Evidence map›Paper›PMID 29288913›Full record

ArticleDrug and alcohol dependence2018

The association between neighborhood socioeconomic disadvantage and high-risk injection behavior among people who inject drugs.

Jennifer DeCuir, Gina S Lovasi, Abdulrahman El-Sayed, Crystal Fuller Lewis

Abstract read
In one paragraph

Article in Drug and alcohol dependence, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Jennifer DeCuirColumbia University Mailman School of Public Health, Department of Epidemiology, 722 W 168th St, New York, NY, 10032, USA. Electronic address: jdecuir1@jhmi.edu.
Gina S LovasiColumbia University Mailman School of Public Health, Department of Epidemiology, 722 W 168th St, New York, NY, 10032, USA.
Abdulrahman El-SayedColumbia University Mailman School of Public Health, Department of Epidemiology, 722 W 168th St, New York, NY, 10032, USA.
Crystal Fuller LewisColumbia University Mailman School of Public Health, Department of Epidemiology, 722 W 168th St, New York, NY, 10032, USA.

Funding

Pharmacy Referral Intervention: IDU Access to ServicesR01DA022144 · NIDA · NEW YORK ACADEMY OF MEDICINE · PI LEWIS, CRYSTAL FULLER · 2007 to 2010
$2.8M
Linking dynamic environments with childhood obesityK01HD067390 · NICHD · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI LOVASI, GINA S · 2011 to 2015
$668k
NICHD NIH HHS K01 HD067390NIDA NIH HHS R01 DA022144
6 · The paper itself

Abstract

backgroundAlthough much research has been conducted on the determinants of HIV risk behavior among people who inject drugs (PWID), the influence of the neighborhood context on high-risk injection behavior remains understudied. To address this gap in the literature, we measured associations between neighborhood socioeconomic disadvantage and high-risk injection behavior, and determined whether these associations were modified by drug-related police activity and syringe exchange program (SEP) accessibility.

methodsOur sample was comprised of 484 pharmacy-recruited PWID in New York City. Measures of neighborhood socioeconomic disadvantage were created using data from the 2006-2010 American Community Survey. Associations with high-risk injection behavior were estimated using multivariable Poisson regression. Effect modification by drug-related police activity and SEP accessibility was assessed by entering cross-product terms into adjusted models of high-risk injection behavior.

resultsNeighborhood socioeconomic disadvantage was associated with decreased receptive syringe sharing and unsterile syringe use. In neighborhoods with high drug-related police activity, associations between neighborhood disadvantage and unsterile syringe use were attenuated to the null. In neighborhoods with high SEP accessibility, neighborhood disadvantage was associated with decreased acquisition of syringes from an unsafe source.

conclusionsPWID in disadvantaged neighborhoods reported safer injection behaviors than their counterparts in neighborhoods that were relatively better off. The contrasting patterns of effect modification by SEP accessibility and drug-related police activity support the use of harm reduction approaches over law enforcement-based strategies for the control of blood borne virus transmission among PWID in disadvantaged urban areas.

Indexed as

Residence CharacteristicsSocial ClassAdultFemaleHIV InfectionsHumansLaw EnforcementMaleMiddle AgedNeedle-Exchange ProgramsNeedle SharingNew York CityPoliceSubstance Abuse, IntravenousSurveys and QuestionnairesSyringesHIV risk behaviorInjection drug useNeighborhood contextPeople who inject drugs (PWID)Receptive syringe sharing

Identifiers

PMID29288913
PMCPMC5927611

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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.