Patterns and Correlates of Injecting Among Heroin Users: A 11-Year Follow-up of the Australian Treatment Outcome Study Cohort.
Objectives: To determine the prevalence of injecting drug use at 11-year follow-up, patterns of injecting drug use across follow-up, and the clinical correlates of injecting. Methods: Eleven-year post baseline follow-up of the Australian Treatment Outcome Study cohort. Injecting behaviors were exami...
| Publicado en: | Addictive Disorders & Their Treatment Vol. 15; no. 3; pp. 111 - 120 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
Sep2016
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=117850831&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 117850831 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 15315754 MZ9 jtl: Addictive Disorders & Their Treatment issn: 15315754 maglogo: N pubinfo: dt: Sep2016 vid: 15 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 117850831 117850831 117850831 10.1097/ADT.0000000000000082 117850831 ppf: 111 ppct: 9 formats: tig: atl: Patterns and Correlates of Injecting Among Heroin Users: A 11-Year Follow-up of the Australian Treatment Outcome Study Cohort. aug: au: Darke, Shane Slade, Tim Ross, Joanne Marel, Christina Mills, Katherine L. Tessson, Maree affil: National Drug and Alcohol Research Centre, University of New South Wales, Sydney, NSW, Australia sug: subj: Heroin Administration and Dosage Substance Abuse, Intravenous Therapy Substance Abuse, Intravenous Trends Substance Abuse, Intravenous Epidemiology Human Descriptive Statistics Odds Ratio Behavior, Addictive Trends Australia Interviews Prospective Studies ab: Objectives: To determine the prevalence of injecting drug use at 11-year follow-up, patterns of injecting drug use across follow-up, and the clinical correlates of injecting. Methods: Eleven-year post baseline follow-up of the Australian Treatment Outcome Study cohort. Injecting behaviors were examined over the month preceding each wave. Results: The prevalence of injecting, daily injecting, needle sharing, and injection-related health problems had all declined significantly. In the month preceding 11-year follow-up, 32% had injected a drug, 10% daily. While at baseline the ratio of daily to nondaily injectors was 6:1, this had declined to 1:2 by 11-year follow-up. Of those interviewed at 11-year follow-up, 11% had injected at each wave in which they were interviewed, 19% injected at baseline but at no subsequent wave, and 5% had not injected at any wave. Injecting was significantly associated with: older baseline age (OR =1.02), concurrent use of more different drug classes (mean difference 2.1), a higher likelihood of criminality (OR = 5.8), crime being the main income source (OR = 5.6), lower SF12 physical (mean difference -3.8) and mental health (- 8.3) scores, and a current diagnosis of Major Depression (OR = 2.7). Being enrolled in treatment was associated with a significantly lower odds of daily injection (OR = 0.71), but not of injecting at all on the preceding month (OR = 1.0). Conclusions: There had been significant clinical improvement in injecting behaviors and the correlates of injecting. Realistic expectations of recovery, however, need to be placed in the context of long-term injecting patterns. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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