2018
DOI: 10.1186/s13011-018-0180-3
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An age-based analysis of nonmedical prescription opioid use among people who use illegal drugs in Vancouver, Canada

Abstract: BackgroundNonmedical prescription opioid use (NMPOU) is a serious public health problem in North America. At a population-level, previous research has identified differences in the prevalence and correlates of NMPOU among younger versus older age groups; however, less is known about age-related differences in NMPOU among people who use illegal drugs.MethodsData were collected between 2013 and 2015 from two linked prospective cohort studies in Vancouver, Canada: the At-Risk Youth Study (ARYS) and the Vancouver … Show more

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Cited by 15 publications
(11 citation statements)
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“…While this study adds to the small body of qualitative research on HIV vaccine acceptability, and highlights how social and structural barriers may shape access to this intervention for PWUD, this study has some important limitations. The V-DUS cohort is made up of both former and current PWUD, and is generally an older cohort of individuals [49] which may limit the generalizability of the findings to younger PWUD. Further, despite being overrepresented within our sample, Indigenous participants' perspectives on HIV vaccine acceptability did not speak to racialized experiences, meaning that when asked directly by the interviewer, they did not feel being indigenous impacted their risk of HIV transmission, or access to vaccines, including information and conversations from their health care provider.…”
Section: Discussionmentioning
confidence: 99%
“…While this study adds to the small body of qualitative research on HIV vaccine acceptability, and highlights how social and structural barriers may shape access to this intervention for PWUD, this study has some important limitations. The V-DUS cohort is made up of both former and current PWUD, and is generally an older cohort of individuals [49] which may limit the generalizability of the findings to younger PWUD. Further, despite being overrepresented within our sample, Indigenous participants' perspectives on HIV vaccine acceptability did not speak to racialized experiences, meaning that when asked directly by the interviewer, they did not feel being indigenous impacted their risk of HIV transmission, or access to vaccines, including information and conversations from their health care provider.…”
Section: Discussionmentioning
confidence: 99%
“…The majority of deaths occurred in emergency shelters and low-rental or social housing, while zero deaths were reported to have occurred at safer consumption sites (Bardwell et al., 2019; British Columbia Coroners Service, 2019). Specifically in the DTES, the intense prevalence of opioid overdoses—especially those that lead to death—has overwhelmed the community, prompting numerous agencies to declare a state of emergency and to demand that more community-based research be done that will explore the benefits of harm reduction approaches, safer consumption sites, and explain some of the links between the Vancouver housing crisis and opioid use (Bardwell et al., 2019; Boyd, Fast, Hobbins, McNeil, & Small, 2017; Boyd, Murray, SNAP, & MacPherson, 2017; British Columbia Coroners Service, 2019; Cheng et al., 2018; Kerr, Mitra, Kennedy, & McNeil, 2017; Kinshella et al., 2018; Scheuermeyer et al., 2019; Young & Fairbairn, 2018). Although we did not intend for our research to focus on the opioid epidemic, we acknowledge that any research that is done about death and dying in the DTES must include an awareness and sensitivity to the prevalence of overdose-related deaths in the community.…”
Section: Discussionmentioning
confidence: 99%
“…In particular, using the “At-Risk Youth Study” data, which included longitudinal data on street-involved youth aged 14–26 in Vancouver, 21% of the youth who reported non-medical use of prescription opioids (codeine, oxycontin, and morphine) at the beginning of the study transitioned to injection drug use by 11.2 months [ 2 ]. Additional research using the “At-Risk Youth Study” data found that non-prescription opioid misusers were more likely to transition to binge drug use, daily heroin use and were more likely to experience violence compared to their homeless peers who did not misuse prescription opioids [ 8 ]. Male sex was more highly associated with making a switch from non-medical prescription drug use to other illegal drug use, and more than 45% of the sample experienced a non-fatal overdose [ 4 , 9 ].…”
Section: Need For Preventive Interventionsmentioning
confidence: 99%