Relationship among gender, depression and needle sharing in a sample of injection drug users.

Johnson, M. Eric; Yep, Michelle J.; Brems, Christiane; Theno, Shelley A.; Fisher, Dennis G.

doi:10.1037/0893-164x.16.4.338

Cited by 28 publications

(23 citation statements)

References 23 publications

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“…Our results regarding needle sharing are consistent with previous literature suggesting a correlation between psychiatric symptoms severity and the propensity of PWID to share needles [25][26][27]29,30,34,44]. More specifically, two studies have previously demonstrated an association between severe psychological distress and injection material sharing (including needles) among an undifferentiated sample of PWID [35,36].…”

Section: Discussionsupporting

confidence: 82%

“…Cocaine use and mental health disorders have both been identified as risk factors for material sharing [9][10][11][12][13]22,[23][24][25][26][27][28][29][30][31][32][33][34]. Over a third of our participants reported severe psychological distress, a higher proportion compared with the 20% prevalence rate found in the Canadian population [43].…”

Section: Discussionmentioning

confidence: 72%

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Psychological Distress Increases Needle Sharing among Cocaine users: Results from the COSMO Study

Lévesque¹,

Bruneau²,

Jutras‐Aswad³

et al. 2014

J Addict Res Ther

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Objective: Cocaine use and mental health disorders have both been separately identified as risk factors for blood borne virus infection. However, the contribution of specific underlying aspects of mental health to risks is not well documented. The aim of this study was to examine the association between psychological distress and risk behaviors for HIV and Hepatitis C infection among cocaine users.Methods: Individuals who either smoked or injected cocaine were recruited in community-based and addiction treatment programs located in downtown Montreal. Participants were asked to complete an interviewer-administered questionnaire assessing psychological distress based on the Kessler scale (K10). Three-month risk behaviors outcomes included drug injection material sharing (needle, dilution water, cooker, filters, backloading, frontloading or wash), and smoking equipment sharing. Socio-demographic data, severity of cocaine dependence and other substances use information were also collected. Statistical analyses were conducted using logistic regression.Results: Severe psychological distress was reported by 202 (34.3%) out of 589 participants (86.2% male; 76.6% ≥ 30y.o.). The prevalence of sharing was: 14.8% for needles, 24.9% for other injection equipment (378 injectors) and 68.3% for smoking material (508 smokers). Multivariate analysis showed that injectors with severe psychological distress were more likely to report needle sharing (Adjusted Odds Ratio (AOR): 2.1, 95% CI: 1.1-3.8). No significant association was found between K10 score and sharing of other paraphernalia. Conclusion:Severe psychological distress increases the risk of needle sharing, a major risk factor for HIV and HCV infection, but not sharing of other paraphernalia. These results suggest differential psychological mechanisms according to sharing practices. They also support the importance of screening for psychological distress in order to implement adequate preventive interventions aimed at cocaine users.

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Section: Discussionsupporting

confidence: 82%

Section: Discussionmentioning

confidence: 72%

Psychological Distress Increases Needle Sharing among Cocaine users: Results from the COSMO Study

Lévesque¹,

Bruneau²,

Jutras‐Aswad³

et al. 2014

J Addict Res Ther

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show abstract

“…Among IDUs under 30, females were more likely to share syringes than males (Evans et al, 2003;Montgomery et al 2002). High levels of depression symptoms were also associated with increased risk of syringe sharing (Johnson, Yep, Brems, Theno, & Fisher, 2002;Mandell, Kim, Latkin, & Shuh, 1999;Perdue, Hagan, Thiede, & Valleroy, 2003). A study of SEP participants in New York City found that respondents who injected cocaine daily were more likely to share syringes (Paone et al 1997).…”

Section: Long-term Effects Of Syringe Exchange On Risk Behavior and Hmentioning

confidence: 94%

Long-Term Effects of Syringe Exchange on Risk Behavior and HIV Prevention

Braine

Jarlais²,

Ahmad

et al. 2004

AIDS Education and Prevention

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The purpose of this study was to assess stability of population-level injection risk behavior over time among participants in a syringe exchange program and compare factors affecting syringe sharing at two points in time. Participants of the Tacoma Syringe Exchange Program were interviewed in 1997 and 2001 using audio computer assisted self-interviewing technology. In each wave of data collection, a random cross section of participants was recruited and interviewed, with no attempt made to follow respondents over time. Rates of injection risk behavior remained stable across the 4-year period, despite increases in factors associated with syringe sharing. Homelessness, rates of depression symptoms, and injection of amphetamines all increased from 1997 to 2001. The central factors associated with syringe sharing in both 1997 and 2001 were depression symptoms and the interaction of younger age with amphetamine injection. The data indicate that the exchange has been able to stabilize risk among a high-risk population for a substantial period of time. This study confirms previous findings that SEPs can play a significant role in the prevention of HIV in marginal and impoverished communities in the United States.

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“…[20][21][22] Entre as mulheres com AOS, 19% tiveram depressão em algum momento na vida, enquanto que na população geral de mulheres essa prevalência é de 7%. Nos homens com AOS, 78% apresentaram primeiro AOS e depois depressão; entre as mulheres com AOS, 66% apresentaram primeiro a depressão.…”

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Diretrizes da Associação Brasileira de Estudos do Álcool e outras Drogas (ABEAD) para o diagnóstico e tratamento de comorbidades psiquiátricas e dependência de álcool e outras substâncias

Zaleski

Laranjeira

Marques

et al. 2006

Rev. Bras. Psiquiatr.

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A b s t r a c tRecently, several studies have focused on comorbity psychiatric disorders with alcohol and other substance dependence. The Brazilian Association of Studies on Alcohol and Other Drugs proposed the Brazilian Guidelines project. This study review diagnostic and therapeutic criteria to the most prevalent psychiatric comorbidities. Randomized clinical trials, epidemiological, animal studies and other forms of research are reviewed. The main psychiatric comorbidities are studied based on guidelines adopted by other countries and the literature data resumed. Epidemiological aspects, diagnoses, integrated treatment and service organization, as well as specific psychotherapic and pharmacological treatment are discussed. The Brazilian Association of Studies on Alcohol and Other Drugs Guidelines reassures the importance of adequate diagnoses and treatment regarding alcoholic and drug dependent patients suffering of comorbid psychiatric disorders.

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Relationship among gender, depression and needle sharing in a sample of injection drug users.

Cited by 28 publications

References 23 publications

Psychological Distress Increases Needle Sharing among Cocaine users: Results from the COSMO Study

Psychological Distress Increases Needle Sharing among Cocaine users: Results from the COSMO Study

Long-Term Effects of Syringe Exchange on Risk Behavior and HIV Prevention

Diretrizes da Associação Brasileira de Estudos do Álcool e outras Drogas (ABEAD) para o diagnóstico e tratamento de comorbidades psiquiátricas e dependência de álcool e outras substâncias

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