High rates of midazolam injection and associated harms in Bangkok, Thailand

Autor: Evan Wood, Lianping Ti, Paisan Suwannawong, Karyn Kaplan, Kanna Hayashi, Thomas Kerr
Rok vydání: 2013
Předmět:
Zdroj: Addiction. 108:944-952
ISSN: 0965-2140
DOI: 10.1111/add.12094
Popis: AIMS: To identify the prevalence and correlates of midazolam injection among injecting drug users in Thailand. DESIGN: Serial cross-sectional mixed-methods study. SETTING: Bangkok, Thailand. PARTICIPANTS: 435 adults who had injected drug(s) in the past six months were recruited through peer outreach and word-of-mouth in Bangkok in 2011. MEASUREMENTS: Multivariable logistic regression was used to analyze self-reported data collected through an interviewer-administered survey in July-October 2011 (n=435). Additionally, qualitative data were collected in June-July 2009 (n=10) and analyzed to explore the health problems attributable to midazolam injection. FINDINGS: Among 435 survey participants, the prevalence of daily midazolam injection in the past six months was 37.0% (95% Confidence Interval: 32-42). While 75.8% of the daily midazolam injectors identified heroin as their drug of choice, 91.8% of these individuals reported substituting heroin with midazolam when heroin was unavailable. In multivariable analyses, daily midazolam injection was associated with femoral vein injection (Adjusted Odds Ratio [AOR] = 4.48), polydrug use (AOR = 4.94), daily heroin injection (AOR = 3.25), binge use (AOR = 1.75), and perceived increase in policing pressure (AOR = 1.95) (all p Language: en
Databáze: OpenAIRE
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