@article{MTMT:31133432, title = {New psychoactive substance use as a survival strategy in rural marginalised communities in Hungary}, url = {https://m2.mtmt.hu/api/publication/31133432}, author = {Csák, Róbert and Szécsi, Judit and Kassai, Szilvia and Márványkövi, Ferenc and Rácz, József}, doi = {10.1016/j.drugpo.2019.102639}, journal-iso = {INT J DRUG POLICY}, journal = {INTERNATIONAL JOURNAL OF DRUG POLICY}, volume = {85}, unique-id = {31133432}, issn = {0955-3959}, abstract = {Background: New psychoactive substance (NPS) use has become a widespread phenomenon among marginalised communities in Hungary. Since 2010, a growing number of reports in grey literature and anecdotal information among professionals have become available on NPS use among previously unaffected groups, such as people living in rural, socioeconomically deprived communities. In our research, we aimed to explore NPS use among these communities. Methods: We conducted a mixed method research with convergent parallel design. Data collection took place in 2017 in marginalised communities in villages in two regions in Hungary, where 150 questionnaires were recorded and 50 interviews were conducted with current NPS users. Results: According to the survey results, NPS is very easy to access, synthetic cannabinoid receptor agonist (SCRA) are easily bought in marginalised rural communities (79% found SCRA easy to obtain). Both SCRA and synthetic cathinones are used regularly; 57% of SCRA users and 37% of synthetic cathinone users used the respective substance at least once a week in the past 30 days. Besides NPS, sedative use (without prescription) and alcohol consumption are common among the respondents. 17% of the sample has already injected NPS. The overwhelming majority of the respondents rated regular consumption of NPS as “very dangerous” (SCRA: 75%, synthetic cathinones 72%). NPS users have limited knowledge of consequences and the social and health treatment options available. Most themes in the interviews are associated with surviving stress, crisis and anxiety, as well as the wish to escape from insecurity and chaotic life. Positive effects of substance use (community, joy, energy) are rarely present. Conclusion: People who use drugs (PWUD) living in these rural communities face the consequences of the rural risk environment: easy access to NPS, inadequate access to services, poor labour market situation and attributions of marginalised groups, for example disaffiliation. NPS use is not a recreational activity in this population; individuals mainly use NPS to get away from reality, problems, pain, poverty and marginalisation. NPS use is a survival strategy. Effective responses have to address substance use and social integration; we need complex interventions addressing structural factors.}, year = {2020}, eissn = {1873-4758}, orcid-numbers = {Csák, Róbert/0000-0002-0410-5542; Szécsi, Judit/0000-0003-1216-3483; Kassai, Szilvia/0000-0001-9518-9093; Rácz, József/0000-0003-3354-1738} } @book{MTMT:31256666, title = {Dráma és színház a bűnmegelőzésben. A Káva Kulturális Műhely Juventas programja}, url = {https://m2.mtmt.hu/api/publication/31256666}, isbn = {9789638839794}, author = {Oblath, Márton and Csák, Róbert and Fóti, Orsolya and Kecskés, Nóra and Patonay, Anita and Takács, Gábor and Lipka, Péter}, editor = {Oblah, Márton}, publisher = {Parforum; Káva Kulturális Műhely Egyesület}, unique-id = {31256666}, year = {2019} } @{MTMT:34207883, title = {A kockázati környezetről Magyarországon}, url = {https://m2.mtmt.hu/api/publication/34207883}, author = {Csák, Róbert}, booktitle = {Magas kockázati csoportok azonosítását célzó szakmai módszertani dokumentumok és eszköztár kialakítása : Szakértői anyag}, unique-id = {34207883}, year = {2018}, pages = {21-36} } @{MTMT:30618718, title = {Magas kockázatú csoportok hazai helyzetkép}, url = {https://m2.mtmt.hu/api/publication/30618718}, author = {Szécsi, Judit and Csák, Róbert}, booktitle = {Magas kockázati csoportok azonosítását célzó szakmai módszertani dokumentumok és eszköztár kialakítása : Szakértői anyag}, unique-id = {30618718}, year = {2018}, pages = {57-71}, orcid-numbers = {Szécsi, Judit/0000-0003-1216-3483} } @article{MTMT:30606638, title = {Risk behaviours of Novel Psychoactive Substance users in Hungary and the possibility of harm reduction}, url = {https://m2.mtmt.hu/api/publication/30606638}, author = {Csák, Róbert and Rácz, József}, doi = {10.25121/MR.2018.21.1.93}, journal-iso = {MEDYCYNA RODZINNA}, journal = {MEDYCYNA RODZINNA}, volume = {21}, unique-id = {30606638}, issn = {1505-3768}, year = {2018}, eissn = {1731-2523}, pages = {93-105}, orcid-numbers = {Rácz, József/0000-0003-3354-1738} } @mastersthesis{MTMT:3425343, title = {Intravénás szerhasználók kockázati magatartása és az azt befolyásoló strukturális tényezők a 2010-2015 közötti időszakban}, url = {https://m2.mtmt.hu/api/publication/3425343}, author = {Csák, Róbert}, doi = {10.14753/SE.2018.2081}, publisher = {Semmelweis Egyetem}, unique-id = {3425343}, year = {2018} } @article{MTMT:3020286, title = {A needle in the haystack – the dire straits of needle exchange in Hungary}, url = {https://m2.mtmt.hu/api/publication/3020286}, author = {Gyarmathy, V. Anna and Csák, Róbert and Katalin, Bálint and Eszter, Bene and András, Ernő Varga and Mónika, Varga and Nóra, Csiszér and Vingender, István and Rácz, József}, doi = {10.1186/s12889-016-2842-2}, journal-iso = {BMC PUBLIC HEALTH}, journal = {BMC PUBLIC HEALTH}, volume = {16}, unique-id = {3020286}, issn = {1471-2458}, year = {2016}, eissn = {1471-2458}, orcid-numbers = {Rácz, József/0000-0003-3354-1738} } @article{MTMT:2980579, title = {Veni, vidi, vici. the appearance and dominance of new psychoactive substances among new participants at the largest needle exchange program in Hungary between 2006 and 2014}, url = {https://m2.mtmt.hu/api/publication/2980579}, author = {Rácz, József and Csák, Róbert and Tímea Tóth, Krisztina and Tóth, Eszter and Rozmán, Klaudia and Gyarmathy, V. Anna}, doi = {10.1016/j.drugalcdep.2015.10.034}, journal-iso = {DRUG ALCOHOL DEPEN}, journal = {DRUG AND ALCOHOL DEPENDENCE}, volume = {158}, unique-id = {2980579}, issn = {0376-8716}, keywords = {Adult; Adolescent; Female; Male; Humans; AMPHETAMINE; RISK; PREVALENCE; ARTICLE; human; Hungary; health behavior; priority journal; major clinical study; controlled study; Substance-Related Disorders; Demography; sex difference; Young Adult; Age Distribution; unclassified drug; TRENDS; time series analysis; high risk behavior; Time series; drug use; substance abuse; DIAMORPHINE; heroin; preventive health service; psychotropic agent; Substance Abuse, Intravenous; Psychotropic Drugs; 4' methylmethcathinone; miscellaneous named groups; new psychoactive substances; People who inject drugs; amphetamine derivative; New psychoactive substance; Needle exchange program; pentedrone; drug use pattern; injecting risk; needle exchange; people who inject drug; Needle-Exchange Programs}, year = {2016}, eissn = {1879-0046}, pages = {154-158}, orcid-numbers = {Rácz, József/0000-0003-3354-1738} } @article{MTMT:2912865, title = {New cases of HIV among people who inject drugs in Hungary: False alarm or early warning?}, url = {https://m2.mtmt.hu/api/publication/2912865}, author = {Rácz, József and Gyarmathy, V. Anna and Csák, Róbert}, doi = {10.1016/j.drugpo.2015.05.026}, journal-iso = {INT J DRUG POLICY}, journal = {INTERNATIONAL JOURNAL OF DRUG POLICY}, volume = {27}, unique-id = {2912865}, issn = {0955-3959}, year = {2016}, eissn = {1873-4758}, pages = {13-16}, orcid-numbers = {Rácz, József/0000-0003-3354-1738} } @CONFERENCE{MTMT:3113609, title = {Élő jelentés az ártalomcsökkentés aktuális magyarországi helyzetéről}, url = {https://m2.mtmt.hu/api/publication/3113609}, author = {Csák, Róbert and Sárosi, Péter and Máté, Zsolt}, booktitle = {A Magyar Addiktológiai Társaság X. Országos Kongresszusa}, unique-id = {3113609}, year = {2015}, pages = {11-12} }