Document Type: Original Article(s)
Assistant Professor, Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Researcher, Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran
Background: There are different street substance users' communities (SSUCs). Typology of SSUCs in Tehran, Iran was approached in this qualitative study.Methods: Using content analysis and saturation principles, 22 street-outreach workers were recruited and interviewed. Data were analyzed using open, axial, and selective coding.Findings: Three types of SSUCs were identified. SSUCs were different in geographic location, the community hierarchy, roles of residents and its function during a 24-hour period. Type 1: surrounded naturally by trees, mountains etc. or located in places like canals that make them not simply reachable, a nonresident smuggler (or a small group of smugglers) has the most power in its hierarchy, works 24 hours with at least two shifts, structured with special roles (nonresident smuggler, the Balancer, sex-worker, seller, armed guard, resident substance users and nonresident costumers). Type 2: mostly located in the city gardens, several nonresident smugglers with limited power, works 16 hours or less in a day, semi-structured with roles of nonresident drug dealer, sex-worker, resident substance users and nonresident costumers. Type 3: houses that their landlords are the resident drug dealers and let the costumers to use drug in the house. The substance users have to leave the house after using drug. The house is open less than 24 hours a day.Conclusion: Strategies for delivering harm reduction services in different types of SSUCs should be modified according to characteristics of these communities.
- Amiri FB, Gouya MM, Saifi M, Rohani M, Tabarsi P, Sedaghat A, et al. Vulnerability of homeless people in Tehran, Iran, to HIV, tuberculosis and viral hepatitis. PLoS One 2014; 9(6): e98742.
- Zadeh AO, SeyedAlinaghi S, Hassanzad FF, Hajizadeh M, Mohamadi S, Emamzadeh-Fard S, et al. Prevalence of HIV infection and the correlates among homeless in Tehran, Iran. Asian Pac J Trop Biomed 2014; 4(1): 65-8.
- Vahdani P, Hosseini-Moghaddam SM, Family A, Moheb-Dezfouli R. Prevalence of HBV, HCV, HIV and syphilis among homeless subjects older than fifteen years in Tehran. Arch Iran Med 2009; 12(5): 483-7.
- Himmich H, Madani N. The state of harm reduction in the Middle East and North Africa: A focus on Iran and Morocco. Int J Drug Policy 2016; 31: 184-9.
- Alam-Mehrjerdi Z, Abdollahi M, Higgs P, Dolan K. Drug use treatment and harm reduction programs in Iran: A unique model of health in the most populated Persian Gulf country. Asian J Psychiatr 2015; 16: 78-83.
- Rahnama R, Mohraz M, Mirzazadeh A, Rutherford G, McFarland W, Akbari G, et al. Access to harm reduction programs among persons who inject drugs: Findings from a respondent-driven sampling survey in Tehran, Iran. Int J Drug Policy 2014; 25(4): 717-23.
- Fahimfar N, Sedaghat A, Hatami H, Kamali K, Gooya M. Counseling and harm reduction centers for vulnerable women to HIV/AIDS in Iran. Iran J Public Health 2013; 42(Supple1): 98-104.
- WHO, UNODC, UNAIDS. WHO, UNODC, UNAIDS technical guide for countries to set targets for universal access to HIV prevention, treatment and care for injecting drug users-2012 revision [Online]. [cited 2013]; Available from: URL: http://www.who.int/hiv/pub/idu/targets_universal_access/en
- The European Monitoring Centre for Drugs and Drug Addiction. Outreach work among drug users in Europe: Concepts, practice and terminology [Online]. [cited 1999]; Available from: URL: http://www.emcdda.europa.eu/html.cfm/index34000EN.html
- Professional Profile of the Outreach Worker in Harm Reduction [Online]. [cited 2013]; Available from: URL: www.emcdda.europa.eu/...cfm/att_231441_EN_INT16_EBook_Prowfile_OWHR.pdf
- Mayring P. Qualitative content analysis. Forum Qual Soc Res 2000; 1(2): 6-30.
- Corbin J, Strauss A, Strauss AL. Basics of qualitative research. Thousand Oaks, CA: SAGE; 2014.
- Dahlgren L, Emmelin M, Winkvist A. Qualitative methodology for international public health. Umea, Sweden: Umeaa International School of Public Health; 2007.
- Tolley EE, Ulin PR, Mack N, Robinson ET, Succop SM. Qualitative methods in public health: A field guide for applied research. 2nd ed. New York, NY: Wiley; 2016.