ArticleDrug and alcohol dependence2014
The impact of engagement in street-based income generation activities on stimulant drug use cessation among people who inject drugs.
Article in Drug and alcohol dependence, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
16 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Socioeconomic marginalization and opioid-related overdose: A systematic review.Drug and alcohol dependence · 2020Pooled it
- Payday Loan Use Among People With Lived and Living Experience of Substance Use.Drug and alcohol review · 2026Article
- Posttraumatic stress disorder in people who use drugs: syringe services program utilization, treatment need, and preferences for onsite mental health care.Harm reduction journal · 2024Article
- Molecularly imprinted polymers as a selective sorbent for forensic applications in biological samples-a review.Analytical and bioanalytical chemistry · 2021Review
- Material security as a measure of poverty: a validation study with people who use drugs.Social indicators research · 2021Article
- Income generation and the patterning of substance use: A gender-based analysis.Drug and alcohol dependence · 2021Article
- Employment Cessation, Long Term Labour Market Engagement and HIV Infection Risk Among People Who Inject Drugs in an Urban Canadian Setting.AIDS and behavior · 2019Article
- Informal recycling, income generation and risk: Health and social harms among people who use drugs.The International journal on drug policy · 2018Article
- The costs of crime associated with stimulant use in a Canadian setting.Drug and alcohol dependence · 2017Article
- Income generation and attitudes towards addiction treatment among people who use illicit drugs in a Canadian setting.Addictive behaviors · 2017Article
- Drug dealing and drug using behaviors among people who inject drugs in Colombia: A cross-sectional study.Journal of substance use · 2017Article
- Increased drug use and the timing of social assistance receipt among people who use illicit drugs.Social science & medicine (1982) · 2016Article
- Meaningful engagement of people living with HIV who use drugs: methodology for the design of a Peer Research Associate (PRA) hiring model.Harm reduction journal · 2016Article
- Initiation of drug dealing among a prospective cohort of street-involved youth.The American journal of drug and alcohol abuse · 2016Article
- Risky and rushed public crack cocaine smoking: the potential for supervised inhalation facilities.BMC public health · 2016Article
- Factors Associated with Leaving Hospital against Medical Advice among People Who Use Illicit Drugs in Vancouver, Canada.PloS one · 2015Article
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundDespite the growing prevalence of illicit stimulant drug use internationally, and the widespread involvement of people who inject drugs (IDU) within street-based drug markets, little is known about the impact of different types of street-based income generation activities on the cessation of stimulant use among IDU.
methodsData were derived from an open prospective cohort of IDU in Vancouver, Canada. We used Kaplan-Meier methods and Cox proportional hazards regression to examine the effect of different types of street-based income generation activities (e.g., sex work, drug dealing, and scavenging) on time to cessation of stimulant use.
resultsBetween December, 2005 and November, 2012, 887 IDU who use stimulant drugs (cocaine, crack cocaine, or crystal methamphetamine) were prospectively followed-up for a median duration of 47 months. In Kaplan-Meier analyses, compared to those who did not engage in street-based income generation activities, participants who reported sex work, drug dealing, scavenging, or more than one of these activities were significantly less likely to report stimulant drug use cessation (all p<0.001). When considered as time-updated variables and adjusted for potential confounders in a multivariable model, each type of street-based income generation activity remained significantly associated with a slower time to stimulant drug cessation (all p<0.005).
conclusionsOur findings highlight the urgent need for strategies to address stimulant dependence, including novel pharmacotherapies. Also important, structural interventions, such as low-threshold employment opportunities, availability of supportive housing, legal reforms regarding drug use, and evidence-based approaches that reduce harm among IDU are urgently required.
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