulsivity. J Subst Use 18(1): 21-30. DOI: 10.3109/14659891.2012.705951. Go to original source...
  4. Horyniak D, Armstrong S, Higgs P, Wain D, Aitken C (2007). Poor man's smack: a qualitative study of buprenorphine injecting in Melbourne, Australia. Contemp Drug Probl 34(3): 525-548. DOI: 10.1177/00914509 0703400310. Go to original source...
  5. Howard J, Borges P (1971). Needle sharing in the Haight: Some social and psychological functions. J Psychedelic Drugs 4(1): 71-80. DOI: 10.1080/02791072.1971.10471789. Go to original source...
  6. Judson G, Brid R, O'Connor P, Bevin T, Loan R, Schroder M, et al. (2010). Drug injecting in patients in New Zealand Methadone Maintenance Treatment programs: An anonymous survey. Drug Alcohol Rev 29(1): 41-46. DOI: 10.1111/j.1465-3362.2009.00080.x. Go to original source... Go to PubMed...
  7. McBride AJ, Pates RM, Arnold K, Ball N (2001). Research report. Needle fixation, the drug user's perspective: a qualitative study. Addiction 96 (7): 1049-1058. DOI: 10.1046/j.1360-0443.2001.967104914.x. Go to original source... Go to PubMed...
  8. Mravčík V, et al. (2018). Výroční zpráva o stavu ve věcech drog v České republice v roce 2017 [Annual Report on Drug-Related Matters in the Czech Republic in 2017]. [online] [cit. 2019-04-20]. Praha: Úřad vlády České republiky. Available from: https://www.drogy-info.cz/data/obj_files/32962/837/VZdrogy2017_web181207.pdf
  9. Pates R (2004). The development of a psychological theory of needle fixation. Unpublished dissertation. Cardiff: University of Wales.
  10. Pates RM, Arnold KA, McBride AJ (2009). The identification of needle fixation: The development of the NEFPRO, a clinical screening tool. J Subst Use, Special Issue on Injecting 14(5): 306-311. DOI: 10.3109/14659890903231297. Go to original source...
  11. Pates RM, Gray N (2009). The Development of a Psychological Theory of Needle Fixation. J Subst Use 14(5): 312-324. DOI: 10.3109/14659890903235876. Go to original source...
  12. Pates RM, McBride AJ, Arnold K (2005). Needle fixation. Injecting illicit drugs. Oxford: Blackwell publishing. Go to original source...
  13. Pates RM, McBride AJ, Ball N, Arnold K (2001). Towards an holistic understanding of injecting drug use: an overview of needle fixation. Addict Res Theory 9(1): 3-17. DOI: 10.3109/16066350109141769. Go to original source...
  14. Pešek M (2013). Závislost na jehle důvody pro injekční aplikaci drog - teoretický přehled [Needle Fixation, Reasons for Intravenous Drug Application - Theoretical Overview]. Praha: Ambulantní léčba o. s. PREV-CENTRUM.
  15. Robinson GM, Kemp R, Lee C, Cranston D (2000). Patients in methadone maintenance treatment who inject methadone syrup: a preliminary study. Drug Alcohol Rev 19(4): 447-450. DOI: 10.1080/713659430. Go to original source... Go to PubMed...
  16. Treffurth Y, Pal HR (2010). A case of needle fixation. BMJ Case Rep 2010:bcr11.2009.2458. DOI: 10.1136/bcr.11.2009.2458. Go to original source... Go to PubMed...
  17. Walmsley I (2012). Governing the injecting drug user: Beyond needle fixation. [online] [cit. 2018-11-04]. Bristol: University of the West of England. Available from: http://www.academia.edu/2020187/Governing_the_injecting_drug_user_Beyond_needle_fixation
  18. Wooldridge J (2017). Flushing, rituals and needle fixation among heroin addicts: implications for policy [online] [cit. 2018-11-07]. London: London School of Economics and Political Science. Available from: https://psj.lse.ac.uk/articles/abstract/57/

This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0), which permits non-comercial use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.