Multiple factors contribute to co-occurring issues such as violence, HIV, and mental disorders among people who inject drugs (PWID), particularly those residing in limited resource settings. Using an ecological framework, this study explored multilevel determinants of co-occurring violence, HIV, mental health, and substance use issues among PWID. Data were collected via semi-structured in-depth interviews with 31 men and women PWID in India. Findings revealed factors at the community (e.g., stigma), interpersonal (e.g., abusive partners), and individual (e.g., financial stress) levels. Findings highlight the need for prevention and intervention programs addressing factors at multiple ecological levels to reduce comorbidity among PWID.
Little is known about the neighborhood context of offending for Asian American youth. The current study differentiates between coethnic neighborhood types and considers if residence in ethnoburbs-a more recently conceptualized coethnic neighborhood-is associated with more serious arrests (for substance, property, weapon, or violent offenses). Asian youth in ethnic enclaves had lower odds of a violence arrest relative to youth in non-coethnic neighborhoods. Youth in ethnoburbs had greater odds of a weapons arrest, but this association is attenuated after adjusting for individual-level covariates. Implications for future research include exploring mechanisms for place-based targeted intervention strategies.
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