| Titre : | Correlates of initiation of injection drug use among young drug users in Baltimore, Maryland : the need for early intervention (2005) |
| Titre traduit : | (Corrélations de l'initiation à l'injection de drogues parmi les jeunes usagers de drogues à Baltimore, Maryland : nécessité d'une intervention précoce) |
| Auteurs : | S. SHERMAN ; C. FULLER ; N. SHAH ; D. V. OMPAD ; D. VLAHOV ; S. STRATHDEE |
| Type de document : | Article : Périodique |
| Dans : | Journal of Psychoactive Drugs (Vol.37 n°4, 2005) |
| Article en page(s) : | 437-443 |
| Note générale : | Journal of Psychoactive Drugs, 2005, 37, (4), 437-443 |
| Langues: | Anglais |
| Discipline : | EPI (Epidémiologie / Epidemiology) |
| Mots-clés : |
Thésaurus mots-clés INITIATION ; INJECTION ; ETHNIE ; ETUDE TRANSVERSALE ; FACTEUR DE RISQUE ; JEUNEThésaurus géographique ETATS-UNIS |
| Résumé : | This article examines individual and social factors associated with initiation of illicit drug injection, with a focus on racial differences. Data were derived from across-sectional survey of young injection and noninjection drug users in Baltimore, Maryland. Participants were aged 15 to 30 and had initiated use of heroin, cocaine, and/or crack within the prior five years. Bivariate and multivariate logistic regression models were used to identify correlates of injection initiation. Of 579 drug users, 73% were injectors, 56% were male, and 41% were African American. In a multivariate model controlling for age, correlates of injection initiation were: being an African American male [Adjusted Odds Ratio (AOR): 0.08; 95% Confidence Interval (CI): 0.04, 0.17] or female (AOR = 0.12; 95%CI: 0.06, 0.27) compared to being a White male; younger age of first use of alcohol, marijuana, or inhalants (AOR=0.73; 95%CI: 0.65, 0.82); shorter time between first use of alcohol, marijuana, or inhalants and first use of heroin, crack, or cocaine (per year decrease, AOR=0.63, 95%CI: 0.40, 0.87); parental drug use (AOR=0.54, 95%CI: 0.32, 0.92); seeing someone inject prior to injection, AOR=1.96, 95%CI: 1.01, 3.50); and crack smoking (AOR=1.77, 95%CI: 1.07, 2.99). Early drug use patterns and drug exposure factors are associated with initiation injection. Interventions are needed that target noninjection drug users to prevent transition to injection drug use. |
| Domaine : | Drogues illicites / Illicit drugs |
| Refs biblio. : | 24 |
| Affiliation : | Department of Epidemiology, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, USA |
| Numéro Toxibase : | 1301420 |
| Centre Emetteur : | 13 OFDT |
| Cote : | Abonnement |
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