ArticleThe International journal on drug policy2013
A decline in the prevalence of injecting drug users in Estonia, 2005-2009.
Article in The International journal on drug policy, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed, 27 citations in OpenAlex.
- Prevalence of chronic hepatitis C infection in the general population: results from a national survey, Estonia, July to December 2022.Euro surveillance : bulletin Europeen sur les maladies transmissibles = European communicable disease bulletin · 2024Article
- The fentanyl epidemic in Estonia: factors in its evolution and opportunities for a comprehensive public health response, a scoping review.The International journal on drug policy · 2020Article
- Implementing an Updated "Break the Cycle" Intervention to Reduce Initiating Persons into Injecting Drug Use in an Eastern European and a US "opioid epidemic" Setting.AIDS and behavior · 2019Article
- Prevalence of injecting drug use in Estonia 2010-2015: a capture-recapture study.Harm reduction journal · 2019Article
- Frequency and factors associated with providing injection initiation assistance in Tallinn, Estonia.Drug and alcohol dependence · 2018Article
- Another frontier for harm reduction: contraceptive needs of females who inject drugs in Estonia, a cross-sectional study.Harm reduction journal · 2018Article
- Preventing Injection Drug use Initiation: State of the Evidence and Opportunities for the Future.Journal of urban health : bulletin of the New York Academy of Medicine · 2018Article
- Estimating Prevalence of Illicit Drug Use in Yunnan, China, 2011-15.Frontiers in psychiatry · 2018Article
- Rapid Decline in HIV Incidence Among Persons Who Inject Drugs During a Fast-Track Combination Prevention Program After an HIV Outbreak in Athens.The Journal of infectious diseases · 2017Article
- Article
- Modeling the initiation of others into injection drug use, using data from 2,500 injectors surveyed in Scotland during 2008-2009.American journal of epidemiology · 2015Article
- Combined prevention for persons who inject drugs in the HIV epidemic in a transitional country: the case of Tallinn, Estonia.AIDS care · 2015Article
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Authors and funding
5 authors at 4 institutions in 3 countries.
Funding
Abstract
aimsHere we report a study aimed at estimating trends in the prevalence of injection drug use between 2005 and 2009 in Estonia.
backgroundDescriptions of behavioural epidemics have received little attention compared with infectious disease epidemics in Eastern Europe.
methodsThe number of injection drug users (IDUs) aged 15-44 each year between 2005 and 2009 was estimated using capture-recapture methodology based on 4 data sources (2 treatment data bases: drug use and non-fatal overdose treatment; criminal justice (drug related offences) and mortality (injection drug use related deaths) data). Poisson log-linear regression models were applied to the matched data, with interactions between data sources fitted to replicate the dependencies between the data sources. Linear regression was used to estimate average change over time.
resultsThere were 24305, 12,292, 238, 545 records and 8100, 1655, 155, 545 individual IDUs identified in the four capture sources (police, drug treatment, overdose, and death registry, accordingly) over the period 2005-2009. The estimated prevalence of IDUs among the population aged 15-44 declined from 2.7% (1.8-7.9%) in 2005 to 2.0% (1.4-5.0%) in 2008, and 0.9% (0.7-1.7%) in 2009. Regression analysis indicated an average reduction of about 1600 injectors per year.
conclusionWhile the capture-recapture method has known limitations, the results are consistent with other data from Estonia. Identifying the drivers of change in the prevalence of injection drug use warrants further research.
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