Drug abuse in Pakistan - United Nations Office on Drugs and Crime
Drug abuse in Pakistan - United Nations Office on Drugs and Crime
Drug abuse in Pakistan - United Nations Office on Drugs and Crime
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4<br />
Interviews with drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g>rs<br />
In this secti<strong>on</strong> data from the <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews with drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g>rs are presented. As previously noted,<br />
<str<strong>on</strong>g>in</str<strong>on</strong>g> each of the four cities <str<strong>on</strong>g>in</str<strong>on</strong>g>cluded <str<strong>on</strong>g>in</str<strong>on</strong>g> the study (Karachi, Lahore, Quetta, <strong>and</strong> Peshawar), three<br />
samples of <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews with drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g>rs were collected. These were: drug-<str<strong>on</strong>g>abuse</str<strong>on</strong>g>rs <str<strong>on</strong>g>in</str<strong>on</strong>g> treatment<br />
(pers<strong>on</strong>s receiv<str<strong>on</strong>g>in</str<strong>on</strong>g>g treatment for an alcohol problem <strong>on</strong>ly were not <str<strong>on</strong>g>in</str<strong>on</strong>g>cluded <str<strong>on</strong>g>in</str<strong>on</strong>g> the sample),<br />
drug-<str<strong>on</strong>g>abuse</str<strong>on</strong>g>rs <str<strong>on</strong>g>in</str<strong>on</strong>g> pris<strong>on</strong> <strong>and</strong> drug-<str<strong>on</strong>g>abuse</str<strong>on</strong>g>rs recruited <str<strong>on</strong>g>in</str<strong>on</strong>g> street sett<str<strong>on</strong>g>in</str<strong>on</strong>g>gs. For the purposes of bre<br />
vity <strong>and</strong> c<strong>on</strong>venience we have used the term “addict <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews” to refer to these samples. The<br />
reader should note that the sampl<str<strong>on</strong>g>in</str<strong>on</strong>g>g <str<strong>on</strong>g>in</str<strong>on</strong>g>clusi<strong>on</strong> criteri<strong>on</strong> used was that the resp<strong>on</strong>dents should<br />
be regular users of hero<str<strong>on</strong>g>in</str<strong>on</strong>g> or drug <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors, <strong>and</strong> <str<strong>on</strong>g>in</str<strong>on</strong>g> practice the sample did c<strong>on</strong>sist largely of<br />
apparently dependent opioid users. A formal measure of dependence itself was not used as a<br />
sampl<str<strong>on</strong>g>in</str<strong>on</strong>g>g criteri<strong>on</strong>, however, although such a measure was made <str<strong>on</strong>g>in</str<strong>on</strong>g> the <str<strong>on</strong>g>in</str<strong>on</strong>g>terview.<br />
Data collecti<strong>on</strong><br />
The analysis presented here will c<strong>on</strong>sider the three groups of “addict <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews” <str<strong>on</strong>g>in</str<strong>on</strong>g> their totality<br />
<strong>and</strong> also make comparis<strong>on</strong>s across the three groups. All <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews were c<strong>on</strong>ducted by<br />
tra<str<strong>on</strong>g>in</str<strong>on</strong>g>ed members of the research team, <strong>and</strong> were carried out <strong>on</strong> a voluntary <strong>and</strong> c<strong>on</strong>fidential<br />
basis. As recruit<str<strong>on</strong>g>in</str<strong>on</strong>g>g street samples of drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g>rs is methodologically challeng<str<strong>on</strong>g>in</str<strong>on</strong>g>g members<br />
of the research team with previous experience of this k<str<strong>on</strong>g>in</str<strong>on</strong>g>d of work or who had life experiences<br />
that allowed them to more easily access drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g>rs were used to assist with this part of<br />
the study.<br />
One thous<strong>and</strong> <strong>and</strong> fifty-five <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews were c<strong>on</strong>ducted for this study. After data clean<str<strong>on</strong>g>in</str<strong>on</strong>g>g <strong>and</strong><br />
check<str<strong>on</strong>g>in</str<strong>on</strong>g>g procedures, a small number of <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews (6) where excluded for reas<strong>on</strong>s of the quality<br />
of the report<str<strong>on</strong>g>in</str<strong>on</strong>g>g. Thus 1,049 <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews were available for analysis <strong>and</strong> of these 12 were<br />
female <strong>and</strong> 1,037 male. This sample cannot be thought of as reflect<str<strong>on</strong>g>in</str<strong>on</strong>g>g patterns of illicit drug<br />
use am<strong>on</strong>g <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g>i women. Whilst the <str<strong>on</strong>g>abuse</str<strong>on</strong>g> of hero<str<strong>on</strong>g>in</str<strong>on</strong>g> appears lower am<strong>on</strong>g women than<br />
for men, the relative levels cannot be estimated from data reported here. For a number of cultural<br />
reas<strong>on</strong>s <strong>and</strong> other c<strong>on</strong>siderati<strong>on</strong>s, women appear disproporti<strong>on</strong>ately unlikely to appear<br />
<str<strong>on</strong>g>in</str<strong>on</strong>g> any of the samples collected for this study <strong>and</strong> the topic of drug <str<strong>on</strong>g>abuse</str<strong>on</strong>g> am<strong>on</strong>g women is<br />
taken up <str<strong>on</strong>g>in</str<strong>on</strong>g> the c<strong>on</strong>clud<str<strong>on</strong>g>in</str<strong>on</strong>g>g part of this report. For the purposes of clarity <strong>and</strong> focus <str<strong>on</strong>g>in</str<strong>on</strong>g> report<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />
<strong>on</strong> the study, the follow<str<strong>on</strong>g>in</str<strong>on</strong>g>g analyses are restricted to the sample of 1,037 male resp<strong>on</strong>dents.<br />
Slightly more of these <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews were c<strong>on</strong>ducted with treatment attendees (415), than<br />
with the street addict sample (321), or the pris<strong>on</strong> addict sample (301).<br />
Demographics—age distributi<strong>on</strong><br />
The mean age of the three sample groups were remarkably similar, 33 years for resp<strong>on</strong>dents<br />
<str<strong>on</strong>g>in</str<strong>on</strong>g>terviewed <str<strong>on</strong>g>in</str<strong>on</strong>g> both treatment <strong>and</strong> street samples, <strong>and</strong> 31 years for those resp<strong>on</strong>dents<br />
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