ArticleSubstance abuse treatment, prevention, and policy2016
Inability to access addiction treatment predicts injection initiation among street-involved youth in a Canadian setting.
Article in Substance abuse treatment, prevention, and policy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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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Who cites it
17 citing papers in PubMed, 62 citations in OpenAlex.
- The disparity and trend of childhood cancer burden in survival perspective: a systematic analysis for the global burden of disease 2021.International journal of surgery (London, England) · 2026Article
- A scoping review on barriers and facilitators to harm reduction care among youth in British Columbia, Canada.Harm reduction journal · 2024Article
- Interest in using buprenorphine-naloxone among a prospective cohort of street-involved young people in Vancouver, Canada.Journal of substance use and addiction treatment · 2023Article
- Methadone Maintenance Treatment Discontinuation Among Young People who use Opioids in Vancouver, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023Article
- Housing, opportunities, motivation and engagement (HOME) for homeless youth at-risk for opioid use disorder: study protocol for a randomized controlled trial.Addiction science & clinical practice · 2021Article
- Coercion into addiction treatment and subsequent substance use patterns among people who use illicit drugs in Vancouver, Canada.Addiction (Abingdon, England) · 2020Article
- 3,4-Methylenedioxymethamphetamine (MDMA; ecstasy) use and transitions to injection drug use among street-involved youth.Substance abuse · 2019Article
- HIV risk and the association with accessibility coverage to medical facilities and socioeconomic status among heroin users in Kaohsiung, Taiwan (2011-2015): A GIS approach.The Kaohsiung journal of medical sciences · 2019Article
- Mobile Intervention for Individuals With Psychosis, Dual Disorders, and Their Common Comorbidities: A Literature Review.Frontiers in psychiatry · 2019Review
- Use of withdrawal management services among people who use illicit drugs in Vancouver, Canada.Substance abuse treatment, prevention, and policy · 2018Article
- Clinical and functional characteristics of young adults living in single room occupancy housing: preliminary findings from a 10-year longitudinal study.Canadian journal of public health = Revue canadienne de sante publique · 2018Article
- Cannabis use is associated with lower rates of initiation of injection drug use among street-involved youth: A longitudinal analysis.Drug and alcohol review · 2018Article
- Socioeconomic factors associated with cessation of injection drug use among street-involved youth.Substance abuse treatment, prevention, and policy · 2017Article
- History of being in government care associated with younger age at injection initiation among a cohort of street-involved youth.Drug and alcohol review · 2017Article
- 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
- Drug use generations and patterns of injection drug use: Birth cohort differences among people who inject drugs in Los Angeles and San Francisco, California.Drug and alcohol dependence · 2017Article
- Elevated risk of incarceration among street-involved youth who initiate drug dealing.Harm reduction journal · 2016Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPreventing injection drug use among vulnerable youth is critical for reducing serious drug-related harms. Addiction treatment is one evidence-based intervention to decrease problematic substance use; however, youth frequently report being unable to access treatment services and the impact of this on drug use trajectories remains largely unexplored. This study examines the relationship between being unable to access addiction treatment and injection initiation among street-involved youth.
methodsData were derived from the At-Risk Youth Study (ARYS), a prospective cohort of street-involved youth aged 14-26 who use illicit drugs, from September 2005 to May 2014. An extended Cox model with time-dependent variables was used to identify factors independently associated with injection initiation.
resultsAmong 462 participants who were injection naïve at baseline, 97 (21 %) initiated injection drug use over study follow-up and 129 (28 %) reported trying but being unable to access addiction treatment in the previous 6 months at some point during the study period. The most frequently reported reason for being unable to access treatment was being put on a wait list. In a multivariable Cox regression analysis, being unable to access addiction treatment remained independently associated with a more rapid rate of injection initiation (Adjusted Hazard Ratio =2.02; 95 % Confidence Interval: 1.12-3.62), after adjusting for potential confounders.
conclusionInability to access addiction treatment was common among our sample and associated with injection initiation. Findings highlight the need for easily accessible, evidence-based addiction treatment for high-risk youth as a means to prevent injection initiation and subsequent serious drug-related harms.
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