Factors associated with recent-onset injection drug use among drug users in Pakistan

Irene Kuo, Salman Ul-Hasan, Tariq Zafar, Noya Galai, Susan Sherman, Steffanie A. Strathdee

Research output: Contribution to journalArticle

Abstract

Seventy-two recent-onset injection drug users and 241 non-injection drug users were recruited in Quetta and Lahore, Pakistan, in 2003. Trained interviewers administered questionnaires regarding drug use behaviors and perceived changes in drug cost/supply. Logistic regression identified independent correlates of recent-onset injection. In Lahore, a perceived increase in drug cost was associated with higher odds of recent-onset injection, with no association in Quetta. Recent-onset injection was also associated with family history of drug use, group drug use, and sharing snorting/chasing tools. Changes in perception of the drug supply may be associated with recent-onset injection drug use. Familial/social influences were also associated with recent-onset injection, suggesting peer-led interventions could discourage transition to injection drug use.

Original languageEnglish (US)
Pages (from-to)853-870
Number of pages18
JournalSubstance Use and Misuse
Volume42
Issue number5
DOIs
StatePublished - Apr 2007

Fingerprint

Pakistan
Drug Users
drug use
drug
Injections
Pharmaceutical Preparations
Drug Costs
supply
costs
genealogy
logistics
regression
questionnaire
Logistic Models
interview
Interviews
Group

Keywords

  • "Chasing the dragon"
  • Drop-in-centers
  • Drug cost
  • Drug supply
  • Group drug use
  • Harm reduction
  • Heroin
  • Injection drug use
  • Injection initiation
  • Pakistan
  • Snorting
  • Trafficking routes
  • Transit route

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Medicine (miscellaneous)
  • Psychology(all)

Cite this

Factors associated with recent-onset injection drug use among drug users in Pakistan. / Kuo, Irene; Ul-Hasan, Salman; Zafar, Tariq; Galai, Noya; Sherman, Susan; Strathdee, Steffanie A.

In: Substance Use and Misuse, Vol. 42, No. 5, 04.2007, p. 853-870.

Research output: Contribution to journalArticle

Kuo, Irene ; Ul-Hasan, Salman ; Zafar, Tariq ; Galai, Noya ; Sherman, Susan ; Strathdee, Steffanie A. / Factors associated with recent-onset injection drug use among drug users in Pakistan. In: Substance Use and Misuse. 2007 ; Vol. 42, No. 5. pp. 853-870.
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