Historique
Article de Périodique
"Just another drug" for marginalized users: The risks of using synthetic cathinones among NSP clients in the Czech Republic (2017)
Auteur(s) :
BELACKOVA, V. ;
VACEK, J. ;
JANIKOVA, B. ;
MRAVCIK, V. ;
ZABRANSKY, T. ;
IVANOVOVA, L. ;
CSEMY, L.
Année
2017
Page(s) :
567-573
Langue(s) :
Anglais
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
REPUBLIQUE TCHEQUE
Thésaurus mots-clés
USAGER
;
MARGINAL
;
DROGUES DE SYNTHESE
;
CATHINONES
;
INJECTION
;
CONDUITE A RISQUE
;
DEPENDANCE
;
FACTEUR PREDICTIF
Résumé :
Background: In several EU countries, synthetic cathinone (SC) use has spread among injecting drug users (IDUs); it has been linked to risk of dependence and HIV/HCV transmission. Aims: To analyze the association between dependence and risky injecting practice with experimental and repeated SC use in the past 12 months among the clients of needle-syringe programs in the Czech Republic.
Methods: IDUs in six locations in the Czech Republic were surveyed in 2013 and 2014 (n = 463). Single-predictor multinomial logit models were run to determine SC use upon the Severity of Dependence Scale (SDS) and risky injecting practice; the same predictors were included in the multivariate model with confounders.
Findings: SDS score and risky injecting practice were significantly associated with repeated SC use in single-predictor models but not in the multivariate model; SC experimentation was linked to young and male respondents and those who lived in a larger city (>50,000); predictors of repeated SC use were homelessness (AOR = 3.2), co-occurring use of stimulants and opioids (AOR = 4.3), and use of cannabis (AOR = 2.4) in the past month.
Conclusions: Repeated SC use was associated with poly-drug use and homelessness; given the rather inferior status of SCs among IDUs, their users face a risk of stigmatization and further marginalization.
Methods: IDUs in six locations in the Czech Republic were surveyed in 2013 and 2014 (n = 463). Single-predictor multinomial logit models were run to determine SC use upon the Severity of Dependence Scale (SDS) and risky injecting practice; the same predictors were included in the multivariate model with confounders.
Findings: SDS score and risky injecting practice were significantly associated with repeated SC use in single-predictor models but not in the multivariate model; SC experimentation was linked to young and male respondents and those who lived in a larger city (>50,000); predictors of repeated SC use were homelessness (AOR = 3.2), co-occurring use of stimulants and opioids (AOR = 4.3), and use of cannabis (AOR = 2.4) in the past month.
Conclusions: Repeated SC use was associated with poly-drug use and homelessness; given the rather inferior status of SCs among IDUs, their users face a risk of stigmatization and further marginalization.
Affiliation :
Department of Addictology, 1st Faculty of Medicine, Charles University in Prague and General Teaching Hospital in Prague, Prague, Czech Republic
Cote :
Abonnement