Homelessness independently predicts injection drug use initiation among street-involved youth in a Canadian setting

Cindy Feng; Kora Debeck; Thomas Kerr; Steve Mathias; Julio Montaner; Evan Wood

doi:10.1016/j.jadohealth.2012.07.011

Homelessness independently predicts injection drug use initiation among street-involved youth in a Canadian setting

Cindy Feng, Kora Debeck, Thomas Kerr, Steve Mathias, Julio Montaner, Evan Wood

Résultat de recherche: Article › examen par les pairs

70 Citations (Scopus)

Résumé

Purpose: This longitudinal study examines the association between homelessness and injection drug use initiation among a cohort of street-involved youth in a setting of high-prevalence crystal methamphetamine use. Methods: We derived data from the At-Risk Youth Study, a prospective cohort of street-involved youth aged 14-26 years, recruited between September 2005 and November 2011. We used Cox proportional hazards regression to identify factors independently associated with time to injection initiation. Results: Among 422 street-youth who had never injected at baseline, we observed 77 injection initiation events during follow-up. Homelessness was independently associated with injection initiation in multivariate Cox regression (relative hazard, 1.80 [95% confidence interval, 1.13-2.87]) after adjusting for crystal methamphetamine use and other potential confounders. Conclusions: These findings highlight that homelessness is a key risk factor for injection initiation among street-involved youth. Supportive housing interventions for street youth may help prevent injection drug use initiation within this high-risk population.

Langue d'origine	English
Pages (de-à)	499-501
Nombre de pages	3
Journal	Journal of Adolescent Health
Volume	52
Numéro de publication	4
DOI	https://doi.org/10.1016/j.jadohealth.2012.07.011
Statut de publication	Published - avr. 2013
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. They specifically thank Deborah Graham, Peter Vann, Caitlin Johnston, Steve Kain, and Cody Callon for research and administrative assistance. The study was supported by the U.S. National Institutes of Health (Grant R01DA028532 ) and the Canadian Institutes of Health Research (Grant MOP–102742 ). Kora DeBeck is supported by the Canadian Institutes of Health Research . Julio Montaner received an Avant-Garde award ( DP1DA026182 ) from the National Institute of Drug Abuse, U.S. National Institutes of Health . 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.

ASJC Scopus Subject Areas

Pediatrics, Perinatology, and Child Health
Public Health, Environmental and Occupational Health
Psychiatry and Mental 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.jadohealth.2012.07.011

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abstract = "Purpose: This longitudinal study examines the association between homelessness and injection drug use initiation among a cohort of street-involved youth in a setting of high-prevalence crystal methamphetamine use. Methods: We derived data from the At-Risk Youth Study, a prospective cohort of street-involved youth aged 14-26 years, recruited between September 2005 and November 2011. We used Cox proportional hazards regression to identify factors independently associated with time to injection initiation. Results: Among 422 street-youth who had never injected at baseline, we observed 77 injection initiation events during follow-up. Homelessness was independently associated with injection initiation in multivariate Cox regression (relative hazard, 1.80 [95% confidence interval, 1.13-2.87]) after adjusting for crystal methamphetamine use and other potential confounders. Conclusions: These findings highlight that homelessness is a key risk factor for injection initiation among street-involved youth. Supportive housing interventions for street youth may help prevent injection drug use initiation within this high-risk population.",

author = "Cindy Feng and Kora Debeck and Thomas Kerr and Steve Mathias and Julio Montaner 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. They specifically thank Deborah Graham, Peter Vann, Caitlin Johnston, Steve Kain, and Cody Callon for research and administrative assistance. The study was supported by the U.S. National Institutes of Health (Grant R01DA028532 ) and the Canadian Institutes of Health Research (Grant MOP–102742 ). Kora DeBeck is supported by the Canadian Institutes of Health Research . Julio Montaner received an Avant-Garde award ( DP1DA026182 ) from the National Institute of Drug Abuse, U.S. National Institutes of Health . 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.",

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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. They specifically thank Deborah Graham, Peter Vann, Caitlin Johnston, Steve Kain, and Cody Callon for research and administrative assistance. The study was supported by the U.S. National Institutes of Health (Grant R01DA028532 ) and the Canadian Institutes of Health Research (Grant MOP–102742 ). Kora DeBeck is supported by the Canadian Institutes of Health Research . Julio Montaner received an Avant-Garde award ( DP1DA026182 ) from the National Institute of Drug Abuse, U.S. National Institutes of Health . 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.

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N2 - Purpose: This longitudinal study examines the association between homelessness and injection drug use initiation among a cohort of street-involved youth in a setting of high-prevalence crystal methamphetamine use. Methods: We derived data from the At-Risk Youth Study, a prospective cohort of street-involved youth aged 14-26 years, recruited between September 2005 and November 2011. We used Cox proportional hazards regression to identify factors independently associated with time to injection initiation. Results: Among 422 street-youth who had never injected at baseline, we observed 77 injection initiation events during follow-up. Homelessness was independently associated with injection initiation in multivariate Cox regression (relative hazard, 1.80 [95% confidence interval, 1.13-2.87]) after adjusting for crystal methamphetamine use and other potential confounders. Conclusions: These findings highlight that homelessness is a key risk factor for injection initiation among street-involved youth. Supportive housing interventions for street youth may help prevent injection drug use initiation within this high-risk population.

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Homelessness independently predicts injection drug use initiation among street-involved youth in a Canadian setting

Résumé

Note bibliographique

ASJC Scopus Subject Areas

PubMed: MeSH publication types

ODD de l’ONU

Accès au document

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