Non-injection Drug Use and Injection Initiation Assistance among People Who Inject Drugs in Tijuana, Mexico
| Autor: | Ben Hamida, A, Rafful, C, Jain, S, Sun, S, Gonzalez-Zuniga, P, Rangel, G, Strathdee, SA, Werb, D |
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| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Non-injection drug use Methamphetamine Cohort Studies Drug Users Drug Abuse Substance Misuse Young Adult Border health Cocaine Risk Factors Clinical Research Injection initiation Odds Ratio Humans Longitudinal Studies Prospective Studies Cooperative Behavior Mexico Tijuana Aged Prevention Substance Abuse Human Movement and Sports Sciences Middle Aged Heroin Good Health and Well Being Injection drug use Public Health and Health Services HIV/AIDS Female Public Health Drug Abuse (NIDA only) Intravenous People who inject drugs |
| Zdroj: | Journal of urban health : bulletin of the New York Academy of Medicine, vol 95, iss 1 Ben Hamida, A; Rafful, C; Jain, S; Sun, S; Gonzalez-Zuniga, P; Rangel, G; et al.(2018). Non-injection Drug Use and Injection Initiation Assistance among People Who Inject Drugs in Tijuana, Mexico. Journal of Urban Health, 95(1), 83-90. doi: 10.1007/s11524-017-0188-4. UC San Diego: Retrieved from: http://www.escholarship.org/uc/item/8mv077m7 |
| Popis: | Although most people who inject drugs (PWID) report receiving assistance during injection initiation events, little research has focused on risk factors among PWID for providing injection initiation assistance. We therefore sought to determine the influence of non-injection drug use among PWID on their risk to initiate others. We used generalized estimating equation (GEE) models on longitudinal data among a prospective cohort of PWID in Tijuana, Mexico (Proyecto El Cuete IV), while controlling for potential confounders. At baseline, 534 participants provided data on injection initiation assistance. Overall, 14% reported ever initiating others, with 4% reporting this behavior recently (i.e., in the past 6months). In a multivariable GEE model, recent non-injection drug use was independently associated with providing injection initiation assistance (adjusted odds ratio [AOR]=2.42, 95% confidence interval [CI]=1.39-4.20). Further, in subanalyses examining specific drug types, recent non-injection use of cocaine (AOR=9.31, 95% CI=3.98-21.78), heroin (AOR=4.00, 95% CI=1.88-8.54), and methamphetamine (AOR=2.03, 95% CI=1.16-3.55) were all significantly associated with reporting providing injection initiation assistance. Our findings may have important implications for the development of interventional approaches to reduce injection initiation and related harms. Further research is needed to validate findings and inform future approaches to preventing entry into drug injecting. |
| Databáze: | OpenAIRE |
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