ArticleAddiction (Abingdon, England)2011
The effect of neighborhood deprivation and residential relocation on long-term injection cessation among injection drug users (IDUs) in Baltimore, Maryland.
Article in Addiction (Abingdon, England), 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 1 of them a synthesis that pooled it.
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Who cites it
40 citing papers in PubMed, 1 synthesis or guideline pooled it.
- A Systematic Review of Neighborhood-Level Influences on HIV Vulnerability.AIDS and behavior · 2022Pooled it
- Real-time tracking of neighborhood surroundings and mood in urban drug misusers: application of a new method to study behavior in its geographical context.Drug and alcohol dependence · 2014Trial
- Exploring modifiable neighborhood risk factors for fatal opioid overdose: a case-control study in two US cities.American journal of epidemiology · 2025Article
- Association between homelessness and PrEP uptake among men who have sex with men: Results from the American Men's Internet Survey, 2017-2021.Social science & medicine (1982) · 2025Article
- Injection cessation and relapse to injection and the associated factors among people who inject drugs in Iran: The Rostam study.Substance abuse treatment, prevention, and policy · 2023Article
- Geographic variation in HCV treatment penetration among people who inject drugs in Baltimore, MD.Journal of viral hepatitis · 2023Article
- Modelling the impact and cost-effectiveness of non-governmental organizations on HIV and HCV transmission among people who inject drugs in Ukraine.Journal of the International AIDS Society · 2023Article
- Substance Use Treatment Engagement among Men Who Have Sex with Men Who Use Stimulants in the Northeastern United States.Substance use & misuse · 2022Article
- Social network predictors of recent and sustained injection drug use cessation: findings from a longitudinal cohort study.Addiction (Abingdon, England) · 2021Article
- Peer influence of injection drug use cessation among dyads in rural eastern Kentucky.The International journal on drug policy · 2020Article
- Article
- Two Novel Urban Health Primary Care Residency Tracks That Focus On Community-Level Structural Vulnerabilities.Journal of general internal medicine · 2018Article
- Predictors of injecting cessation among a cohort of people who inject drugs in Tijuana, Mexico.Drug and alcohol dependence · 2018Article
- A multivariate analysis of CalEnviroScreen: comparing environmental and socioeconomic stressors versus chronic disease.Environmental health : a global access science source · 2017Article
- Social causation and neighborhood selection underlie associations of neighborhood factors with illicit drug-using social networks and illicit drug use among adults relocated from public housing.Social science & medicine (1982) · 2017Article
- Article
- Social-structural factors influencing periods of injection cessation among marginalized youth who inject drugs in Vancouver, Canada: an ethno-epidemiological study.Harm reduction journal · 2017Article
- People and places: Relocating to neighborhoods with better economic and social conditions is associated with less risky drug/alcohol network characteristics among African American adults in Atlanta, GA.Drug and alcohol dependence · 2016Article
- Risk Environments, Race/Ethnicity, and HIV Status in a Large Sample of People Who Inject Drugs in the United States.PloS one · 2016Article
- HIV Infection Among People Who Inject Drugs in the United States: Geographically Explained Variance Across Racial and Ethnic Groups.American journal of public health · 2015Article
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7 authors.
Funding
Abstract
aimsTo determine the incidence of long-term injection cessation and its association with residential relocation and neighborhood deprivation.
designALIVE (AIDS Linked to the Intravenous Experience) is a prospective cohort with semi-annual follow-up since 1988. Multi-level discrete time-to-event models were constructed to investigate individual and neighborhood-level predictors of long-term injection cessation.
settingBaltimore, USA.
participantsA total of 1697 active injectors from ALIVE with at least eight semi-annual study visits. MEASUREMENTS: Long-term injection cessation was defined as 3 consecutive years without self-reported injection drug use.
findingsA total of 706 (42%) injectors achieved long-term cessation (incidence=7.6 per 100 person-years). After adjusting for individual-level factors, long-term injection cessation was 29% less likely in neighborhoods in the third quartile of deprivation [hazard ratio (HR)=0.71, 95% CI: 0.53, 0.95) and 43% less likely in the highest quartile of deprivation (HR=0.57, 95% CI: 0.43, 0.76) compared to the first quartile. Residential relocation was associated with increased likelihood of long-term injection cessation (HR=1.55, 95% CI: 1.31, 1.82); however, the impact of relocation varied depending on the deprivation in the destination neighborhood. Compared to those who stayed in less deprived neighborhoods, relocation from highly deprived to less deprived neighborhoods had the strongest positive impact on long-term injection cessation (HR=1.96, 95% CI: 1.50, 2.57), while staying in the most deprived neighborhoods was detrimental (HR=0.76, 95% CI: 0.63, 0.93).
conclusionsLong-term cessation of injection of opiates and cocaine occurred frequently following a median of 9 years of injection and contextual factors appear to be important. Our findings suggest that improvements in the socio-economic environment may improve the effectiveness of cessation programs.
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