Factors Associated with Likelihood of Initiating Others into Injection Drug Use Among People Who Inject Drugs in West Virginia
| Autor: | Susan G. Sherman, Kristin E. Schneider, Michael E. Kilkenny, Ricky N. Bluthenthal, Allison O’Rourke, Alyona Mazhnaya, Sean T. Allen, Rebecca Hamilton White, Alex H. Kral |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Social Psychology HIV Infections Logistic regression Odds Drug Users 03 medical and health sciences 0302 clinical medicine Injection initiation Humans Medicine 030212 general & internal medicine Substance Abuse Intravenous Syringe Original Paper Harm reduction 030505 public health business.industry Rural health Public health Public Health Environmental and Occupational Health Odds ratio West Virginia Syringe services programs Health psychology Infectious Diseases Pharmaceutical Preparations Injection drug use 0305 other medical science business People who inject drugs Demography |
| Zdroj: | AIDS and Behavior |
| ISSN: | 1573-3254 1090-7165 |
| DOI: | 10.1007/s10461-021-03325-6 |
| Popis: | People who inject drugs (PWID) play a critical role in injection-naïve individuals transitioning to injection drug use. We investigated factors associated with future likelihood of initiating injection-naïve individuals using multivariable logistic regression among 418 PWID in rural Appalachia (Cabell County, West Virginia). Less than 10% reported they were likely to initiate someone in the future. Acquiring syringes from a syringe services program was associated with decreased odds of being likely to initiate someone in the future (adjusted odds ratio [aOR] 0.46, 95% CI 0.23, 0.95), while having previously initiated someone into injection drug use was associated with increased odds (aOR 8.65, 95% CI 4.07, 18.41). Among our sample of PWID in Appalachia, a small proportion reported that they would be likely to initiate an injection-naïve individual in the future. Efforts to reduce injection initiation assistance should focus on this subpopulation of PWID who indicate a willingness to engage in this behavior. |
| Databáze: | OpenAIRE |
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