Increased heart rate and blood pressure, raising the risk of heart attack the higher the dose, the greater these effects. Tina drug and the gay community In her spare time she loves learning about health, nutrition, meditation, spiritual practices, and enjoys being the a mother of a beautiful daughter. One academic study calls the practice "sexualized drug use" or SDU. If you believe a loved one has developed an addiction to Tina, crystal meth, it is best to approach the situation with caution and compassion. I get 90 800 MG a month, an honestly it is a wonder drug. Frederick, B.J. Weve put together advice for professionals on the topic of chemsex and how to refer someone to our services. Under the influence, and especially if mix of several types of drugs are mixed and abused, individuals are able to have sex for hours, even days, with a sense of great self-confidence and they also become less sensitive to pain. They all have an "aphrodisiac effect" and lead to excessive alertness. Many abusers who have been addicted to crystal methamphetamine never considered themselves as easily addictive personalities. International Congress on Gender Violence, International Institute for the Sociology of Law, Onati, Spain. The same drug-induced loss of inhibitions makes PNP enthusiasts more vulnerable to more immediate threats, such as robbery, date rape, assault, or murder, by someone whom they meet for sex. However, behavioral therapy programs have proven effective. [1] This can include unprotected sex during sessions with multiple sexual partners that may continue for days. Avoid mixing Crystal Meth with other substances, especially alcohol or other stimulants. by | Jun 30, 2022 | reggie green boyz n the hood | sue ryder nettlebed charity donations | Jun 30, 2022 | reggie green boyz n the hood | sue ryder nettlebed charity donations What is the fourth step in AA (with worksheet)? Crisis information, helplines and useful websites. If you disable this cookie, we will not be able to save your preferences. If you have a dependency and you stop taking drugs, youll experience unpleasant withdrawal symptoms. "ChemSex in the sauna ": An ethnographic study on the use of drugs in a gay sex venue in Barcelona". As a person in recovery from disordered eating, she is passionate about seeing people heal and transform. As well, since most chemsex takes place in private home parties, it is hard for public health staff to reach these participants to inform them of safer practices, as compared to reaching gay men in nightclubs, who can be approached by outreach workers".[18]. Dr. Gina Harney, MD is a Dermatologist in Plano, TX. [12][13] These drugs tend to inhibit penile erection,[8][9] a phenomenon known by the slang term crystal penis or tweaker dick. Alicia Gonzlez-Baeza, Helen Dolengevich-Segal, Ignacio Prez-Valero, Alfonso Cabello, Mara Jess Tllez, Jos Sanz, Leire Prez-Latorre, Jos Ignacio Bernardino, Jess Troya, Sara De La Fuente, Otilia Bisbal, Ignacio Santos, Sari Arponen, Vctor Hontaon, Jos Luis Casado, and Pablo Ryan, the U-SEX GESIDA 9416 Study, Bourne A, Reid D, Hickson F, Torres Rueda S, Weatherburn P (2014) The Chemsex study: drug use in sexual settings among gay & bisexual However, in the end, the drug can have severe impacts on their emotional and physical health not to mention their social life. What is the effect of an alcoholic mother on their daughter or son? Support for you and someone close to you. Speak to a specialist at Banyan Treatment Centers Chicago by calling, and asking about our medically monitored detox programs and our, What Happens to Your Brain When You Stop Drinking. Last medically reviewed on August 21, 2022. While most other stimulants only last a few hours, the Tina drug can last 8 to 12 hours or even longer, depending on the user. Main Menu , we have the resources necessary for recovery. Since the Tina drug inflicts sex for hours and increases pain tolerance, the LGBTQ community is well-known for misuse and abuse of the drug. Their full names are gammahydroxybutyrate and gammabutyrolactone, and they're also known as G, gina, geebs and liquid ecstasy. Once that stage is complete, the individual can work on maintaining their recovery. Drug rehabilitation programs can help people through the withdrawal process and guide them toward a drug-free life once withdrawal symptoms have gone. Unfortunately, this means that their body has to cope with drug interactions that very often go wrong leading, in many cases, to overdose, seizures, drug induced heart attacks, stroke, paralysis, neurological damage and even death. Although the persons blood will be free of the drug after 13 days without using it, the psychological symptoms may continue for a while. Never share injecting equipment as theres a high risk of HIV, Hepatitis C and other infections. #thapkipyarki##anmolrishtey#thapkipyarki#thapkipyarkiserial#thapkipyarkifullepisode #thapkipyarkiepisode641# . Long-time smokers will notice they have open sores all over their bodies, often from skin irritation due to the smoke, and compulsions to pick and scratch the wounds, driven by the Tina use. G & T. Or may be identified in string of words by being the only letters in CAPITALS. what is tina and gina drugs. top lookinG for some fun TonighT. assetto corsa fastest drag car. Does weed kill brain cells or cause brain damage? Refrain from injecting to reduce your risk of serious damage and diseases such as heart problems. what is tina and gina drugshow does khalil explain thug life. If you want advice and guidance around supporting someone with a substance misuse problem, were here to help. Gabapentin is my favorite drug hands down. It resembles shiny rocks or fragments of glass of varying sizes. Crystal methis an incredibly cheap and powerful stimulant taking over the US. Though a bit pricey, The Sandwiches are surprisingly very well! Whether smoked or injected, the wider community perceives crystal meth as a 'dirty' drug associated with the mythologised image of 'meth face', with teeth missing and wiry, ruined bodies. At our Chicago addiction treatment center, we pride ourselves on providing a clean and safe environment for our LGBTQ community so they may receive the proper treatment they need to reach their recovery goals. Methamphetamine is part of the amphetamine family of stimulant drugs. While all recoveries will be challenging, those with a history of heavier use or a longer duration of addiction will frequently face the most intense battles. Party Animals: The significance of drug practices in the materialization of urban gay identity. Crystal Meth gives an intense, powerful high followed by a very severe comedown. Crystal meth overdose can lead to stroke as well as lung, kidney and gastrointestinal damage. Methamphetamine-involved overdose deaths nearly tripled between 2015 to 2019, NIH study finds. Other names include Tina, T, Ice. Internet posts by men seeking PNP experiences often resort to slang to identify what drug they are partying with. The drug is invading online and cruising app discourse: 'wired play . Crystal meth is a powerful stimulant drug that can cause feelings of euphoria and high energy. Learn. One such program, the Matrix Model, lasts for 16 weeks. Jeffrey Drew, an activist in the recovery community, has been sober for almost 26 years. It is the most potent form of meth. Can diet help improve depression symptoms? You can find more information about the history and culture of chemsex on the website of advocate and activist David Stuart: There are three specific drugs usually involved: Find out more about chemsex drugs and how to keep yourself safe. People who engage in chemsex regularly sometimes find it hard to enjoy sex without chemsex drugs. Sharing slamming equipment such as needles and syringes could put you at risk of infections such as HIV and hepatitis B and C. Do not share any equipment that has been previously used. Meth has long lasting effects on the human body, and it may take up to 4 days for it to leave the system. The chemical compound that makes up the Tina drug is incredibly toxic when combusted, producing corrosive, acidic smoke. The average age of new methamphetamine users in 2016 was 23.3 years old. Love the atmosphere of the food court with a bar right in the middle. [10][24], It has been observed that reliable data and relevant research are generally lacking and this situation is generating a climate of moral panic. With long-term use, crystal meth can damage the lungs, nose and mouth and lead to lasting mental health problems, even after quitting the drug. The rapid addiction to Tina leads to both extreme short and long term effects, to name but a few: From being high to being depressed and suicidal. Tina Drug Use in Veterans. On May 7, a variety of individuals came together to discuss methamphetamine (Tina) and GHB (Gina). Its important to understand and learn about the drugs you are taking. They may also become more hyperactive and restless, and begin to become more impulsive, aggressive, paranoid and physically violent. For people engaging in chemsex, tina is another name for crystal meth. Find out what cocaine is, its effects, what makes it addictive, and the health risks. Tina is one of the quick-growing drugs among gay people. [10] The crash following the use of methamphetamine in this manner is very often severe, with marked hypersomnia. Partial Hospitalization Program (PHP) in Austin. (2019). While the high can make you feel energetic and happy, Tina is also one of the most addictive substances. Misuse of amphetamines may lead to addiction. Supplying someone else, even your friends, can get you up to life imprisonment and/or an unlimited fine. Is exercise more effective than medication for depression and anxiety? What are the different types of substance abuse? (crystal methamphetamine, tina, crystal meths, krank, tweak, ice) Crystal meth is an intensive stimulant with disinhibitory qualities. It suppresses appetite and increases energy levels, so people taking Crystal can go for days without eating or sleeping. crystal meth. Service: Dine in Meal type: Lunch Price per person: $10-20. In an article published by The Guardian, it has been argued that an exaggerated reporting might give the public a distorted impression of the magnitude of this phenomenon and that may increase the level of collective anxiety.[25]. People may choose meth because of these euphoric effects. fisting) typically lasting two to three days, [and] multiple sexual partners. What is the impact of growing up in an alcoholics home? Autonomous Psychotherapy & Counselling Ltd, Combat Methamphetamine Epidemic Act of 2005, Comprehensive Methamphetamine Control Act of 1996, Illinois Methamphetamine Precursor Control Act, List of films that most frequently use the word, https://en.wikipedia.org/w/index.php?title=Party_and_play&oldid=1117874775, Short description is different from Wikidata, Articles with failed verification from June 2018, Articles with unsourced statements from December 2015, Creative Commons Attribution-ShareAlike License 3.0, This page was last edited on 24 October 2022, at 01:03. supporting a person to manage the underlying issues that led to the harmful use of crystal meth. This is because the drugs involved can often cause users to forget to drink water. However, as with most addictive substances, the body begins to tolerate meth with prolonged use. Very Fast cooked, So Tasty! Other Tina effects include: If a person is undergoing these negative side effects, then meth addiction treatment is highly recommended as soon as possible to avoid long-term health risks or overdose. Take a look at our chemsex support and advice for professionals. Tina, crank, speed, crystal, ice, shards, glass, and many more describe one particular drug responsible for around 15,000 deaths in 2019. Prolonged use can cause serious health issues, including gum disease and tooth loss. [11], A 2014 study on chemsex in London, UK, indicated that the drugs associated with chemsex include mephedrone, GHB/GBL, crystal meth, ketamine, and cocaine.[10]. The name Tina, an abbreviation of Christina, is an exceedingly popular nickname for the drug specifically within the LGBT community. Both statements are myths and those new to the LGBT community should understand that fun, including exciting and satisfying sex, can and does exist in the community without the use of drugs. Amongst gay men, the perception is slightly different but the fear is the same. Tina has taken hold in the gay community but is largely unknown outside this group. For most people, the effects of crystal meth last for 612 hours, making the high much longer than that of other stimulants, such as cocaine. Pompano Beach, FL 33062. Dopamine plays an important role in motor function, motivation, reward, and how the brain experiences and interprets pleasure. [22], From the early 2000s, historic venues of gay socialization such as bars, clubs, and dance events reduced in number in response to a range of factors, including gentrification, zoning laws, licensing restrictions, and the increased number of closeted or sexually labile men who are under the influence of drugs and the increasing popularity of digital technologies for sexual and social purposes. It releases the brains stress hormone norepinephrine and feel good chemicals dopamine and serotonin which makes people feel high, full of energy, confident, impulsive, less likely to feel pain and very horny with fewer inhibitions. Importantly, due to the chemical pathways crystal meth utilizes in your brain, you may become dependent on it very quickly. what is tina and gina drugs 16 what is tina and gina drugs. What is the difference between substance abuse, addiction, and dependency. For some PNP participants, substance use may facilitate a process of "cognitive disengagement" from the fears and stipulations associated with sex in the time of HIV/AIDS. Some people may also believe that crystal meth is an integral part of the LGBT community and that they must do it in order to fit in. Crystal meth is a strong, highly addictive amphetamine stimulant which is usually snorted, smoked, mixed with water and injected (slamming), or injected inside the anus (booty bumping). and used for generations as a legitimate medication, Tina was often prescribed by doctors to help mitigate the symptoms brought on by many different conditions, from obesity to chronic fatigue to attention deficit hyperactivity disorder. These injuries can be as minor as cuts and bruises, but they can also be dangerous in severe cases, such as haemorrhages, anal fissures, ripped anuses, anal prolapse, suffocation, and more. This may not be noticed at the time, but it can increase the risk of. [10], A study of sauna participants in Barcelona, Spain, in 2016, found that the most commonly used drugs in chemsex are "GHB/GBL, cocaine, ecstasy, silver bars (MDMA), poppers and Viagra". Alyssa who is the National Director of Digital Marketing, joined the Banyan team in 2016, bringing her five-plus years of experience. Bayba, M. (2022). Under the influence, and especially if mix of several types of drugs are mixed and abused, individuals . Dr. Heinzerling discussed what happens during a fatal methamphetamine overdose: If enough meth is taken, it causes the blood pressure and the heart race to increase, which could cause a heart attack or stroke.. Treatmentmay involvecognitive behavioral therapy (CBT), exercise, and nutritional guidance and incentives, such as vouchers, in exchange for remaining drug-free. [3], The practice is nicknamed "party 'n' play" ("PNP" or "PnP") by some participants. Elsewhere around the world, tina is a huge . Substance abuse disorder does not need to define yourlife. Caffeine really kicks it in the ass. It was even used during wartime as an alertness aid for soldiers and pilots. For anyone concerned about a loved one who may have an addiction, NIDA providesinformation and guidanceabout what to do. Infinite Recovery has strict sourcing guidelines and relies on peer-reviewed studies, academic research institutions, and medical associations for our references. Dr. Harney works at Lockhart Matter Dermatology & Aesthetic Center in Plano, TX with other offices in McKinney, TX. Due to severe and potential deadly side effects of crystal meth, including psychosis, depression, stroke, lung and kidney damage, and gastrointestinal problems, treatment is highly recommended for those that develop a dependency. The drug is the root cause of many fatalities among gay men worldwide. At our Chicago addiction treatment center, we pride ourselves on providing a clean and safe environment for our, so they may receive the proper treatment they need to reach their recovery goals. These two drugs are used separately and in combination, particularly by men who have sex with men. How Viagra became a new 'tool' for young men, Ankylosing Spondylitis Pain: Fact or Fiction, https://nadk.flinders.edu.au/kb/methamphetamines/general-methamphetamine-information/are-there-different-forms-of-methamphetamine, https://www.addictiongroup.org/blog/meth-in-your-system/, https://www.dea.gov/sites/default/files/2020-06/Methamphetamine-2020_0.pdf, https://www.ncbi.nlm.nih.gov/books/NBK549783/, https://nida.nih.gov/publications/research-reports/methamphetamine/how-methamphetamine-manufactured, https://www.maine.gov/dhhs/mecdc/population-health/odh/documents/meth-mouth.pdf, https://nida.nih.gov/publications/drugfacts/methamphetamine, https://www.ncbi.nlm.nih.gov/books/NBK535451/, https://nida.nih.gov/publications/research-reports/methamphetamine/what-are-long-term-effects-methamphetamine-misuse, https://nida.nih.gov/publications/research-reports/methamphetamine/what-scope-methamphetamine-misuse-in-united-states, https://nida.nih.gov/publications/research-reports/methamphetamine/what-treatments-are-effective-people-who-misuse-methamphetamine, https://www.ncbi.nlm.nih.gov/books/NBK535356/, Cardiovascular health: Insomnia linked to greater risk of heart attack. [4] The term slamsex is associated with users who inject the drugs. National Institute on Drug Abuse. On May 7, a variety of individuals came together to discuss methamphetamine (Tina) and GHB (Gina). Where can I find support for families of addicts? You can find out more about which cookies we are using or switch them off in settings. Dehydration is a widespread problem with chemsex. [14] Imodium is often taken by participants in passive anal sex in order to be clean for longer. A sexual health and wellbeing service in Birmingham, with specific advice on chemsex. tips for reducing the risks if youre involved with chemsex. Mephedrone is a stimulant too. TINA is a girls' name, often used as a slang term to refer to the drug "Crystal Methamphetamine" ("Crystal Meth"). While all recoveries will be challenging, those with a history of heavier use or a longer duration of addiction will frequently face the most intense battles. Crystal meth boosts the release of the neurotransmitter dopamine and stops its reuptake. Drug fact sheet: Methamphetamine. Stimulants are one of the most dangerous drugs, taking over the streets and destroying our youth. In time, the need for the high becomes more important than other factors in the persons life, while the use of the drug increasingly achieves only a break from withdrawal symptoms. MENRUS has very comprehensive advice on chemsex. What is the drug "Tina"? Moreover, a person may use meth to cope with other problems, such as depression, boredom, or sexual dysfunction. Within the LGBTQ community, Tina is most commonly taken by gay men, bi men and transgender women. For the film, see, Vol. Possession is illegal and can get you up to seven years in jail and/or an unlimited fine. All rights reserved. [21] The rise of online websites and hookup apps in the 1990s gave men new ways of cruising and meeting sexual partners, including the ability to arrange private sexual gatherings in their homes. Partying with a purpose: Finding meaning in an online "party 'n' play" subculture [Masters thesis]. Ketamine is used in chemsex encounters to "improve the experience of receptive anal intercourse or fisting". The drug causes increased levels of dopamine, serotonin and norepinephrine which can create a euphoric effect that increases self-confidence and libido. Using hot pipes might injure your mouth and if you share them it risks passing on infections like hepatitis C and HIV. in Social Work. Through strategic marketing campaign concepts, Alyssa has established Banyan as an industry leader and a national household name. Crystal meth has no medical use, and it carries a high risk for physical and psychological dependence. To see the full video of the discussion, click here. Address: 909 N Dixie Hwy, WPB, FL 33401 -, Surrendering To The Darkness of Addiction Brought Light Into His Life. www.sigmaresearch.org.uk/chemsex. The drug causes increased levels of dopamine, serotonin and norepinephrine which can create a euphoric effect that increases self-confidence and libido. DISCLAIMER: The topics and articles published on this website including text, graphics, videos info graph and other material are for informational purposes only and should not be substituted for professional medical advice. These sex parties, which are frequently advertised on apps such as Grindr and Tinder, often offer free crystal meth. [1] This can include unprotected sex during sessions with multiple sexual partners that may continue for days. Yet, many people are in the dark about what Tina is, why it is infiltrating the LGBT community, why it is so addictive, and if there are any resources for people that become dependent on it. (n.d.). The way a person takes meth may affect the high. It is important you feel safe, and in control of what drugs you take, and the sex you have. . In addition, the injection sites can frequently become infected from unsanitary injection conditions, repeated use of the same injection site, and dirty needles or other paraphernalia. Depending on its form, methamphetamine can be swallowed, snorted or injected (slammed); and unlike amphetamine, it can also be smoked. Corporate Headquarters: Crystal meth is a methamphetamine, a stimulant (psychoactive). Injecting is best avoided. This smoke actively rots the teeth and oral tissues and can cause skin irritation. straws and notes, Get tested regularly for sexually transmitted infections (STIs). Cocaine is one of the most addictive and harmful drugs. The severity of the dependency will often depend on several factors, like age and medical history. | Privacy Policy. Furthermore, the use of these drugs can affect erection and ejaculation. She has produced a multitude of integrated campaigns and events in the behavioral health and addictions field. Several factors contribute to tooth decay in people who use crystal meth: Crystal meth produces feelings of euphoria for up to 12 hours, and people crave its powerful effects again and again. Tina is a powerful drug and can quickly induce the feeling of alertness, awareness and can make the user feel exhilarated. Trinka Porrenta, of Project GHB, helped attendees learn more about Gina, noting that its effects are dangerous, unpredictable and can cause a fatal overdose. Serving the Lesbian, Gay, Bisexual, Transgender, Intersex, Allies + the rest of the Queer community recovering from addiction & trauma in a rehab setting. A sexual health and HIV service in Manchester. Heart failure: Could a low sodium diet sometimes do more harm than good? Methamphetamine is a stimulant. In addition to the risk involved in drug abuse, drug abusers sustain injuries, which may facilitate the contraction of sexually transmitted diseases and AIDS (HIV). They specialize in Dermatology, has 27 years of experience. Find out about chemsex drugs, how to stay safe, and what chemsex support is available. Incentive programs that offer rewards for remaining drug-free may also be helpful. LGBTQ+ Drug & Alcohol Rehab. ("Tina") and G (Gina). All Rights Reserved. Find out more about HIV and keeping yourself safe. Calling it the invisible drug, Project GHB stresses the importance of spreading awareness of GHB and its uses, since it is rarely discussed as more than a date-rape drug. Regardless of a persons reason for using crystal meth or the length of time they have been using it, treatment is possible. With the potential to become addicted to Tina drug after only a single use, it may be incredibly likely that someone you know is struggling with getting help with Tina drug addiction. If they stop using them, they may experience painful withdrawal effects. is highly recommended as soon as possible to avoid long-term health risks or overdose. Accessed June 29, 2022. If a person tries to break the cycle, they will experience withdrawal symptoms. 3 Behavioral and Psychosocial Research Sexualized Drug Use (Chemsex) Is Associated with High-Risk Sexual Behaviors and Sexually Transmitted Infections in HIV-Positive Men Who Have Sex with Men: Data from the U-SEX GESIDA 9416 Study These symptoms can last for days or weeks, depending on how long the individual has used crystal meth. Men who PNP with methamphetamine, cocaine, MDMA, and ketamine are twice as likely to have unprotected sex (meaning sex without using a condom or taking PrEP), according to British research from 2006. [22] For other men, increasing reliance on hookup apps and websites to arrange sex may result in a sense of isolation that may exacerbate the risk of drug dependence, especially in the context of a lack of other venues for gay socializing and sexual community-formation. Signs that someone is using crystal meth and how to respond Crystal meth is an incredibly cheap and powerful stimulant taking over the US. If someone is asleep, unconscious or so out of it they cannot decide for themselves, then they cannot consent. Wondering about chemsex? As a stimulant, it speeds up activity in the central nervous system, which can cause a person to feel euphoric, powerful, and alert. A sexual health and HIV service in Brighton. tapioca and ginger poisonous. Others believe that it will provide some sort of sexual benefit. Other popular street names for crystal meth are ice, chalk, crank, fire, junk, sketch, speed, zip, and zoom. This website uses cookies so that we can provide you with the best user experience possible. Signs of meth use include paranoia, dilated pupils, reduced appetite, rotting teeth, and outbursts or mood swings. In most cases, users start using it recreationally as a party drug, becoming more increasingly dependent on it to help minimize the emotional and mental pain experienced as a queer person. Party and play (PnP), also called chemsex or wired play, is the consumption of drugs to facilitate or enhance sexual activity. Find out more about chemsex drugs and keeping yourself safe. When people take crystal meth regularly or in high dosages, it can cause drug-induced psychosis. Causing skin abscesses, collapsed veins, blood poisoning and heart infections. Tina is one of the many slang terms for what has become one of the deadliest drugs in the United States crystal meth. michael greller net worth . Notably, the stigma and shame individuals in the LGBT community face coupled with homophobia and transphobia, can make individuals more likely to abuse crystal meth and turn to chasing the temporary high that crystal meth produces. All Rights Reserved. . [16], The phrase party and play and pay has emerged as a warning that partying and playing may result in neurological damage,[17] and leads to bareback sex which increases the chances of contracting HIV, and of resistance to HIV drugs. Crystal Meth can also increase blood pressure and cause irregular heartbeats that can lead to cardiac arrest. Solid sandwich. We link primary sources including studies, scientific references, and statistics within each article and also list them in the resources section at the bottom of our articles. GHB/GBL can also cause dangerous withdrawal symptoms. Tina, crank, speed, crystal, ice, shards, glass, and many more describe one particular drug responsible for around 15,000 deaths in 2019. Crystal meth can also severely affect the brains structure and function. What is the latest research on the form of cancer Jimmy Carter has? Crystal meth: Facts, effects, and addiction. Users who choose to insufflate or snort their Tina can expect to experience nasal and sinus tissue deterioration. Get support if you want to cut down or stop. People take part in chemsex for different reasons. There may be individuals who are not men who have sex with men who use drugs as part of their sex lives, but the term chemsex refers to a practice with a specific history and culture. Gina and Tina (aren't having) lunch now. gina valebtina. Experiencing these unnatural levels of dopamine causes a strong desire to continue using the drug. When dopamine burnout happens, the user will find it difficult or even impossible to enjoy activities or hobbies that they used to enjoy. Due to increased body temperature, heartbeat and blood pressure, it can increase the risk of heart attack, stroke, coma or death. It can affect your social, sex and work life. This is also known to cause vascular damage and can contribute to ongoing infections. Newly popular drugs such as methamphetamine and GHB/GBL replaced dance drugs such as Ecstasy within this context. (adsbygoogle = window.adsbygoogle || []).push({}); Tina Drug is crystal meth, a party drug known in the gay community as Tina (abbreviation of Christina) which has become popular in this community. These can include dehydration, a higher risk of HIV and other sexually transmitted infections (STIs), and drug-related injuries.
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