Use of Population-Based Surveys for Estimating the Population Size of Persons Who Inject Drugs in the United States
| Autor: | Elizabeth M. Rosenthal, Heather Bradley, Meredith A. Barranco, Patrick S. Sullivan, Eli S. Rosenberg, Tomoko Udo |
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| Rok vydání: | 2020 |
| Předmět: |
Adult
Male Prescription drug Adolescent 030508 substance abuse Supplement Articles Population based Risk Assessment Injection drug use Drug Users Young Adult 03 medical and health sciences Health services Law Enforcement 0302 clinical medicine Narcotic overdose Environmental health Prevalence Humans Immunology and Allergy Medicine 030212 general & internal medicine Medical prescription Substance Abuse Intravenous Demography business.industry Population size Middle Aged medicine.disease United States Substance abuse Infectious Diseases Epidemiological Monitoring Female Self Report Drug Overdose 0305 other medical science business |
| Zdroj: | J Infect Dis |
| ISSN: | 1537-6613 0022-1899 |
| Popis: | Background In the United States, injection is an increasingly common route of administration for opioids and other substances. Estimates of the number of persons who inject drugs (PWID) are needed for monitoring risk-specific infectious disease rates and health services coverage. Methods We reviewed design and instruments for 4 national household surveys, 2012–2016, for their ability to produce unbiased injection drug use (IDU) prevalence estimates. We explored potential analytic adjustments for reducing biases through use of external data on (1) arrest, (2) narcotic overdose mortality, and (3) biomarker-based sensitivity of self-reported illicit drug use. Results Estimated national past 12 months IDU prevalence ranged from 0.24% to 0.59% across surveys. All surveys excluded unstably housed and incarcerated persons, and estimates were based on Conclusions PWID population size estimates in the United States are based on small numbers and are likely biased by undercoverage of key populations and self-report. Novel methods as discussed in this article may improve our understanding of PWID population size and their health needs. |
| Databáze: | OpenAIRE |
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