High Prevalence of Assisted Injection Among Street-Involved Youth in a Canadian Setting

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• 作者：Tessa Cheng ; Thomas Kerr ; Will Small ; Huiru Dong ; Julio Montaner…
• 关键词：Injection drug use ; Street ; involved youth ; HIV risk behaviour ; Substance use
• 刊名：AIDS and Behavior
• 出版年：2016
• 出版时间：February 2016
• 年：2016
• 卷：20
• 期：2
• 页码：377-384
• 全文大小：372 KB
• 参考文献：1.Fairbairn N, Small W, Van Borek N, Wood E, Kerr T. Social structural factors that shape assisted injecting practices among injection drug users in Vancouver, Canada: a qualitative study. Harm Reduct J. 2010;7:20.PubMedCentral CrossRef PubMed
  2.O’Connell JM, Kerr T, Li K, Tyndall MW, Hogg RS, Montaner JS, et al. Requiring help injecting independently predicts incident HIV infection among injection drug users. J Acquir Immune Defic Syndr. 2005;40(1):83–8.CrossRef PubMed
  3.Miller CL, Johnston C, Spittal PM, Li K, Laliberte N, Montaner JS, et al. Opportunities for prevention: hepatitis C prevalence and incidence in a cohort of young injection drug users. Hepatology. 2002;36(3):737–42.CrossRef PubMed
  4.Fairbairn N, Wood E, Small W, Stoltz JA, Li K, Kerr T. Risk profile of individuals who provide assistance with illicit drug injections. Drug Alcohol Depend. 2006;82(1):41–6.CrossRef PubMed
  5.Wood E, Spittal PM, Kerr T, Small W, Tyndall MW, O’Shaughnessy MV, et al. Requiring help injecting as a risk factor for HIV infection in the Vancouver epidemic: implications for HIV prevention. Can J Public Health Rev/Can de Sante Publique. 2003;94((5):355–9.
  6.McNeil R, Small W, Lampkin H, Shannon K, Kerr T. “People knew they could come here to get help”: an ethnographic study of assisted injection practices at a peer-run ‘unsanctioned’ supervised drug consumption room in a Canadian setting. AIDS Behav. 2014;18(3):473–85.PubMedCentral CrossRef PubMed
  7.Rhodes T. The ‘risk environment’: a framework for understanding and reducing drug-related harm. Int J Drug Policy. 2002;13(2):85–94.CrossRef
  8.Evans JL, Hahn JA, Page-Shafer K, Lum PJ, Stein ES, Davidson PJ, et al. Gender differences in sexual and injection risk behavior among active young injection drug users in San Francisco (the UFO Study). J Urban Health. 2003;80(1):137–46.PubMedCentral CrossRef PubMed
  9.Bourgois P, Prince B, Moss A. The everyday violence of hepatitis C among young women who inject drugs in San Francisco. Hum Organ. 2004;63(3):253–64.PubMedCentral CrossRef PubMed
  10.Small W, Shoveller J, Moore D, Tyndall M, Wood E, Kerr T. Injection drug users’ access to a supervised injection facility in Vancouver, Canada: the influence of operating policies and local drug culture. Qual Health Res. 2011;21(6):743–56.CrossRef PubMed
  11.Kerr T, Wood E, Small D, Palepu A, Tyndall MW. Potential use of safer injecting facilities among injection drug users in Vancouver’s Downtown Eastside. Can Med Assoc J. 2003;169(8):759–63.
  12.Damon W, Neufeld S. Underground safe-injection site forced to close: Vancouver health authority shuts down unsanctioned drug user-run site in the Downtown Eastside. Megaphone; 2014.http://​www.​megaphonemagazin​e.​com/​underground_​safe_​injection_​site_​forced_​to_​close . Accessed 1 June 2015.
  13.Lloyd-Smith E, Rachlis BS, Tobin D, Stone D, Li K, Small W, et al. Assisted injection in outdoor venues: an observational study of risks and implications for service delivery and harm reduction programming. Harm Reduct J. 2010;7:6.PubMedCentral CrossRef PubMed
  14.Marshall BD, Kerr T, Qi J, Montaner JS, Wood E. Public injecting and HIV risk behaviour among street-involved youth. Drug Alcohol Depend. 2010;110(3):254–8.PubMedCentral CrossRef PubMed
  15.Marshall B, Kerr T, Shoveller J, Montaner J, Wood E. Structural factors associated with an increased risk of HIV and sexually transmitted infection transmission among street-involved youth. BMC Public Health. 2009;9(1):7.PubMedCentral CrossRef PubMed
  16.DeMatteo D, Major C, Block B, Coates R, Fearon M, Goldberg E, et al. Toronto street youth and HIV/AIDS: prevalence, demographics, and risks. J Adolesc Health. 1999;25(5):358–66.CrossRef PubMed
  17.Marshall BDL, Kerr T, Shoveller JA, Patterson TL, Buxton JA, Wood E. Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth. Health Place. 2009;15(3):783–90.CrossRef
  18.Wood E, Stoltz JA, Montaner JS, Kerr T. Evaluating methamphetamine use and risks of injection initiation among street youth: the ARYS study. Harm Reduct J. 2006;3:18.PubMedCentral CrossRef PubMed
  19.Marshall BD. The contextual determinants of sexually transmissible infections among street-involved youth in North America. Cult health Sex. 2008;10(8):787–99.CrossRef
  20.Roy E, Haley N, Leclerc P, Sochanski B, Boudreau JF, Boivin JF. Mortality in a cohort of street youth in Montreal. JAMA. 2004;292(5):569–74.CrossRef PubMed
  21.Roy É, Robert M, Fournier L, Vaillancourt É, Vandermeerschen J, Boivin J-F. Residential trajectories of street youth—the Montréal cohort study. J Urban Health. 2014;91(5):1019–31.PubMedCentral CrossRef PubMed
  22.Uhlmann S, DeBeck K, Simo A, Kerr T, Montaner JS, Wood E. Health and social harms associated with crystal methamphetamine use among street-involved youth in a Canadian setting. Am J Addict/Am Acad Psychiatr Alcohol Addict. 2014;23(4):393–8.CrossRef
  23.Hadland SE, Marshall BD, Kerr T, Zhang R, Montaner JS, Wood E. A comparison of drug use and risk behavior profiles among younger and older street youth. Subst Use Misuse. 2011;46(12):1486–94.PubMedCentral CrossRef PubMed
  24.Ballinger GA. Using generalized estimating equations for longitudinal data analysis. Organ Res Methods. 2004;7(2):127–50.CrossRef
  25.Hanley JA, Negassa A, Edwardes MD, Forrester JE. Statistical analysis of correlated data using generalized estimating equations: an orientation. Am J Epidemiol. 2003;157(4):364–75.CrossRef PubMed
  26.Pan W. Akaike’s information criterion in generalized estimating equations. Biometrics. 2001;57(1):120–5.CrossRef PubMed
  27.Kral AH, Bluthenthal RN, Erringer EA, Lorvick J, Edlin BR. Risk factors among IDUs who give injections to or receive injections from other drug users. Addiction. 1999;94(5):675–83 (Abingdon, England).CrossRef PubMed
  28.Fairbairn N, Small W, Shannon K, Wood E, Kerr T. Seeking refuge from violence in street-based drug scenes: women’s experiences in North America’s first supervised injection facility. Soc Sci Med. 2008;67(5):817–23.CrossRef PubMed
  29.Fast D, Small W, Wood E, Kerr T. Coming ‘down here’: young people’s reflections on becoming entrenched in a local drug scene. Soc Sci Med. 2009;69(8):1204–10.PubMedCentral CrossRef PubMed
  30.Werb D, Kerr T, Buxton J, Shoveller J, Richardson C, Montaner J, et al. Crystal methamphetamine and initiation of injection drug use among street-involved youth in a Canadian setting. Can Med Assoc J. 2013;185(18):1569–75.CrossRef
  31.Small W, Fast D, Krusi A, Wood E, Kerr T. Social influences upon injection initiation among street-involved youth in Vancouver, Canada: a qualitative study. Subst Abuse Treat Prev Policy. 2009;4:8.PubMedCentral CrossRef PubMed
  32.Kerr T, Oleson M, Tyndall MW, Montaner J, Wood E. A description of a peer-run supervised injection site for injection drug users. J Urban Health. 2005;82(2):267–75.PubMedCentral CrossRef PubMed
  33.Small W, Wood E, Tobin D, Rikley J, Lapushinsky D, Kerr T. The injection support team: a peer-driven program to address unsafe injecting in a Canadian setting. Subst Use Misuse. 2012;47(5):491–501.CrossRef PubMed
  34.Hayashi K, Wood E, Wiebe L, Qi J, Kerr T. An external evaluation of a peer-run outreach-based syringe exchange in Vancouver Canada. Int J Drug Policy. 2010;21(5):418–21.PubMedCentral CrossRef PubMed
  35.Ritter A, Ritter A, Cameron J, Ritter A, Cameron J. A review of the efficacy and effectiveness of harm reduction strategies for alcohol, tobacco and illicit drugs. Drug Alcohol Rev. 2006;25(6):611–24.CrossRef PubMed
  36.Buxton JA, Dove NA. The burden and management of crystal meth use. Can Med Assoc J. 2008;178(12):1537–9.CrossRef
  37.Miller CL, Kerr T, Frankish JC, Spittal PM, Li K, Schechter MT, et al. Binge drug use independently predicts HIV seroconversion among injection drug users: implications for public health strategies. Subst Use Misuse. 2006;41(2):199–210.CrossRef PubMed
  38.Miller CL, Strathdee SA, Kerr T, Li K, Wood E. Factors associated with early adolescent initiation into injection drug use: implications for intervention programs. J Adolesc Health. 2006;38(4):462–4.CrossRef PubMed
  39.Ochnio JJ, Patrick D, Ho M, Talling DN, Dobson SR. Past infection with hepatitis A virus among Vancouver street youth, injection drug users and men who have sex with men: implications for vaccination programs. Can Med Assoc J. 2001;165(3):293–7.
  40.Podsakoff PM, MacKenzie SB, Lee J-Y, Podsakoff NP. Common method biases in behavioral research: a critical review of the literature and recommended remedies. J Appl Psychol. 2003;88(5):879.CrossRef PubMed
  41.Brener ND, Collins JL, Kann L, Warren CW, Williams BI. Reliability of the youth risk behavior survey questionnaire. Am J Epidemiol. 1995;141(6):575–80.PubMed
  42.Darke S. Self-report among injecting drug users: a review. Drug Alcohol Depend. 1998;51(3):253–63.CrossRef PubMed
  43.Rosenbaum JE. Truth or consequences: the intertemporal consistency of adolescent self-report on the youth risk behavior survey. Am J Epidemiol. 2009;169(11):1388–97.PubMedCentral CrossRef PubMed
  44.Small W, Krusi A, Wood E, Montaner J, Kerr T. Street-level policing in the Downtown Eastside of Vancouver, Canada, during the 2010 Winter Olympics. Int J Drug Policy. 2012;23(2):128–33.CrossRef PubMed
  45.Samet JH, Friedmann P, Saitz R. Benefits of linking primary medical care and substance abuse services: patient, provider, and societal perspectives. Arch Intern Med. 2001;161(1):85–91.CrossRef PubMed
  
• 作者单位：Tessa Cheng (1) (2)
  Thomas Kerr (1) (3)
  Will Small (1) (2)
  Huiru Dong (1)
  Julio Montaner (1) (3)
  Evan Wood (1) (3)
  Kora DeBeck (1) (4)
  
  1. Urban Health Research Initiative, British Columbia Centre for Excellence in HIV/AIDS, St. Paul’s Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada
  2. Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada
  3. Faculty of Medicine, University of British Columbia, Vancouver, Canada
  4. School of Public Policy, Simon Fraser University, Burnaby, Canada
  
• 刊物类别：Medicine
• 刊物主题：Medicine & Public Health
  Public Health
  Health Psychology
  Infectious Diseases
  
• 出版者：Springer Netherlands
• ISSN：1573-3254

文摘

Many people who inject illicit drugs receive manual assistance when injecting, and this practice has been linked to increased risk of HIV infection and other harms. Little is known, however, about this practice among youth. This study uses a multivariate generalized estimating equation to identify factors associated with receiving assistance with injecting among a cohort of street-involved youth aged 14–26 in Vancouver, Canada. A total of 253 participants reported injecting drugs during the study period, and 49 % (n = 125) of these youth reported receiving assistance with injecting in the past 6 months. In multivariate analysis, younger age, female gender, binge drug use, heroin injecting, cocaine injecting, crystal methamphetamine injecting, and syringe sharing were positively and independently associated with assisted injection (all p < 0.05). These findings underscore the need for expanding substance abuse treatment alongside HIV prevention and health promotion interventions to empower youth to enact safer injection practices.