Advertisement

Topics

Individual, Social, and Environmental Factors Associated with Initiating Methamphetamine Injection: Implications for Drug Use and HIV Prevention Strategies.

06:00 EST 29th January 2011 | BioPortfolio

Summary of "Individual, Social, and Environmental Factors Associated with Initiating Methamphetamine Injection: Implications for Drug Use and HIV Prevention Strategies."

The purpose of this study was to determine the incidence and predictors of initiating methamphetamine injection among a cohort of injection drug users (IDU). We conducted a longitudinal analysis of IDU participating in a prospective study between June 2001 and May 2008 in Vancouver, Canada. IDU who had never reported injecting methamphetamine at the study's commencement were eligible. We used Cox proportional hazards models to identify the predictors of initiating methamphetamine injection. The outcome was time to first report of methamphetamine injection. Time-updated independent variables of interest included sociodemographic characteristics, drug use patterns, and social, economic and environmental factors. Of 1317 eligible individuals, the median age was 39.9 and 522 (39.6%) were female. At the study's conclusion, 200 (15.2%) participants had initiated injecting methamphetamine (incidence density: 4.3 per 100 person-years). In multivariate analysis, age (adjusted hazard ratio [aHR]: 0.96 per year older, 95%
CI:
0.95-0.98), female sex (a
HR:
0.58, 95%
CI:
0.41-0.82), sexual abuse (a
HR:
1.63, 95%
CI:
1.18-2.23), using drugs in Vancouver's drug scene epicentre (a
HR:
2.15 95%
CI:
1.49-3.10), homelessness (a
HR:
1.43, 95%
CI:
1.01-2.04), non-injection crack cocaine use (a
HR:
2.06, 95%
CI:
1.36-3.14), and non-injection methamphetamine use (a
HR:
3.69, 95%
CI:
2.03-6.70) were associated with initiating methamphetamine injection. We observed a high incidence of methamphetamine initiation, particularly among young IDU, stimulant users, homeless individuals, and those involved in the city's open drug scene. These data should be useful for the development of a broad set of interventions aimed at reducing initiation into methamphetamine injection among IDU.

Affiliation

British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, Canada, V6Z 1Y6.

Journal Details

This article was published in the following journal.

Name: Prevention science : the official journal of the Society for Prevention Research
ISSN: 1573-6695
Pages:

Links

DeepDyve research library

PubMed Articles [25144 Associated PubMed Articles listed on BioPortfolio]

Associations of Environmental Factors With Quality of Life in Older Adults.

Environmental factors play an important role in the quality of life of older people who often have difficulty maintaining physical, psychological, and social functioning. In this study, we aimed at (a...

Community Theories of Change: Linking Environmental Justice to Sustainability through Stakeholder Perceptions in Milwaukee, (WI, USA).

Environmental justice and sustainability are compatible lenses, yet action toward equity is often missing from urban sustainability initiatives. This study aims to assess the cohesion of these framewo...

Psychomotor effect differences between l-methamphetamine and d-methamphetamine are independent of murine plasma and brain pharmacokinetics profiles.

l-Methamphetamine has been occasionally referred to as a stimulant similar to d-methamphetamine, probably owing to insufficient comparative studies. Here, we directly compared psychomotor efficacies a...

Violence, trauma and living with HIV: Longitudinal predictors of initiating crystal methamphetamine injection among sex workers.

Despite rapid increases in crystal methamphetamine (CM) use worldwide and established gendered patterns of use, empirical research on CM injection initiation among sex workers is limited. Given the wi...

Barriers to accessing methamphetamine treatment: A systematic review and meta-analysis.

Methamphetamine use is associated with a range of poor health, social and justice outcomes. In many parts of the world increased methamphetamine use has been identified as a major public health concer...

Clinical Trials [4674 Associated Clinical Trials listed on BioPortfolio]

Risk and Protective Factors for Rural Methamphetamine Dependence

The primary goal of this study is to identify factors which may put a person that has used methamphetamine at greater risk for mental and physical health problems and social problems and f...

Individual and Environmental Risk Factors of Unplanned Admissions of Elderly

The aim of this multicenter study is to investigate risk factors for unplanned hospitalizations, including individual and environmental factors, notably air pollution.

Asthma Disparities in Latino Children:Acculturation,Illness Representations & CAM

This interdisciplinary multi-level study moves the research in asthma health disparities from descriptive studies of individual constructs and contexts to testing an integrated, multi-fact...

Steady State Kinetics of l-Methamphetamine and Validation of Sensitivity of Dose Estimation

The intent of this study is to see if the rate that the body breaks down l-methamphetamine (l-MA) could be used as an accurate estimate for the rate that the body breaks down d-methampheta...

Phase 1 Study of Pomaglumetad and Methamphetamine

This is the first study of pomaglumetad in humans using methamphetamine. The goal of the study is to determine if pomaglumetad is safe when administered with methamphetamine. If shown to b...

Medical and Biotech [MESH] Definitions

Social and economic factors that characterize the individual or group within the social structure.

Attributes and experiences that influence an individual's personality, attitudes, and lifestyle, which are derived from the social values and/or behavior of the groups to which an individual belongs, or aspires to belong.

A personality trait rendering the individual acceptable in social or interpersonal relations. It is related to social acceptance, social approval, popularity, social status, leadership qualities, or any quality making him a socially desirable companion.

A multifactorial disease of CATTLE resulting from complex interactions between environmental factors, host factors, and pathogens. The environmental factors act as stressors adversely affecting the IMMUNE SYSTEM and other host defenses and enhancing transmission of infecting agents.

An interdisciplinary scientific approach to the study of complex interactions among biological, social, behavioral, environmental factors, and their effects on health outcomes.

Quick Search
Advertisement
 


DeepDyve research library

Relevant Topics

Drug Discovery
Clinical Approvals Clinical Trials Drug Approvals Drug Delivery Drug Discovery Generics Drugs Prescription Drugs In the fields of medicine, biotechnology and pharmacology, drug discovery is the process by which drugs are dis...

Pharmacy
Pharmacy is the science and technique of preparing as well as dispensing drugs and medicines. It is a health profession that links health sciences with chemical sciences and aims to ensure the safe and effective use of pharmaceutical drugs. The scope of...


Searches Linking to this Article