Historique
Périodique
Association between injection practices and duration of injection among recently initiated injection drug users
(Lien entre pratiques d'injection et durée de l'usage chez des usagers ayant été initiés récemment à l'injection)
Auteur(s) :
BECKER BUXTON, M. ;
VLAHOV, D. ;
STRATHDEE, S. A. ;
DES JARLAIS, D. C. ;
MORSE E. V. ;
OUELLET, L. ;
KERNDT, P. ;
GARFEIN, R. S.
Année
2004
Page(s) :
177-183
Langue(s) :
Anglais
Refs biblio. :
25
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus mots-clés
USAGER
;
INJECTION
;
VOIE INTRAVEINEUSE
;
INITIATION
;
FACTEUR DE RISQUE
;
DUREE
;
TYPE D'USAGE
Note générale :
Drug and Alcohol Dependence, 2004, 75, (2), 177-183
Note de contenu :
tabl.
Résumé :
ENGLISH :
Background: Earlier studies suggest higher infection risk among recently initiated injection drug users (IDUs) than more experienced users. Whether IDUs' risky injection practices rise progressively with duration of injection or frequency of practices is higher near initiation and then taper remains an open question. Methods: Recently initiated IDUs were street recruited and interviewed between 1997 and 1999 as part of a multisite cohort study in five US urban cities. Recent risky injection practices (injecting with others and injecting on average more now) were examined across three cross-sections defined by duration of injection: 0-1 year, 2-3 years, and 4-6 years. Results: The IDU groups of <2 years duration (n = 691) and 2-3 years duration (n = 697) had higher odds than the 4-6 year group (n = 520) of reporting injecting with others (Odds Ratio, OR = 1.52, and OR = 1.47, respectively) and injecting on average more now (OR = 1.44 and OR = 1.44, respectively). The associations remained after multivariate adjustment for demographic variables. Conclusions: These data on recently initiated IDUs suggest that risky injection practices were more frequent earlier than later within the first 6 years of initiation, emphasizing that outreach prevention needs to identify and intervene with IDUs early. (Review's abstract.)
Affiliation :
Univ. CA, 1600 Divisadero St., Box 1710, San Francisco, CA 94115
Etats-Unis. United States.
Etats-Unis. United States.