Employment and risk of injection drug use initiation among street involved youth in Canadian setting

Lindsey Richardson; Kora DeBeck; Cindy Feng; Thomas Kerr; Evan Wood

doi:10.1016/j.ypmed.2014.05.022

Employment and risk of injection drug use initiation among street involved youth in Canadian setting

Lindsey Richardson, Kora DeBeck, Cindy Feng, Thomas Kerr, Evan Wood

Résultat de recherche: Article › examen par les pairs

18 Citations (Scopus)

Résumé

Objective: Youth unemployment has been associated with labour market and health disparities. However, employment as a determinant of high-risk health behaviour among marginalized young people has not been well described. We sought to assess a potential relationship between employment status and initiation of intravenous drug use among a prospective cohort of street-involved youth. Method: We followed injecting naïve youth in the At-Risk Youth Study, a cohort of street-involved youth aged 14-26 in Vancouver, Canada, and employed Cox regression analyses to examine whether employment was associated with injection initiation. Results: Among 422 injecting naïve youth recruited between September 2005 and November 2011, 77 participants transitioned from non-injection to injection drug use, for an incidence density of 10.3 (95% confidence interval [CI]: 8.0-12.6) per 100 person years. Results demonstrating that employment was inversely associated with injection initiation (adjusted hazard ratio: 0.53; 95% CI: 0.33-0.85) were robust to adjustment for a range of potential confounders. Conclusion: A lack of employment among street-involved youth was associated with the initiation of injection drug use, a practice that predisposes individuals to serious long-term health consequences. Future research should examine if reducing barriers to labour market involvement among street-involved youth prevents transitions into high-risk drug use.

Langue d'origine	English
Pages (de-à)	56-59
Nombre de pages	4
Journal	Preventive Medicine
Volume	66
DOI	https://doi.org/10.1016/j.ypmed.2014.05.022
Statut de publication	Published - sept. 2014
Publié à l'externe	Oui

Note bibliographique

Funding Information:
The authors thank the study participants for their contribution to the research, as well as current and past researchers and staff. We would specifically like to thank Deborah Graham, Steve Kain and Cody Callon for their research and administrative assistance. The study was supported by the US National Institutes of Health ( R01DA028532 ) and the Canadian Institutes of Health Research ( MOP-102742 ). This research was undertaken, in part, thanks to funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine which supports Dr. Evan Wood. Dr. Richardson holds Canadian Institutes of Health Research post-doctoral fellowship. Dr. Kora DeBeck is supported by a MSFHR/St. Paul's Hospital-Providence Health Care Career Scholar Award.

Funding Information:
This study was supported by the US National Institutes of Health (R01DA028532) and the Canadian Institutes of Health Research (MOP-102742). These funding sources had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication.

ASJC Scopus Subject Areas

Epidemiology
Public Health, Environmental and Occupational Health

PubMed: MeSH publication types

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

ODD de l’ONU

Cette action contribue à la réalisation des objectifs de développement durable suivants

Accès au document

10.1016/j.ypmed.2014.05.022

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title = "Employment and risk of injection drug use initiation among street involved youth in Canadian setting",

abstract = "Objective: Youth unemployment has been associated with labour market and health disparities. However, employment as a determinant of high-risk health behaviour among marginalized young people has not been well described. We sought to assess a potential relationship between employment status and initiation of intravenous drug use among a prospective cohort of street-involved youth. Method: We followed injecting na{\"i}ve youth in the At-Risk Youth Study, a cohort of street-involved youth aged 14-26 in Vancouver, Canada, and employed Cox regression analyses to examine whether employment was associated with injection initiation. Results: Among 422 injecting na{\"i}ve youth recruited between September 2005 and November 2011, 77 participants transitioned from non-injection to injection drug use, for an incidence density of 10.3 (95% confidence interval [CI]: 8.0-12.6) per 100 person years. Results demonstrating that employment was inversely associated with injection initiation (adjusted hazard ratio: 0.53; 95% CI: 0.33-0.85) were robust to adjustment for a range of potential confounders. Conclusion: A lack of employment among street-involved youth was associated with the initiation of injection drug use, a practice that predisposes individuals to serious long-term health consequences. Future research should examine if reducing barriers to labour market involvement among street-involved youth prevents transitions into high-risk drug use.",

author = "Lindsey Richardson and Kora DeBeck and Cindy Feng and Thomas Kerr and Evan Wood",

note = "Funding Information: The authors thank the study participants for their contribution to the research, as well as current and past researchers and staff. We would specifically like to thank Deborah Graham, Steve Kain and Cody Callon for their research and administrative assistance. The study was supported by the US National Institutes of Health ( R01DA028532 ) and the Canadian Institutes of Health Research ( MOP-102742 ). This research was undertaken, in part, thanks to funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine which supports Dr. Evan Wood. Dr. Richardson holds Canadian Institutes of Health Research post-doctoral fellowship. Dr. Kora DeBeck is supported by a MSFHR/St. Paul's Hospital-Providence Health Care Career Scholar Award. Funding Information: This study was supported by the US National Institutes of Health (R01DA028532) and the Canadian Institutes of Health Research (MOP-102742). These funding sources had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication. ",

year = "2014",

month = sep,

doi = "10.1016/j.ypmed.2014.05.022",

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AU - Richardson, Lindsey

AU - DeBeck, Kora

AU - Feng, Cindy

AU - Kerr, Thomas

AU - Wood, Evan

N1 - Funding Information: The authors thank the study participants for their contribution to the research, as well as current and past researchers and staff. We would specifically like to thank Deborah Graham, Steve Kain and Cody Callon for their research and administrative assistance. The study was supported by the US National Institutes of Health ( R01DA028532 ) and the Canadian Institutes of Health Research ( MOP-102742 ). This research was undertaken, in part, thanks to funding from the Canada Research Chairs program through a Tier 1 Canada Research Chair in Inner City Medicine which supports Dr. Evan Wood. Dr. Richardson holds Canadian Institutes of Health Research post-doctoral fellowship. Dr. Kora DeBeck is supported by a MSFHR/St. Paul's Hospital-Providence Health Care Career Scholar Award. Funding Information: This study was supported by the US National Institutes of Health (R01DA028532) and the Canadian Institutes of Health Research (MOP-102742). These funding sources had no further role in study design; in the collection, analysis and interpretation of data; in the writing of the report; or in the decision to submit the paper for publication.

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N2 - Objective: Youth unemployment has been associated with labour market and health disparities. However, employment as a determinant of high-risk health behaviour among marginalized young people has not been well described. We sought to assess a potential relationship between employment status and initiation of intravenous drug use among a prospective cohort of street-involved youth. Method: We followed injecting naïve youth in the At-Risk Youth Study, a cohort of street-involved youth aged 14-26 in Vancouver, Canada, and employed Cox regression analyses to examine whether employment was associated with injection initiation. Results: Among 422 injecting naïve youth recruited between September 2005 and November 2011, 77 participants transitioned from non-injection to injection drug use, for an incidence density of 10.3 (95% confidence interval [CI]: 8.0-12.6) per 100 person years. Results demonstrating that employment was inversely associated with injection initiation (adjusted hazard ratio: 0.53; 95% CI: 0.33-0.85) were robust to adjustment for a range of potential confounders. Conclusion: A lack of employment among street-involved youth was associated with the initiation of injection drug use, a practice that predisposes individuals to serious long-term health consequences. Future research should examine if reducing barriers to labour market involvement among street-involved youth prevents transitions into high-risk drug use.

AB - Objective: Youth unemployment has been associated with labour market and health disparities. However, employment as a determinant of high-risk health behaviour among marginalized young people has not been well described. We sought to assess a potential relationship between employment status and initiation of intravenous drug use among a prospective cohort of street-involved youth. Method: We followed injecting naïve youth in the At-Risk Youth Study, a cohort of street-involved youth aged 14-26 in Vancouver, Canada, and employed Cox regression analyses to examine whether employment was associated with injection initiation. Results: Among 422 injecting naïve youth recruited between September 2005 and November 2011, 77 participants transitioned from non-injection to injection drug use, for an incidence density of 10.3 (95% confidence interval [CI]: 8.0-12.6) per 100 person years. Results demonstrating that employment was inversely associated with injection initiation (adjusted hazard ratio: 0.53; 95% CI: 0.33-0.85) were robust to adjustment for a range of potential confounders. Conclusion: A lack of employment among street-involved youth was associated with the initiation of injection drug use, a practice that predisposes individuals to serious long-term health consequences. Future research should examine if reducing barriers to labour market involvement among street-involved youth prevents transitions into high-risk drug use.

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Employment and risk of injection drug use initiation among street involved youth in Canadian setting

Résumé

Note bibliographique

ASJC Scopus Subject Areas

PubMed: MeSH publication types

ODD de l’ONU

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