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| Natura: | Artículo científico |
| Lingua: | en |
| Pubblicazione: |
Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
2022
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| Accesso online: | https://www.redalyc.org/articulo.oa?id=58272435004 https://www.redalyc.org/journal/582/58272435004/ https://www.redalyc.org/journal/582/58272435004/html/ https://www.redalyc.org/journal/582/58272435004/58272435004.epub https://www.redalyc.org/journal/582/58272435004/movil |
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Sommario:
- Transition from first illegal drug use to first injection among people who inject drugs in Northern Mexico: A retrospective survival analysis Angélica Ospina-Escobar Carlos Magis-Rodríguez Medicina Mexico harm reduction Onset of drug use transition to injection people who inject drugs Introduction. There is little information in Mexico about the transition to injecting drugs among drug users in cities other than Tijuana. Objective. We compare characteristics of the onset of drug use and first injection among people who inject drugs (PWID) from Ciudad Juárez and Hermosillo, two cities of Northern Mexico and identify factors associated with faster rates of transition from first drug use to the first injection. Method. 841 PWID were interviewed in 2012 in Ciudad Juárez (n = 445) and Hermosillo (n = 396). Using lifetables, we describe timing at the onset of drug use and first injection. Cox regression analysis was used to determine factors associated with the transition hazard to first injection. Results. Median age at onset of drug use was 15.5 years old (standard deviation SD = 5.73). The median age at first injection was 21.30 (SD = 7.22). The median duration-time between first drug use and transition to injection was 4.8 years (SD = 5.6). Controlling for sociodemographics, factors that increase the hazard of transitioning to injection are age at onset of drug use (adjusted-hazard-rate AHR = 1.04, 95% confidence-interval CI 1.03, 1.05, p<.01) having used cocaine, heroin, or methamphetamine at the onset of drug use (AHR = 1.14, 95% CI 1.03, 1.27, p = .01), and having received assistance at first injection (AHR = 1.25, 95% CI 1.17, 1.33, p<.01). Discussion and conclusion. Results show the need to enhance harm reduction programs among non-injecting drug users so as to prevent the spread of injecting drugs in Mexico. 2022 artículo científico 0185-3325 https://www.redalyc.org/articulo.oa?id=58272435004 https://www.redalyc.org/journal/582/58272435004/ https://www.redalyc.org/journal/582/58272435004/html/ https://www.redalyc.org/journal/582/58272435004/58272435004.epub https://www.redalyc.org/journal/582/58272435004/movil 10.17711/SM.0185-3325.2022.010 en http://www.redalyc.org/revista.oa?id=582 Salud Mental application/pdf Instituto Nacional de Psiquiatría Ramón de la Fuente Muñiz Salud Mental (México) Num.2 Vol.45