Evidence map›Paper›PMID 25496706›Full record

ArticleDrug and alcohol dependence2015

High-risk behaviors after release from incarceration among people who inject drugs in St. Petersburg, Russia.

Javier A Cepeda, Linda M Niccolai, Alexandra Lyubimova, Trace Kershaw, Olga Levina, Robert Heimer

Open access · greenAbstract read
In one paragraph

Article in Drug and alcohol dependence, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
2.8field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Javier A CepedaDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, 60 College Street, New Haven, CT, USA; Center for Interdisciplinary Research on AIDS, 135 College Street, New Haven, CT, USA. Electronic address: Javier.cepeda@yale.edu.
Linda M NiccolaiDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, 60 College Street, New Haven, CT, USA; Center for Interdisciplinary Research on AIDS, 135 College Street, New Haven, CT, USA.
Alexandra LyubimovaNGO Stellit, 3 Mira Street, St. Petersburg, Russia.
Trace KershawCenter for Interdisciplinary Research on AIDS, 135 College Street, New Haven, CT, USA; Department of Social and Behavioral Sciences, Yale School of Public Health, 60 College Street, New Haven, CT, USA.
Olga LevinaNGO Stellit, 3 Mira Street, St. Petersburg, Russia.
Robert HeimerDepartment of Epidemiology of Microbial Diseases, Yale School of Public Health, 60 College Street, New Haven, CT, USA; Center for Interdisciplinary Research on AIDS, 135 College Street, New Haven, CT, USA.
Yale University · US

Funding

Using Coincidence Analysis to Investigate Factors Affecting PrEP Initiation and Continuation in Southern ending the Epidemic CountiesP30MH062294 · NIMH · YALE UNIVERSITY · PI John Edward Pachankis · 2001 to 2026
$48.5M
INTERDISCIPLINARY HIV PREVENTION TRAINING PROGRAMT32MH020031 · NIMH · YALE UNIVERSITY · PI Trace S Kershaw · 1999 to 2026
$12.1M
Influences on HIV Prevalence and Service Access among IDUs in Russia and EstoniaR01DA029888 · NIDA · YALE UNIVERSITY · PI HEIMER, ROBERT, UUSKULA, ANNELI · 2010 to 2014
$2.0M
Characterizing the post-incarceration risk environment in St. Petersburg, RussiaF31DA035709 · NIDA · YALE UNIVERSITY · PI CEPEDA, JAVIER · 2013 to 2014
$81k
NIDA NIH HHS 5F31DA035709-02NIDA NIH HHS 5R01DA029888-05NIDA NIH HHS F31 DA035709NIDA NIH HHS R01 DA029888NIMH NIH HHS 2T32MH020031-16A1NIMH NIH HHS 5P30MH062294-12NIMH NIH HHS P30 MH062294NIMH NIH HHS T32 MH020031
6 · The paper itself

Abstract

backgroundInjection drug use, infectious disease, and incarceration are inextricably linked in Russia. We aimed to identify factors associated with time to relapse (first opioid injection after release from prison) and using a non-sterile, previously used syringe at relapse in a sample of people who inject drugs in St. Petersburg.

methodsWe collected data on time from release to relapse among individuals with a history of incarceration, a subsample of a larger study among people who inject drugs. Proportional hazards and logistic regression were used to identify factors associated with time to relapse and injection with a non-sterile previously used syringe at relapse, respectively.

resultsThe median time to relapse after release was 30 days. Factors that were independently associated with relapsing sooner were being a native of St. Petersburg compared to not being native (AHR: 1.64; 95% CI 1.15-2.33), unemployed at relapse compared to employed (AHR: 4.49; 95% CI 2.96-6.82) and receiving a previous diagnosis of HBV and HCV compared to no previous diagnosis (AHR: 1.49; 95% CI 1.03-2.14). Unemployment at relapse was also significant in modeling injection with a non-sterile, previously used syringe at relapse compared to those who were employed (AOR: 6.80; 95% CI 1.96-23.59).

conclusionsUnemployment was an important correlate for both resuming opioid injection after release and using a non-sterile previously used syringe at relapse. Linkage to medical, harm reduction, and employment services should be developed for incarcerated Russian people who inject drugs prior to release.

Indexed as

Risk-TakingAdolescentAdultEthnicityFemaleHarm ReductionHumansMaleMiddle AgedMinority GroupsPrisonsRussiaSocioeconomic FactorsSubstance Abuse, IntravenousSurvival AnalysisSyringesDrugsIncarcerationInjectRelapseRussia

Identifiers

PMID25496706
PMCPMC4297682
OpenAlexW1977894626

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.