|Titre :||Prevalence, correlates and patterns of heroin use among young adults in the United States (2016)|
|Auteurs :||T. O. IHONGBE ; S. W. MASHO|
|Type de document :||Article : Périodique|
|Dans :||Addictive Behaviors (Vol.63, December 2016)|
|Article en page(s) :||74-81|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASEHEROINE ; PREVALENCE ; ADULTE JEUNE ; INITIATION ; VOIE D'ADMINISTRATION ; MEDICAMENTS ; ATTITUDE ; ENQUETE
Introduction: The prevalence of heroin use, abuse, and dependence has increased considerably over the past decade. This increase has largely been driven by young adults (18-25 years). This study aims to improve the understanding of heroin use among young adults by determining the prevalence, correlates, patterns and attitude of heroin use among young adults in the US.
Methods: The 2011-2013 National Survey on Drug Use and Health was analyzed. Study population included 55,940 young adults with valid interviews. Self-reported lifetime, past-year and past-month use of heroin were examined. Descriptive statistics and adjusted odds ratios were estimated in accordance with the complex survey design.
Results: Of the respondents, 18.4 per 1000 (95% CI = 16.8-20.0) used heroin at some time in their lives, and 7.3 per 1000 (95% CI = 6.3-8.3) and 3.3 per 1000 (95% CI = 2.6-4.0) used heroin in the past year and past month, respectively. The single most common route of heroin use was by sniffing. Majority of young adults reported using heroin in combination with other substances. Users of non-prescribed opioid pain relievers, cigarette smokers, illicit drug users and those arrested and booked for breaking the law, had higher odds of using heroin during their lifetime, in the past-year and past-month.
Conclusion: Fewer than 2% reported ever using heroin, and 82% of those reported no use in the past month. Majority were polysubstance users and sniffed heroin in combination with other routes of use. Comprehensive programs that target young adult heroin users and address important risk factors for heroin use are needed.
From 2011-2013, lifetime, past-year and past-month heroin use in young adults was 18.4, 7.3 and 3.3 per 1000, respectively
Young adults initiated heroin use at an early age and used other substances along with heroin
Sniffing heroin was the single most common route of use, but combination of different routes of use was reported
Use of non-prescribed opioid analgesics, illicit drugs, smoking and being arrested and booked were correlates of heroin use
Comprehensive programs that target young adult heroin users and address important risk factors for heroin use are needed.
|Domaine :||Drogues illicites / Illicit drugs|
|Affiliation :||Division of Epidemiology, Department of Family Medicine and Population Health, School of Medicine, Virginia Commonwealth University, Richmond, VA, USA|