ArticleThe International journal on drug policy2015
Prevalence and correlates of nonmedical prescription opioid use among a cohort of sex workers in Vancouver, Canada.
Article in The International journal on drug policy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.
- Associations between sex work laws and sex workers' health: A systematic review and meta-analysis of quantitative and qualitative studies.PLoS medicine · 2018Pooled it
- Integrating family-based interventions into specialty court programs: qualitative guidance from sex trafficking specialty court participants and their supportive family members.Health & justice · 2026Article
- Analysis and mapping of harm reduction research in the context of injectable drug use: identifying research hotspots, gaps and future directions.Harm reduction journal · 2024Article
- Exploring racial disparities in sex trafficking special docket court programs.Social sciences & humanities open · 2024Article
- The impact of exposure to physical and sexual violence on opioid consequences among trauma-exposed individuals recruited from the community who use opioids.Harm reduction journal · 2023Article
- Negative changes in illicit drug supply during COVID-19: Associations with use of overdose prevention and health services among women sex workers who use drugs (2020-2021).The International journal on drug policy · 2023Article
- Increasing trends and incidence of nonfatal overdose among women sex workers who use drugs in British Columbia: The role of criminalization-related barriers to harm reduction.Drug and alcohol dependence · 2023Article
- Violence, policing, and systemic racism as structural barriers to substance use treatment amongst women sex workers who use drugs: Findings of a community-based cohort in Vancouver, Canada (2010-2019).Drug and alcohol dependence · 2022Article
- Psychedelic use is associated with reduced daily opioid use among people who use illicit drugs in a Canadian setting.The International journal on drug policy · 2022Article
- Addressing Violence and Overdose Among Women Who Use Drugs-Need for Structural Interventions.JAMA network open · 2020Article
- Police-related barriers to harm reduction linked to non-fatal overdose amongst sex workers who use drugs: Results of a community-based cohort in Metro Vancouver, Canada.The International journal on drug policy · 2020Article
- Patterns and Correlates of New Drug Initiation among Female Exotic Dancers: The Contribution of Occupational and Structural Risks.Substance use & misuse · 2020Article
- A gender-based analysis of nonmedical prescription opioid use among people who use illicit drugs.Addictive behaviors · 2019Article
- The moderating effect of psychedelics on the prospective relationship between prescription opioid use and suicide risk among marginalized women.Journal of psychopharmacology (Oxford, England) · 2018Article
- Burden and correlates of mental health diagnoses among sex workers in an urban setting.BMC women's health · 2017Article
- Sexual Violence in the Context of Drug Use Among Young Adult Opioid Users in New York City.Journal of interpersonal violence · 2017Article
- Article
- The role of dyad-level factors in shaping sexual and drug-related HIV/STI risks among sex workers with intimate partners.Drug and alcohol dependence · 2015Article
- Social and Structural Factors Shaping High Rates of Incarceration among Sex Workers in a Canadian Setting.Journal of urban health : bulletin of the New York Academy of Medicine · 2015Article
Corrections and comments
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
Abstract
backgroundThe nonmedical use of prescription opioids (POs) is a major public health concern, causing extensive morbidity and mortality in North America. Canada has the second highest consumption rate of POs globally and data indicate nonmedical PO use (NPOU) is growing among key populations and increasingly available in street-level drug markets. Despite accumulating evidence documenting the rise of NPOU, few studies have systematically examined NPOU in Canada among key vulnerable populations, such as sex workers. This study prospectively evaluated the prevalence and correlates of NPOU within a Vancouver cohort of sex workers over three-years follow-up.
methodsData were drawn from an open prospective cohort, AESHA (An Evaluation of Sex Workers Health Access) in Metro Vancouver, Canada (2010-2013). Women were recruited through outreach from outdoor street locations and indoor venues. Bivariate and multivariable logistic regression using Generalized Estimating Equations (GEE) were used to examine social and structural correlates of NPOU over 36 months.
resultsOf the 692 sex workers at baseline, close to one-fifth (n=130, 18.8%) reported NPOU (injection or non-injection) in the last six months. In multivariable GEE analyses, factors independently correlated with recent NPOU were: exchanging sex while high (AOR 3.26, 95%CI 2.29-4.64), police harassment/arrest (AOR 1.83, 95%CI 1.43-2.35), intimate partner injects drugs (AOR 1.66, 95%CI 1.11-2.49), and recent physical/sexual intimate partner violence (AOR 1.65, 95%CI 1.21-2.24).
conclusionOur results demonstrate that nearly one-fifth of sex workers in Metro Vancouver report NPOU. Factors independently statistically associated with NPOU included exchanging sex while high, police harassment/arrest, a drug injecting intimate partner and recent physical/sexual intimate partner violence. The high prevalence of NPOU use among sex workers underscores the need for further prevention and management strategies tailored to this key population. The correlates of NPOU uncovered here suggest that structural interventions may be further implemented to ameliorate this growing concern.
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