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Prevalence and Correlates of the Use of Prefilled Syringes Among Persons Who Inject Drugs in San Diego, CA
- Source :
- Journal of urban health : bulletin of the New York Academy of Medicine. 92(6)
- Publication Year :
- 2015
-
Abstract
- Persons who inject drugs (PWID) are at increased risk for blood-borne virus (BBV) infections and overdose resulting from high-risk injecting practices. Studies of prefilled syringe use ([PFSU] using a syringe that already contained drug solution when it was obtained by the user), an injection practice previously described in Eastern Europe, suggest that it increases susceptibility to BBV. However, little is known about this practice in the USA. Data were obtained from an ongoing cohort study of PWID to determine the prevalence and assess correlates of PFSU in San Diego, CA. Baseline interviews assessed socio-demographics and drug use behaviors. Logistic regression was used to identify factors independently associated with ever using a prefilled syringe (yes/no). Participants (n = 574) were predominately males (73.9 %) and white (50.9 %) with a mean age of 43.4 years (range 18–80); 33.3 % reported ever using prefilled syringes, although only 4.9 % reported use in the past 6 months. In multivariable analyses, PFSU was independently associated with ever having a rushed injection due to police presence [adjusted odds ratio (AOR) = 2.51, 95 % CI 1.66, 3.79], ever being in prison (AOR = 1.80, 95 % CI 1.23, 2.63), injecting most often in public versus private places in the past 6 months (AOR = 1.66, 95 % CI 1.11, 2.48), and injecting drugs in Mexico (AOR = 1.70, 95 % CI 1.16, 2.49). Results indicate that a history of PFSU is common and associated with environmental factors that may also increase risk for adverse health outcomes. Studies are needed to better understand PFSU in order to develop interventions to prevent adverse outcomes associated with their use.
- Subjects :
- Adult
Male
medicine.medical_specialty
Health (social science)
Adolescent
Psychological intervention
HIV Infections
California
Article
Cohort Studies
Drug Users
Young Adult
Risk-Taking
Risk Factors
Environmental health
Epidemiology
medicine
Odds Ratio
Humans
Young adult
Substance Abuse, Intravenous
Syringe
Aged
Aged, 80 and over
business.industry
Public health
Syringes
Public Health, Environmental and Occupational Health
Odds ratio
Hepatitis C
Middle Aged
medicine.disease
Surgery
Urban Studies
Logistic Models
Socioeconomic Factors
Female
business
Cohort study
Subjects
Details
- ISSN :
- 14682869
- Volume :
- 92
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal of urban health : bulletin of the New York Academy of Medicine
- Accession number :
- edsair.doi.dedup.....1d058913087d908740f53a1b2fb164ef