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Drug abuse in Pakistan - United Nations Office on Drugs and Crime

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DRUG ABUSE IN PAKISTAN<br />

It is therefore desirable both to explore those factors<br />

that are associated with <str<strong>on</strong>g>in</str<strong>on</strong>g>itiati<strong>on</strong> <str<strong>on</strong>g>in</str<strong>on</strong>g>to <str<strong>on</strong>g>in</str<strong>on</strong>g>ject<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

drug use <str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g> <strong>and</strong> to m<strong>on</strong>itor the level of<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>ject<str<strong>on</strong>g>in</str<strong>on</strong>g>g am<strong>on</strong>g the hero<str<strong>on</strong>g>in</str<strong>on</strong>g> us<str<strong>on</strong>g>in</str<strong>on</strong>g>g populati<strong>on</strong> as a<br />

whole.<br />

Figure VII.<br />

35<br />

30<br />

25<br />

20<br />

15<br />

10<br />

5<br />

0<br />

Usually<br />

Percentage of sample who<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>ject (lifetime, last 12 m<strong>on</strong>ths,<br />

<strong>and</strong> usual route of<br />

adm<str<strong>on</strong>g>in</str<strong>on</strong>g>istrati<strong>on</strong>)<br />

<str<strong>on</strong>g>Drug</str<strong>on</strong>g> <str<strong>on</strong>g>in</str<strong>on</strong>g>ject<str<strong>on</strong>g>in</str<strong>on</strong>g>g am<strong>on</strong>gst women<br />

As noted earlier a very small number of women were<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>terviewed for this study. For clarity of <str<strong>on</strong>g>in</str<strong>on</strong>g>terpretati<strong>on</strong><br />

these <str<strong>on</strong>g>in</str<strong>on</strong>g>terviews were excluded from the analysis<br />

presented earlier <str<strong>on</strong>g>in</str<strong>on</strong>g> this secti<strong>on</strong>. Of the total of<br />

316 <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g>terviewed two were female—these<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>dividuals were <str<strong>on</strong>g>in</str<strong>on</strong>g>terviewed <str<strong>on</strong>g>in</str<strong>on</strong>g> Lahore. For the reas<strong>on</strong>s<br />

discussed earlier this data tells us little about<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>ject<str<strong>on</strong>g>in</str<strong>on</strong>g>g practice am<strong>on</strong>g women <str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g>. A prelim<str<strong>on</strong>g>in</str<strong>on</strong>g>ary<br />

c<strong>on</strong>clusi<strong>on</strong> may be that drug <str<strong>on</strong>g>in</str<strong>on</strong>g>jecti<strong>on</strong><br />

am<strong>on</strong>g women may not be comm<strong>on</strong> but does exist.<br />

However, comments made here <strong>on</strong> this topic are<br />

largely speculative as little hard data exist to <str<strong>on</strong>g>in</str<strong>on</strong>g>form<br />

the debate. The best c<strong>on</strong>clusi<strong>on</strong> that can be drawn<br />

from this study is that this rema<str<strong>on</strong>g>in</str<strong>on</strong>g>s an important<br />

topic for further <str<strong>on</strong>g>in</str<strong>on</strong>g>vestigati<strong>on</strong>. However, women’s<br />

drug use is likely to be a particularly hidden behaviour<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g> <str<strong>on</strong>g>Pakistan</str<strong>on</strong>g>, <strong>and</strong> any future studies will have to<br />

be sensitive to the cultural factors that make discuss<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

this topic with female resp<strong>on</strong>dents particularly<br />

challeng<str<strong>on</strong>g>in</str<strong>on</strong>g>g. N<strong>on</strong>etheless this rema<str<strong>on</strong>g>in</str<strong>on</strong>g>s an<br />

important subject for future <str<strong>on</strong>g>in</str<strong>on</strong>g>vestigati<strong>on</strong>.<br />

Ever<br />

Last 12<br />

m<strong>on</strong>ths<br />

Age, educati<strong>on</strong> <strong>and</strong> employment<br />

The mean age of <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g> the sample was<br />

32 years, with a m<str<strong>on</strong>g>in</str<strong>on</strong>g>imum of 14 <strong>and</strong> maximum age<br />

of 74 years. There were no significant differences<br />

between the ages of those resp<strong>on</strong>dents who had<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>jected a drug <strong>and</strong> n<strong>on</strong>-<str<strong>on</strong>g>in</str<strong>on</strong>g>jectors, nor between the<br />

average ages of the <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g> the four cities.<br />

Injectors had <str<strong>on</strong>g>in</str<strong>on</strong>g>itiated hero<str<strong>on</strong>g>in</str<strong>on</strong>g> use at the same age<br />

as n<strong>on</strong>-<str<strong>on</strong>g>in</str<strong>on</strong>g>jectors.<br />

In terms of educati<strong>on</strong>, the <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors reported more<br />

years of educati<strong>on</strong> than n<strong>on</strong>-<str<strong>on</strong>g>in</str<strong>on</strong>g>jectors. The mean<br />

years of educati<strong>on</strong> for <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors with<str<strong>on</strong>g>in</str<strong>on</strong>g> the sample<br />

were 6.5, as compared to 5.6 years for n<strong>on</strong>-<str<strong>on</strong>g>in</str<strong>on</strong>g>jectors.<br />

With<str<strong>on</strong>g>in</str<strong>on</strong>g> the cities, the <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g> Lahore (7.42) <strong>and</strong><br />

Quetta (7.39) had higher mean years of educati<strong>on</strong><br />

than those <str<strong>on</strong>g>in</str<strong>on</strong>g> Peshawar (6.6) <strong>and</strong> Karachi (5.9).<br />

With regard to usual type of employment, <strong>on</strong>e<br />

observes major differences am<strong>on</strong>g employment categories<br />

of <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors with<str<strong>on</strong>g>in</str<strong>on</strong>g> the cities. The percentage<br />

of <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors with<str<strong>on</strong>g>in</str<strong>on</strong>g> each employment category however<br />

differs slightly from categories of n<strong>on</strong>-<str<strong>on</strong>g>in</str<strong>on</strong>g>jectors<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g> all the cities. In Karachi the large majority of <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors<br />

c<strong>on</strong>sisted of skilled (36%) <strong>and</strong> unskilled (29%)<br />

workers. The other employment categories reported<br />

were bus<str<strong>on</strong>g>in</str<strong>on</strong>g>ess (10%), professi<strong>on</strong>als <strong>and</strong> students (4%<br />

each). In Lahore the major categories for usual type<br />

of employment am<strong>on</strong>g <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors were skilled workers<br />

(24%) <strong>and</strong> those affiliated with bus<str<strong>on</strong>g>in</str<strong>on</strong>g>ess (22%).<br />

The other important employment categories <str<strong>on</strong>g>in</str<strong>on</strong>g><br />

Lahore were unskilled workers (15%), <strong>and</strong> professi<strong>on</strong>als<br />

(9%). The major employment categories for<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g> Quetta were professi<strong>on</strong>als <strong>and</strong> bus<str<strong>on</strong>g>in</str<strong>on</strong>g>ess<br />

(15% each), skilled (12%) <strong>and</strong> unskilled workers (9%).<br />

The <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g> Peshawar matched more closely the<br />

<str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g> Lahore with regard to their employment<br />

categories, but differed significantly from the categories<br />

of n<strong>on</strong>-<str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g> the city. The employment<br />

categories of <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g> Peshawar were skilled<br />

workers (24%), bus<str<strong>on</strong>g>in</str<strong>on</strong>g>ess (21%), professi<strong>on</strong>als (10%)<br />

<strong>and</strong> unskilled workers (7%).<br />

With regard to employment status <str<strong>on</strong>g>in</str<strong>on</strong>g> the preced<str<strong>on</strong>g>in</str<strong>on</strong>g>g<br />

12 m<strong>on</strong>ths there was a similar pattern of employment<br />

observed am<strong>on</strong>g <str<strong>on</strong>g>in</str<strong>on</strong>g>ject<str<strong>on</strong>g>in</str<strong>on</strong>g>g drug users <str<strong>on</strong>g>in</str<strong>on</strong>g><br />

Karachi <strong>and</strong> Peshawar <strong>and</strong> am<strong>on</strong>g <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors <str<strong>on</strong>g>in</str<strong>on</strong>g><br />

Lahore <strong>and</strong> Quetta. More than half of drug <str<strong>on</strong>g>in</str<strong>on</strong>g>jectors<br />

34

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