Injecting behaviour and risky needle use amongst methadone maintenance clients

White, Jason M.; Dyer, Kyle R.; Ali, Robert; Gaughwin, Matt; Cormack, Simone

doi:10.1016/0376-8716(94)90131-7

Cited by 14 publications

(5 citation statements)

References 24 publications

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“…This has also been noted by Ritter [5] who commented that other factors influence injection of methadone apart from volume of dispensed dose and frequency of pharmacy observed consumption. Additionally, in contrast to previous findings [5,7,10,11,14], we found frequency of pharmacy observed consumption did not decrease the frequency of injection of methadone nor did total dose have an effect.…”

Section: Discussioncontrasting

confidence: 99%

“…First, methadone dose has been reported to be associated with the prevalence of methadone injection in those enrolled in MMT. In two samples from Australia [7,10], a higher frequency of injecting methadone was associated with higher doses whereas in contrast another Australian sample [11] noted that those on lower doses had a higher incidence of methadone injecting. Two further studies suggested that increasing the dose might reduce methadone injection [12,13].…”

Section: Introductionmentioning

confidence: 87%

“…Additional factors shown to influence methadone injection include the duration of time in treatment [11,13,16]; social relationships [17,18], a history of polydrug use [10,11,15,17], current unemployment [16], psychopathology [7,16,17], unstable housing [19] and ongoing legal problems [11,16].…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Drug injecting in patients in New Zealand Methadone Maintenance Treatment programs: An anonymous survey

Judson

Bird

O’Connor

et al. 2010

Drug and Alcohol Review

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Section: Discussioncontrasting

confidence: 99%

Section: Introductionmentioning

confidence: 87%

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Drug injecting in patients in New Zealand Methadone Maintenance Treatment programs: An anonymous survey

Judson

Bird

O’Connor

et al. 2010

Drug and Alcohol Review

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“…Knowledge. Knowledge about the risk of HIV or HCV infection via drug injection was found to have a negative association with risk behavior in two studies based in Thailand and Australia (Saelim, Geater, Chongsuvivatwong, Rodkla, & Bechtel, 1998;White, Dyer, Ali, Gaughwin, & Cormack, 1994). Young IDUs in five U.S. cities who believed that HIV/HCV transmission via paraphernalia sharing was unlikely were more likely to share paraphernalia than those who believed such transmission was likely (Thiede et al, 2007).…”

Section: Associations Between Theoretical Constructs and Injection Rimentioning

confidence: 99%

Cognitive Behavioral Theories Used to Explain Injection Risk Behavior Among Injection Drug Users: A Review and Suggestions for the Integration of Cognitive and Environmental Models

et al. 2010

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Injection drug users (IDUs) are at risk for HIV and viral hepatitis, and risky injection behavior persists despite decades of intervention. Cognitive behavioral theories (CBT) are commonly used to help understand risky injection behavior. We review findings from CBT-based studies of injection risk behavior among IDUs. An extensive literature search was conducted in Spring 2007. In total 33 studies were reviewed—26 epidemiological and 7 intervention studies. Findings suggest that some theoretical constructs have received fairly consistent support (e.g., self-efficacy, social norms), while others have yielded inconsistent or null results (e.g., perceived susceptibility, knowledge, behavioral intentions, perceived barriers, perceived benefits, response efficacy, perceived severity). We offer some possible explanations for these inconsistent findings, including differences in theoretical constructs and measures across studies and a need to examine the environmental structures that influence risky behaviors. Greater integration of CBT with a risk environment perspective may yield more conclusive findings and more effective interventions in the future.

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“…The calculation assumes that new abusers come from a narrow age segment of youngsters. Both Norwegian studies [6,9] and non-Norwegian studies [21][22][23] show that most intravenous drug abusers started injecting at an early age. It has been estimated that 80% of the Norwegian intravenous drug abusers started injecting drugs before the age of 20 [1].…”

Section: Methodsmentioning

confidence: 99%

Where Have All the Young Girls Gone or Where Do All the Men Come from?

Ødegård¹,

Bretteville-Jensen²

2002

Eur Addict Res

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A rough estimate indicates that women amount to one third of the heroin user population in Norway. However, among the youngest users females account and have accounted for a larger proportion. Given this greater representation of females in the younger age groups one would expect that the gender difference in the general population of users would be reduced over time due to a cohort effect. However, the ratio of male to female users has remained stable. The prevailing explanation for this stability is based on the claim that women are more likely to overcome their abuse. This paper addresses both the basis for the assumption of a missing cohort effect and examines an alternative explanation linked to the way into abuse rather than the way out. The study primarily draws upon two distinct data sources. The first body of material consists of interviews carried out in the period 1993–1997 with people attending the only needle exchange service in Oslo. The second data source consists of police records, which provide the number of persons arrested each year in the period 1984–1997 for using, possessing or selling heroin distributed by age and gender. We find that the age of injection debut has increased and that this is especially true for male users. Applying a simple quantitative model, the effect a change in recruitment may have on the male-to-female ratio is analysed. The results indicate that a higher debut age may have contributed to stabilizing the gender gap. The finding suggests that more research is needed on the conditions of recruitment in order to better predict the future population demographics and to avoid hasty and incorrect conclusions.

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Injecting behaviour and risky needle use amongst methadone maintenance clients

Cited by 14 publications

References 24 publications

Drug injecting in patients in New Zealand Methadone Maintenance Treatment programs: An anonymous survey

Drug injecting in patients in New Zealand Methadone Maintenance Treatment programs: An anonymous survey

Cognitive Behavioral Theories Used to Explain Injection Risk Behavior Among Injection Drug Users: A Review and Suggestions for the Integration of Cognitive and Environmental Models

Where Have All the Young Girls Gone or Where Do All the Men Come from?

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