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Incarceration experiences in a cohort of active injection drug users
Authors:
M. -J. Milloy - M.-J. Milloy, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canadaa;
Evan Wood - Evan Wood, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canada and Department of Medicine, University of British Columbia, Canadaab;
Will Small - Will Small, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canadaa;
Mark Tyndall - Mark Tyndall, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canada and Department of Medicine, University of British Columbia, Canadaab;
Calvin Lai - Calvin Lai, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canadaa;
Julio Montaner - Julio Montaner, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canada and Department of Medicine, University of British Columbia, Canadaab;
Thomas Kerr - Thomas Kerr, British Columbia Centre for Excellence in HIV/AIDS, St Paul's Hospital, Vancouver, Canada and Department of Medicine, University of British Columbia, Canadaab
| Affiliations: | a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, Vancouver, Canada |
| b Department of Medicine, University of British Columbia, Canada |
DOI:
10.1080/09595230801956157
Publication Frequency:
6 issues per year
First Published:
November
2008
Subject:
Addiction & Treatment;
Formats available:
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(English)
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(English)
The circumstances under which this title is published have changed:
Reason for change: Changed Publisher
Now published by: Wiley-Blackwell Publishing Ltd
Date of change: 2009
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Abstract
Background. Incarceration has been associated with a number of health-related harms among injection drug users (IDU). However, little is known about the prevalence and correlates of incarceration among community-based samples of IDU. Methods. We examined the prevalence and correlates of recent incarceration among IDU in the Scientific Evaluation of Supervised Injecting (SEOSI) cohort examined between 1 July 2004 and 30 June 2006 using generalised estimating equations (GEE). Results. A total of 902 individuals were included in the analysis, of whom 255 (28.72%) were female and 536 (59.42%) reported a history of incarceration. In a multivariate GEE model, recent incarceration was associated positively and independently with a number of high-risk drug using behaviours, including syringe sharing. Conclusions. An alarmingly high proportion of active IDU reported recent incarceration and injecting while incarcerated. Recent incarceration was associated independently with syringe sharing. These findings add further evidence to repeated demands for an expansion of appropriate harm-reduction measures in Canada's prisons.
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| Keywords: GEE; HIV; IDU; incarceration; injection drug users |
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