Luchenski, S;
Ti, L;
Hayashi, K;
Dong, H;
Wood, E;
Kerr, T;
(2016)
Protective factors associated with short-term cessation of injection drug use among a Canadian cohort of people who inject drugs.
Drug and Alcohol Review
, 35
(5)
pp. 620-627.
10.1111/dar.12364.
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Abstract
INTRODUCTION AND AIMS: Strategies are needed to transition persons who inject drugs out of injecting. We undertook this study to identify protective factors associated with cessation of injection drug use. DESIGN AND METHODS: Data were derived from three prospective cohorts of people who use illicit drugs in Vancouver, Canada, between September 2005 and November 2011. Generalised estimating equations were used to examine protective factors and 6‐month cessation of injection drug use. RESULTS: Our sample of 1663 people who inject drugs included 563 (33.9%) women, and median age was 40 years. Overall, 904 (54.4%) individuals had at least one 6‐month injection cessation event. In multivariable analysis, protective factors associated with cessation of injection drug use included the following: having a regular place to stay [adjusted odds ratio (AOR) = 1.30; 95% confidence interval (CI) 1.13–1.48]; formal employment (AOR = 1.12; 95% CI 1.01–1.23); social support from personal contacts (AOR = 1.22; 95% CI 1.10–1.35); social support from professionals (AOR = 1.26; 95% CI 1.14–1.39); ability to access health and social services (AOR = 1.21; 95% CI 1.09–1.34); and positive self‐rated health (AOR = 1.21, 95% CI 1.11–1.32). DISCUSSION AND CONCLUSIONS: Over half of people who inject drugs in this study reported achieving 6‐month cessation of injection drug use, with cessation being associated with a range of modifiable protective factors. Policy makers and practitioners should promote increased access to stable housing, employment, social support and other services to promote cessation of injection drug use. [Luchenski S, Ti L, Hayashi K, Dong H, Wood E, Kerr T. Protective factors associated with short‐term cessation of injection drug use among a Canadian cohort of people who inject drugs Drug Alcohol Rev 2016;35:620–627]
| Type: | Article |
|---|---|
| Title: | Protective factors associated with short-term cessation of injection drug use among a Canadian cohort of people who inject drugs |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1111/dar.12364 |
| Publisher version: | https://doi.org/10.1111/dar.12364 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Science & technology, life sciences & biomedicine, substance abuse, intravenous drug abuse, protective factors, drug-seeking behaviour, health services accessibility, social determinants of health, intervention, predictors, employment, baltimore, patterns, relapse, homelessness, behavior, youth, risk |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute of Epidemiology and Health > Epidemiology and Public Health |
| URI: | https://discovery.ucl.ac.uk/id/eprint/10050252 |
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