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The influence of poly-drug use patterns on the association between opioid agonist treatment engagement and injecting initiation assistance.
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- Author(s): Meyers-Pantele SA;Meyers-Pantele SA;Meyers-Pantele SA; Mittal ML; Mittal ML; Mittal ML; Jain S; Jain S; Sun S; Sun S; Rammohan I; Rammohan I; Fairbairn N; Fairbairn N; Fairbairn N; Milloy MJ; Milloy MJ; Milloy MJ; DeBeck K; DeBeck K; DeBeck K; Hayashi K; Hayashi K; Hayashi K; Werb D; Werb D; Werb D
- Source:
Substance abuse treatment, prevention, and policy [Subst Abuse Treat Prev Policy] 2022 May 19; Vol. 17 (1), pp. 39. Date of Electronic Publication: 2022 May 19.- Publication Type:
Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't- Language:
English - Source:
- Additional Information
- Source: Publisher: BioMed Central Country of Publication: England NLM ID: 101258060 Publication Model: Electronic Cited Medium: Internet ISSN: 1747-597X (Electronic) Linking ISSN: 1747597X NLM ISO Abbreviation: Subst Abuse Treat Prev Policy Subsets: MEDLINE
- Publication Information: Original Publication: [London] : BioMed Central, 2006-
- Subject Terms:
- Abstract: Background: Evidence suggests people who inject drugs (PWID) prescribed opioid agonist treatment (OAT) are less likely to provide injection drug use (IDU) initiation assistance. We investigated the association between OAT engagement and providing IDU initiation assistance across poly-drug use practices in Vancouver, Canada.
Methods: Preventing Injecting by Modifying Existing Responses (PRIMER) is a prospective study seeking to identify structural interventions that reduce IDU initiation. We employed data from linked cohorts of PWID in Vancouver and extended the findings of a latent profile analysis (LPA). Multivariable logistic regression models were performed separately for the six poly-drug use LPA classes. The outcome was recently assisting others in IDU initiation; the independent variable was recent OAT engagement.
Results: Among participants (n = 1218), 85 (7.0%) reported recently providing injection initiation assistance. When adjusting for age and sex, OAT engagement among those who reported a combination of high-frequency heroin and methamphetamine IDU and low-to-moderate-frequency prescription opioid IDU and methamphetamine non-injection drug use (NIDU) was associated with lower odds of IDU initiation assistance provision (Adjusted Odds Ratio [AOR]: 0.18, 95% CI: 0.05-0.63, P = 0.008). Significant associations were not detected among other LPA classes.
Conclusions: Our findings extend evidence suggesting that OAT may provide a population-level protective effect on the incidence of IDU initiation and suggest that this effect may be specific among PWID who engage in high-frequency methamphetamine and opioid use. Future research should seek to longitudinally investigate potential causal pathways explaining the association between OAT and initiation assistance provision among PWID to develop tailored intervention efforts.
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Epidemiology. 2022 Mar 1;33(2):287-294. (PMID: 34799473) - Grant Information: R25 TW009343 United States TW FIC NIH HHS; UL1 TR001442 United States TR NCATS NIH HHS; U01 DA038886 United States DA NIDA NIH HHS; U01 DA021525 United States DA NIDA NIH HHS; T32 DA023356 United States DA NIDA NIH HHS; P30 AI036214 United States AI NIAID NIH HHS; R01 DA040648 United States DA NIDA NIH HHS; R01 DA039950 United States DA NIDA NIH HHS; D43 TW008633 United States TW FIC NIH HHS; DP2 DA040256 United States DA NIDA NIH HHS
- Contributed Indexing: Keywords: HCV prevention; HIV prevention; Methadone; Opioid agonist treatment; Overdose prevention; Persons who inject drugs; Suboxone; Treatment as prevention
- Accession Number: 0 (Analgesics, Opioid)
44RAL3456C (Methamphetamine) - Publication Date: Date Created: 20220519 Date Completed: 20220523 Latest Revision: 20240124
- Publication Date: 20240124
- Accession Number: PMC9118611
- Accession Number: 10.1186/s13011-022-00470-6
- Accession Number: 35590419
- Source:
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