|Titre :||Binge drug use among street-involved youth in a Canadian setting (2014)|
|Auteurs :||S. NOLAN ; K. DEBECK ; P. NGUYEN ; T. KERR ; E. WOOD|
|Type de document :||Article : Périodique|
|Dans :||Addiction Research and Theory (Vol.22, n°6, December 2014)|
|Article en page(s) :||535-540|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASESANS ABRI ; JEUNE ; ABUS ; PRODUIT ILLICITE ; CONDUITE A RISQUE ; ETUDE PROSPECTIVE ; INJECTION ; EXCLUSION ; SURDOSE
Background: Binge drug use has been associated with increased risk of human immunodeficiency virus (HIV) infection and other serious health-related harms among adult drug user populations. This study sought to determine the prevalence and correlates of binge drug use among street-involved youth in a Canadian setting.
Methods: From September 2005 to May 2012, data were collected from the At-Risk Youth Study (ARYS), a prospective cohort of street-involved youth aged 14-26 years who use illicit drugs. Multivariate generalized estimating equation (GEE) logistic regression was used to identify factors associated with binge drug use.
Results: Of the 987 participants included in this analysis, 41.5% reported binge drug use at baseline and another 59.1% reported binge drug use at some point during the study. In multivariate GEE analyses, older age (adjusted odds ratio [AOR] = 1.11), homelessness (AOR = 1.67), drug injecting (AOR = 1.63), non-fatal overdose (AOR = 1.98), public injecting (AOR = 1.42), being a victim of violence (AOR = 1.38), sex work (AOR = 2.51) and participation in drug dealing (AOR = 2.04) were independently associated with binge drug use in the previous six months (all p Discussion: The prevalence of reporting binge drug use among the youth was high in this setting and was independently associated with a range of high-risk activities and markers of vulnerability. Querying high-risk youth about binge drug use may help prioritize those in greatest need of addiction treatment strategies and public health interventions.
|Domaine :||Drogues illicites / Illicit drugs|
|Affiliation :||British Columbia Centre for Excellence in HIV/AIDS, Vancouver, British Columbia, Canada|