![]() ![]() Grounded theory principles informed inductive qualitative analysis. Bivariate and multivariate analyses were conducted using a logistic regression for binary outcomes to explore associations between outcomes and excessive acidifier use. Participants provided life history data and detail on injecting environments and drug preparation practices, including the use of acidifiers. We present a structured survey ( n = 455) and in-depth qualitative interview ( n = 31) data generated with PWID in London for the Care & Prevent study. In this paper, we present mixed-methods data to explore our hypothesis of a link between overly acidic injection solutions, venous damage and SSTI risk. Brown heroin available in Europe requires acidification for injection preparation. Damage and scarring of peripheral veins can exacerbate health harms, such as skin and soft tissue infections (SSTI), and promote transitions to femoral and subcutaneous injecting. ![]() Venous access is a priority for people who inject drugs (PWID). ![]()
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