Document Detail


Risk factors for nonfatal overdose at Seattle-area syringe exchanges.
MedLine Citation:
PMID:  21246299     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Opioid-involved overdose deaths are on the rise, both nationwide and in the state of Washington. In a survey of 443 participants at syringe exchanges in Seattle, Washington, 16% had overdosed in the last year. Several factors were significantly associated in bivariate analysis: lack of permanent housing; incarceration of five or more days in the past year; gender of sex partners; sharing of syringes and other injection paraphernalia; use of speedballs (cocaine and heroin together), goofballs (methamphetamine and heroin together), buprenorphine; injection use of crack cocaine and sedatives; and use of opioids with sedatives. Adjusting for other variables in multivariate logistic regression analyses, only recent incarceration and sharing of injection materials were still significantly associated with overdose. Correctional facilities, syringe exchange programs, and other agencies serving opioid injectors should include overdose prevention components in release planning and services.
Authors:
Lindsay M Jenkins; Caleb J Banta-Green; Charles Maynard; Susan Kingston; Michael Hanrahan; Joseph O Merrill; Phillip O Coffin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of urban health : bulletin of the New York Academy of Medicine     Volume:  88     ISSN:  1468-2869     ISO Abbreviation:  J Urban Health     Publication Date:  2011 Feb 
Date Detail:
Created Date:  2011-02-21     Completed Date:  2011-06-24     Revised Date:  2013-06-30    
Medline Journal Info:
Nlm Unique ID:  9809909     Medline TA:  J Urban Health     Country:  United States    
Other Details:
Languages:  eng     Pagination:  118-28     Citation Subset:  IM    
Affiliation:
Alcohol and Drug Abuse Institute, University of Washington, Seattle, WA, USA. lindsay.jenkins@multco.us
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MeSH Terms
Descriptor/Qualifier:
Adult
Analgesics, Opioid / adverse effects*,  poisoning
Drug Overdose
Female
Health Surveys
Heroin / adverse effects,  poisoning
Humans
Logistic Models
Male
Middle Aged
Risk Factors
Risk-Taking*
Street Drugs
Substance Abuse, Intravenous / epidemiology*
Syringes*
Washington / epidemiology
Chemical
Reg. No./Substance:
0/Analgesics, Opioid; 0/Street Drugs; 561-27-3/Heroin
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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