Transition from First Drug Use to Regular Injection among People Who Inject Drugs in Iran
Background: The study aimed to evaluate the interval between first drug use and regular injection and factors associated with transition from first injection into premature regular injection among people who inject drugs (PWIDs).Methods: In a multicenter cross-sectional study, we recruited 400 PWIDs...
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| Format: | Article |
| Language: | English |
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Kerman University of Medical Sciences
2018-08-01
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| Series: | Addiction and Health |
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| Online Access: | https://ahj.kmu.ac.ir/article_84741_841a69de3206dd1a00adf6c4b3e52265.pdf |
| _version_ | 1797681880269586432 |
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| author | Masoomeh Koozegar Armita Shahesmaeili Mehdi Noroozi |
| author_facet | Masoomeh Koozegar Armita Shahesmaeili Mehdi Noroozi |
| author_sort | Masoomeh Koozegar |
| collection | DOAJ |
| description | Background: The study aimed to evaluate the interval between first drug use and regular injection and factors associated with transition from first injection into premature regular injection among people who inject drugs (PWIDs).Methods: In a multicenter cross-sectional study, we recruited 400 PWIDs using snowball sampling. Age of first drug use, age of initiation of regular injection, and demographic and behavioral data were collected using face to face interview. Premature transition to regular injection was defined as initiation of regular injection within the five years of first injection. Data were analyzed using bivariate and multivariate logistic regression survey analysis.Findings: The mean age of first drug use and age of initiation of regular injection was 29.87 ± 6.54 years, respectively. Having history of sexual abuse in childhood [adjusted odds ratio (AOR) = 3.1], history of imprisonment (AOR = 3.4), use of heroin as the first drug (AOR = 4.3), and doing the first injection at friends’ houses (AOR = 2.2) or in ruins (AOR = 2.2) significantly increased the chance of premature transition to regular injection, while being a female decreased the chance of premature transition to regular injection (AOR = 0.4). Compared to curiosity, being friend with a drug user (AOR = 0.4), having withdrawal symptoms (AOR = 0.2), and low cost of injection (AOR = 0.3) at the first occasion of drug injection reduced the chance of premature transition to regular injection.Conclusion: New interventions to prevent injection initiation among drug users are needed and should be integrated in harm reduction programs. |
| first_indexed | 2024-03-11T23:52:23Z |
| format | Article |
| id | doaj.art-aa075f72931f4dafba718a3b7857e6c0 |
| institution | Directory Open Access Journal |
| issn | 2008-4633 2008-8469 |
| language | English |
| last_indexed | 2024-03-11T23:52:23Z |
| publishDate | 2018-08-01 |
| publisher | Kerman University of Medical Sciences |
| record_format | Article |
| series | Addiction and Health |
| spelling | doaj.art-aa075f72931f4dafba718a3b7857e6c02023-09-19T06:47:34ZengKerman University of Medical SciencesAddiction and Health2008-46332008-84692018-08-01101324084741Transition from First Drug Use to Regular Injection among People Who Inject Drugs in IranMasoomeh Koozegar0Armita Shahesmaeili1Mehdi Noroozi2MSc Student, Student Research Committee, Kerman University of Medical Sciences, Kerman, IranAssistant Professor, HIV/STI Surveillance Research Center AND WHO Collaborating Center for HIV Surveillance, Institute for Futures Studies in Health, Kerman University of Medical Sciences, Kerman, IranAssistant Professor, Substance Abuse and Dependence Research Center, University of Social Welfare and Rehabilitation Sciences, Tehran, IranBackground: The study aimed to evaluate the interval between first drug use and regular injection and factors associated with transition from first injection into premature regular injection among people who inject drugs (PWIDs).Methods: In a multicenter cross-sectional study, we recruited 400 PWIDs using snowball sampling. Age of first drug use, age of initiation of regular injection, and demographic and behavioral data were collected using face to face interview. Premature transition to regular injection was defined as initiation of regular injection within the five years of first injection. Data were analyzed using bivariate and multivariate logistic regression survey analysis.Findings: The mean age of first drug use and age of initiation of regular injection was 29.87 ± 6.54 years, respectively. Having history of sexual abuse in childhood [adjusted odds ratio (AOR) = 3.1], history of imprisonment (AOR = 3.4), use of heroin as the first drug (AOR = 4.3), and doing the first injection at friends’ houses (AOR = 2.2) or in ruins (AOR = 2.2) significantly increased the chance of premature transition to regular injection, while being a female decreased the chance of premature transition to regular injection (AOR = 0.4). Compared to curiosity, being friend with a drug user (AOR = 0.4), having withdrawal symptoms (AOR = 0.2), and low cost of injection (AOR = 0.3) at the first occasion of drug injection reduced the chance of premature transition to regular injection.Conclusion: New interventions to prevent injection initiation among drug users are needed and should be integrated in harm reduction programs.https://ahj.kmu.ac.ir/article_84741_841a69de3206dd1a00adf6c4b3e52265.pdfintravenous substance abuseprematureiranrisk factors |
| spellingShingle | Masoomeh Koozegar Armita Shahesmaeili Mehdi Noroozi Transition from First Drug Use to Regular Injection among People Who Inject Drugs in Iran Addiction and Health intravenous substance abuse premature iran risk factors |
| title | Transition from First Drug Use to Regular Injection among People Who Inject Drugs in Iran |
| title_full | Transition from First Drug Use to Regular Injection among People Who Inject Drugs in Iran |
| title_fullStr | Transition from First Drug Use to Regular Injection among People Who Inject Drugs in Iran |
| title_full_unstemmed | Transition from First Drug Use to Regular Injection among People Who Inject Drugs in Iran |
| title_short | Transition from First Drug Use to Regular Injection among People Who Inject Drugs in Iran |
| title_sort | transition from first drug use to regular injection among people who inject drugs in iran |
| topic | intravenous substance abuse premature iran risk factors |
| url | https://ahj.kmu.ac.ir/article_84741_841a69de3206dd1a00adf6c4b3e52265.pdf |
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