ArticleAddiction & health2018
Transition from First Drug Use to Regular Injection among People Who Inject Drugs in Iran.
Article in Addiction & health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 11 citations in OpenAlex.
- A Pilot Study of Polysubstance Use Sequences across the Lifespan among Assiniboine and Sioux People Who Use Injection Drugs.International journal of environmental research and public health · 2022Article
- Epidemiology of Drug Use in Herat - Afghanistan.Addiction & health · 2022Article
- Population Size Estimation of Drug Users in Isfahan City (Iran) Using Network Scale-up Method in 2018.Addiction & health · 2021Article
- Rapid situational assessment of people who inject drugs (PWID) in Nairobi and coastal regions of Kenya: a respondent driven sampling survey.BMC public health · 2021Article
- Drug injection and associated factors among the elderly living with HIV/AIDS in Tehran, Iran.Medical journal of the Islamic Republic of Iran · 2021Article
- Associations Between Childhood Trauma and the Age of First-Time Drug Use in Methamphetamine-Dependent Patients.Frontiers in psychiatry · 2021Article
- When and how do individuals transition from regular drug use to injection drug use in Uganda? Findings from a rapid assessment.Harm reduction journal · 2019Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe study aimed to evaluate the interval between first drug use and regular injection and factors associated with transition from first injection into premature regular injection among people who inject drugs (PWIDs).
methodsIn a multicenter cross-sectional study, we recruited 400 PWIDs using snowball sampling. Age of first drug use, age of initiation of regular injection, and demographic and behavioral data were collected using face to face interview. Premature transition to regular injection was defined as initiation of regular injection within the five years of first injection. Data were analyzed using bivariate and multivariate logistic regression survey analysis.
findingsThe mean age of first drug use and age of initiation of regular injection was 29.87 ± 6.54 years, respectively. Having history of sexual abuse in childhood [adjusted odds ratio (AOR) = 3.1], history of imprisonment (AOR = 3.4), use of heroin as the first drug (AOR = 4.3), and doing the first injection at friends' houses (AOR = 2.2) or in ruins (AOR = 2.2) significantly increased the chance of premature transition to regular injection, while being a female decreased the chance of premature transition to regular injection (AOR = 0.4). Compared to curiosity, being friend with a drug user (AOR = 0.4), having withdrawal symptoms (AOR = 0.2), and low cost of injection (AOR = 0.3) at the first occasion of drug injection reduced the chance of premature transition to regular injection.
conclusionNew interventions to prevent injection initiation among drug users are needed and should be integrated in harm reduction programs.
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