Is groin injecting an ethical boundary for harm reduction?

Miller, Peter G., Lintzeris, Nick and Forzisi, Luciana 2008, Is groin injecting an ethical boundary for harm reduction?, International journal of drug policy, vol. 19, no. 6, pp. 486-491, doi: 10.1016/j.drugpo.2007.10.001.

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Title Is groin injecting an ethical boundary for harm reduction?
Author(s) Miller, Peter G.ORCID iD for Miller, Peter G. orcid.org/0000-0002-6896-5437
Lintzeris, Nick
Forzisi, Luciana
Journal name International journal of drug policy
Volume number 19
Issue number 6
Start page 486
End page 491
Total pages 6
Publisher Elsevier B.V.
Place of publication Amsterdam, The Netherlands
Publication date 2008-12
ISSN 0955-3959
1873-4758
Keyword(s) femoral injecting
groin injecting
harm reduction
ethics
ethical frameworks
injecting clinic
Summary Background
Femoral vein (or groin) injecting by street drug users is an emerging public health issue in the UK. It has been proposed that groin injecting is becoming normalised among UK injecting drug users (IDUs), yet harm reduction strategies are currently piecemeal and some may be crossing the boundary of responsible provision of information. This paper discusses the interventions available to service providers dealing with groin injecting and explores the utility of ethical frameworks for informing service provider decisions.

Methods
Methods analysis of possible service provider responses using White and Popovits’ ethical decision-making framework.

Results
The use of ethical frameworks suggest that different types of groin injectors should receive different interventions. Injectors for whom the groin is a site of ‘last resort’ should be given information about how to inject there less dangerously, whereas ‘convenience’ groin injectors should be actively encouraged to inject elsewhere.

Conclusion
Groin injecting is a behaviour which represents a boundary for some harm reduction practices (such as providing ‘how to’ booklets to all injectors) as well as being an argument for more complex and environmentally appropriate harm reduction responses such as drug consumption rooms and training IDUs to maintain healthier injecting sites.
Language eng
DOI 10.1016/j.drugpo.2007.10.001
Field of Research 111704 Community Child Health
Socio Economic Objective 920299 Health and Support Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2008, Crown copyright
Persistent URL http://hdl.handle.net/10536/DRO/DU:30017875

Document type: Journal Article
Collections: Faculty of Health
School of Psychology
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