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Journal of ethnicity in substance abuse
2024 Oct-Dec;23 (4): 1080-1099.

Network ethnic homophily and injection equipment sharing among Latinx and White non-Latinx people who inject drugs.

Eunhye Lee, Juliet Pi��eros, Leslie D Williams, Mary Ellen Mackesy-Amiti, Yamil�� Molina, Basmattee Boodram
Author Information
  1. Eunhye Lee: Division of Community Health Sciences, University of Illinois at Chicago School of Public Health, Chicago, IL, USA. ORCID
  2. Juliet Pi��eros: Division of Community Health Sciences, University of Illinois at Chicago School of Public Health, Chicago, IL, USA.
  3. Leslie D Williams: Division of Community Health Sciences, University of Illinois at Chicago School of Public Health, Chicago, IL, USA.
  4. Mary Ellen Mackesy-Amiti: Division of Community Health Sciences, University of Illinois at Chicago School of Public Health, Chicago, IL, USA.
  5. Yamil�� Molina: Division of Community Health Sciences, University of Illinois at Chicago School of Public Health, Chicago, IL, USA.
  6. Basmattee Boodram: Division of Community Health Sciences, University of Illinois at Chicago School of Public Health, Chicago, IL, USA.
PMID: 36853193 DOI: 10.1080/15332640.2023.2181259

Abstract

Latinx people who inject drugs (PWID) are less likely to engage in injection equipment sharing, but are more vulnerable to injection drug use (IDU)-related morbidity and mortality than Whites. Identifying subgroups of Latinx PWID who engage in equipment sharing and likely bear the brunt of this health burden is a priority. Ethnic disparities may reflect contextual drivers, including injection networks. Latinx PWID with low ethnic homophily (the proportion of individuals with the same ethnic background) may be more likely to share equipment due to forced distancing from health-protective ethnocultural resources and power imbalances within injection networks. The current study offers a framework and examines how associations between network ethnic homophily and injection equipment sharing differ among 74 Latinx and 170 non-Latinx White PWID in the Chicagoland area (���=���244). Latinx had less homophilous than non-Latinx Whites ( <.001). Ethnic homophily was protective for equipment sharing among Latinx (���=���0.17, [0.77, 0.04], = .02), but not non-Latinx Whites (���=���1.66, [0.40, 6.93], = .49). Our findings implicate the need for targeted cultured interventions that focus on Latinx PWID who are more vulnerable to morbidity and mortality, potentially due to less access to ethnic peers.

Keywords

Latinx Person who inject drugs injection equipment sharing injection networks social networks

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Grants

  1. R01 AI158666/NIAID NIH HHS
  2. R01 DA043484/NIDA NIH HHS
  3. R01 GM121600/NIGMS NIH HHS

MeSH Term

Adult
Female
Humans
Male
Middle Aged
Young Adult
Hispanic or Latino
Needle Sharing
Substance Abuse, Intravenous
White
Journal Article
Article has an altmetric score of 1

Word Cloud

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