Titre : | Nonmedical opioid use in relation to recency of heroin use in a nationally representative sample of adults in the United States (2018) |
Auteurs : | J. J. PALAMAR ; J. A. SHEARSTON |
Type de document : | Article : Périodique |
Dans : | Journal of Psychoactive Drugs (Vol.50, n°2, April-June 2018) |
Article en page(s) : | 159-166 |
Langues: | Anglais |
Discipline : | EPI (Epidémiologie / Epidemiology) |
Mots-clés : |
Thésaurus géographique ETATS-UNISThésaurus mots-clés OPIOIDES ; MESUSAGE ; HEROINE ; ADULTE ; ENQUETE ; PREVALENCE ; TRAJECTOIRE ; INITIATION |
Résumé : | Nonmedical opioid use has been linked to lifetime heroin use; however, research is needed to examine associations between nonmedical opioid use and current or recent heroin use, as current users appear to be at highest risk for harm. Data were from a nationally representative sample of non-institutionalized adults (age 18-64) in households participating in the National Survey of Drug Use and Health who reported lifetime heroin use (2005-2014, N = 7,111). We examined associations between frequency and recency of nonmedical opioid use and recency of heroin use. Most (86.7%) lifetime heroin users reported no heroin use in the last 12 months, while 6.1% reported current use (use in the last 30 days). The majority of the sample (69.3%) reported lifetime nonmedical opioid use; 14.3% reported nonmedical use in the last 30 days. Adjusted odds for current heroin use increased as frequency of past-year nonmedical opioid use increased, with a quarter (24.7%) of current heroin users reporting nonmedical opioid use on 157-365 days in the last year. Over half (54.7%) of current heroin users reported current nonmedical opioid use. Prevention efforts should consider that high-frequency and current nonmedical opioid use is a robust correlate of continued heroin use. |
Domaine : | Autres substances / Other substances ; Drogues illicites / Illicit drugs |
Affiliation : | Department of Population Health, New York University Langone Medical Center, New York, NY, USA |
Cote : | Abonnement |
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