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Increased non-fatal overdose risk associated with involuntary drug treatment in a longitudinal study with people who inject drugs.
Rafful, Claudia; Orozco, Ricardo; Rangel, Gudelia; Davidson, Peter; Werb, Dan; Beletsky, Leo; Strathdee, Steffanie A.
Afiliación
  • Rafful C; Division of Global Public Health, School of Medicine, University of California, San Diego, CA, USA.
  • Orozco R; School of Public Health, San Diego State University, San Diego, CA, USA.
  • Rangel G; Centre for Urban Health Solutions, St Michael's Hospital, Toronto, Canada.
  • Davidson P; National Institute of Psychiatry, México City, Mexico.
  • Werb D; Secretariat of Health, Mexico City, Mexico.
  • Beletsky L; Mexico-United States Border Health Commission, Mexico City, Mexico.
  • Strathdee SA; Division of Global Public Health, School of Medicine, University of California, San Diego, CA, USA.
Addiction ; 113(6): 1056-1063, 2018 06.
Article en En | MEDLINE | ID: mdl-29333664
AIM: To assess the effect of involuntary drug treatment (IDT) on non-fatal overdose among people who inject drugs (PWID). DESIGN: Longitudinal study. SETTING: Tijuana, Mexico. PARTICIPANTS: Baseline sample of 671 PWID included 258 (38.4%) women and 413 (61.6%) men. MEASUREMENTS: Primary independent variables were reported recent (i.e. past 6 months) non-fatal overdose event (dependent variable) and IDT. Substance use the day of the non-fatal overdose was also examined. FINDINGS: From 2011 to 2017, 213 participants (31.7%) reported a recent non-fatal overdose and 103 (15.4%) reported recent IDT. Heroin, in combination with methamphetamine and tranquilizers, were the drugs most reported at the day of the event. IDT significantly increased the odds of reporting a non-fatal overdose event [adjusted odds ratio (aOR) = 1.76; 95% confidence interval (CI) = 1.04-2.96]. Odds of non-fatal overdose also increased independently for each additional injection per day (aOR = 1.05; 95% CI = 1.02-1.08), recent tranquilizer use (aOR = 1.92; 95% CI = 1.41-2.61) and using hit doctors (aOR = 1.68; 95% CI = 1.29-2.18) and decreased with age (aOR = 0.97 per year, 95% CI = 0.95-0.99). CONCLUSIONS: Recent involuntary drug treatment in Mexico is a risk factor for non-fatal drug overdose.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Abuso de Sustancias por Vía Intravenosa / Sobredosis de Droga / Tratamiento Involuntario Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Mexico Idioma: En Revista: Addiction Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Abuso de Sustancias por Vía Intravenosa / Sobredosis de Droga / Tratamiento Involuntario Tipo de estudio: Etiology_studies / Observational_studies / Risk_factors_studies Límite: Adult / Female / Humans / Male País/Región como asunto: Mexico Idioma: En Revista: Addiction Asunto de la revista: TRANSTORNOS RELACIONADOS COM SUBSTANCIAS Año: 2018 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido