4.2 Article

Self-perception of assisting with future injection drug initiation: The influence of relationships in the process of drug injecting initiation

期刊

DRUG AND ALCOHOL REVIEW
卷 40, 期 1, 页码 109-117

出版社

WILEY
DOI: 10.1111/dar.13145

关键词

injection initiation assistance; injection drug use; North America; relationships; drug injecting initiation

资金

  1. National Institute of Drug Abuse (NIDA) Avenir Award [DP2-DA040256-01]
  2. NIDA [R37DA019829, R01DA031074, RO1DA038965, RO1DA045545, U01-DA0251525]
  3. Ontario Ministry of Research, Information and Science
  4. St. Michael's Hospital Foundation
  5. Canadian Institutes of Health Research
  6. Canadian Institutes of Health Research New Investigator Award [MSH-141971]
  7. Michael Smith Foundation for Health Research Scholar Award
  8. St. Paul's Foundation

向作者/读者索取更多资源

Relationship with past initiates and frequency of injection drug use may increase PWID's self-perception of assisting with future IDU. Interventions focused on social support and reducing IDU frequency could decrease instances of IDU initiation assistance.
Introduction and Aims People who inject drugs (PWID) play critical roles in assisting others into injection drug use (IDU) initiation. Understanding perceptions of PWID's risk of initiating others is needed to inform interventions for prevention. The objective was to examine factors associated with self-perception of assisting with future IDU initiation events. The primary variables of interest are the relationships of PWID with the person(s) they assisted and their reasons for previously providing initiation assistance. Design and Methods Data fromPreventing Injecting by Modifying Existing Responses, a multi-site prospective community-recruited cohort study, were analysed. Analyses were restricted to PWID who reported ever providing IDU initiation assistance. Site-specific (Vancouver, Canada [n= 746]; San Diego, USA [n= 95] and Tijuana, Mexico [n= 92]) multivariable logistic regression analyses were performed to determine factors associated with self-perception of assisting with future IDU initiation. Results Having provided IDU initiation assistance to a family member or intimate partner decreased the odds of self-perception of assisting with future IDU initiation in Vancouver (AOR = 0.4; 95% CI 0.2-0.8); however, previous IDU initiation assistance to an 'other' increased the odds of self-perception of assisting with future IDU in Tijuana (AOR = 12.0; 95% CI 2.1-70.3). Daily IDU (Vancouver: AOR = 3.7; 95% CI 2.1-6.4) and less than daily IDU (San Diego: AOR = 5.9; 95% CI 1.3-27.1) (Vancouver: AOR = 2.6; 95% CI 1.4-2.9) were associated with increased self-perception of assisting with future IDU compared to current non-injectors. Discussion and Conclusions Relationship to past initiates and IDU frequency might increase PWID's self-perception of assisting with future IDU. Interventions focused on social support and reducing IDU frequency may decrease occurrences of IDU initiation assistance.

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