Historique
Article de Périodique
Characteristics of injection drug users who participate in drug dealing: Implications for drug policy (2008)
(Les caractéristiques des usagers de drogues par injection qui participent à la revente de drogue : implications pour la politique.)
Auteur(s) :
T. KERR ;
W. SMALL ;
C. JOHNSTON ;
K. LI ;
J. S. G. MONTANER ;
E. WOOD
Article en page(s) :
147-152
Domaine :
Drogues illicites / Illicit drugs
Langue(s) :
Anglais
Discipline :
EPI (Epidémiologie / Epidemiology)
Note générale :
Journal of Psychoactive Drugs, 2008, 40, (2), 147-152
Résumé :
ENGLISH :
So-called balanced drug policy couples enforcement initiatives targeting drug dealers with health-focused interventions serving addicted individuals. There are few evaluations of this approach, and little is known about how these two populations may overlap. We evaluated factors associated with drug dealing among injection drug users (IDUs) in Vancouver, Canada, and examined self-reported drug-dealing roles and reasons for dealing. Among 412 IDUs seen from March through December 2005, 68 (17%) had dealt drugs during the previous six months. Variables independently associated with drug dealing included: recent incarceration (adjusted odds ratio [AOR] = 2.9; 95%CI: 1.46.0); frequent heroin injection (AOR = 2.5; 95%CI: 1.44.6); frequent cocaine injection (AOR = 2.0; 95%CI: 1.13.8); and recent overdose (AOR = 2.7; 95%CI: 1.07.3). The most common drug-dealing roles were direct selling (82%), middling (35%), and steering (19%), while the most common reasons for dealing included obtaining drugs (49%) and money (36%). Drug dealing among IDUs was predicted by several markers of higher intensity addiction, and drug-dealing IDUs tended to occupy the most dangerous positions in the drug-dealing hierarchy. These findings suggest that elements of balanced drug policies may undermine each other and indicate the need for alternative interventions. (Author' s abstract)
ENGLISH :
So-called balanced drug policy couples enforcement initiatives targeting drug dealers with health-focused interventions serving addicted individuals. There are few evaluations of this approach, and little is known about how these two populations may overlap. We evaluated factors associated with drug dealing among injection drug users (IDUs) in Vancouver, Canada, and examined self-reported drug-dealing roles and reasons for dealing. Among 412 IDUs seen from March through December 2005, 68 (17%) had dealt drugs during the previous six months. Variables independently associated with drug dealing included: recent incarceration (adjusted odds ratio [AOR] = 2.9; 95%CI: 1.46.0); frequent heroin injection (AOR = 2.5; 95%CI: 1.44.6); frequent cocaine injection (AOR = 2.0; 95%CI: 1.13.8); and recent overdose (AOR = 2.7; 95%CI: 1.07.3). The most common drug-dealing roles were direct selling (82%), middling (35%), and steering (19%), while the most common reasons for dealing included obtaining drugs (49%) and money (36%). Drug dealing among IDUs was predicted by several markers of higher intensity addiction, and drug-dealing IDUs tended to occupy the most dangerous positions in the drug-dealing hierarchy. These findings suggest that elements of balanced drug policies may undermine each other and indicate the need for alternative interventions. (Author' s abstract)
Affiliation :
Canada. Canada.