Tags

Type your tag names separated by a space and hit enter

Injection drug use and overdose among young adults who use prescription opioids non-medically.
Addict Behav. 2018 Jan; 76:20-26.AB

Abstract

INTRODUCTION

Non-medical prescription opioid (NMPO) use is a critical public health problem in the United States, with 2.1 million new initiates annually. Young adult NMPO users are at high risk for initiating injection drug use. We assessed correlates of injection drug use among young adult NMPO users in Rhode Island, a state heavily impacted by opioid overdose.

METHODS

We used data from the Rhode Island Young Adult Prescription Drug Study (RAPiDS), which recruited 199 residents aged 18-29 who reported past-30-day NMPO use (65.3% male). We compared individuals who reported ever having injected with individuals who reported never injecting, using logistic regression to identify independent correlates of injection.

RESULTS

Among eligible participants, the mean age was 24.6years and 61.3% were white. Over one-quarter (n=59, 29.6%) of the sample had ever injected drugs. The majority (n=46, 78.0%) of participants who had ever injected drugs reported injecting heroin as her/his first drug; the majority also reported previously snorting her/his first drug that was injected (n=46, 78.0%). In multivariable analyses, white race, older age, lifetime homelessness, and ever having overdosed or seen someone overdose were independently associated with an increased likelihood of ever injecting drugs.

CONCLUSIONS

These findings demonstrate a high prevalence of lifetime injection drug use among young adults who use prescription opioids non-medically. Given the observed associations between injection drug use and witnessing as well as experiencing overdose, interventions are urgently needed to improve overdose education and naloxone distribution to young adult NMPO users who inject drugs.

Authors+Show Affiliations

Department of Epidemiology, Brown University School of Public Health, 121 South Main Street, Box G-S-121-4, Providence, RI 02912, USA. Electronic address: elliott_liebling@brown.edu.Department of Epidemiology, Brown University School of Public Health, 121 South Main Street, Box G-S-121-4, Providence, RI 02912, USA; Boston University School of Medicine and Boston Medical Center, Department of Emergency Medicine, 771 Albany Street, Room 1208, Boston, MA 02118, USA; The Warren Alpert School of Medicine of Brown University, Rhode Island Hospital, 55 Claverick Street, Providence, RI 02903, USA. Electronic address: traci_green@brown.edu.Division of General Pediatrics, Department of Pediatrics, Boston University School of Medicine, 88 East Newton Street, Vose Hall Room 322, Boston, MA 02118, USA; Department of Pediatrics, Boston Medical Center, 850 Harrison Avenue, Boston, MA 02118, USA. Electronic address: scott.hadland@bmc.org.Department of Epidemiology, Brown University School of Public Health, 121 South Main Street, Box G-S-121-4, Providence, RI 02912, USA. Electronic address: brandon_marshall@brown.edu.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

28735037

Citation

Liebling, Elliott J., et al. "Injection Drug Use and Overdose Among Young Adults Who Use Prescription Opioids Non-medically." Addictive Behaviors, vol. 76, 2018, pp. 20-26.
Liebling EJ, Green TC, Hadland SE, et al. Injection drug use and overdose among young adults who use prescription opioids non-medically. Addict Behav. 2018;76:20-26.
Liebling, E. J., Green, T. C., Hadland, S. E., & Marshall, B. D. L. (2018). Injection drug use and overdose among young adults who use prescription opioids non-medically. Addictive Behaviors, 76, 20-26. https://doi.org/10.1016/j.addbeh.2017.07.017
Liebling EJ, et al. Injection Drug Use and Overdose Among Young Adults Who Use Prescription Opioids Non-medically. Addict Behav. 2018;76:20-26. PubMed PMID: 28735037.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Injection drug use and overdose among young adults who use prescription opioids non-medically. AU - Liebling,Elliott J, AU - Green,Traci C, AU - Hadland,Scott E, AU - Marshall,Brandon D L, Y1 - 2017/07/18/ PY - 2017/04/04/received PY - 2017/06/29/revised PY - 2017/07/13/accepted PY - 2017/7/25/pubmed PY - 2018/6/15/medline PY - 2017/7/24/entrez KW - Injection KW - Non-medical use KW - Overdose KW - Prescription opioids KW - Young adults SP - 20 EP - 26 JF - Addictive behaviors JO - Addict Behav VL - 76 N2 - INTRODUCTION: Non-medical prescription opioid (NMPO) use is a critical public health problem in the United States, with 2.1 million new initiates annually. Young adult NMPO users are at high risk for initiating injection drug use. We assessed correlates of injection drug use among young adult NMPO users in Rhode Island, a state heavily impacted by opioid overdose. METHODS: We used data from the Rhode Island Young Adult Prescription Drug Study (RAPiDS), which recruited 199 residents aged 18-29 who reported past-30-day NMPO use (65.3% male). We compared individuals who reported ever having injected with individuals who reported never injecting, using logistic regression to identify independent correlates of injection. RESULTS: Among eligible participants, the mean age was 24.6years and 61.3% were white. Over one-quarter (n=59, 29.6%) of the sample had ever injected drugs. The majority (n=46, 78.0%) of participants who had ever injected drugs reported injecting heroin as her/his first drug; the majority also reported previously snorting her/his first drug that was injected (n=46, 78.0%). In multivariable analyses, white race, older age, lifetime homelessness, and ever having overdosed or seen someone overdose were independently associated with an increased likelihood of ever injecting drugs. CONCLUSIONS: These findings demonstrate a high prevalence of lifetime injection drug use among young adults who use prescription opioids non-medically. Given the observed associations between injection drug use and witnessing as well as experiencing overdose, interventions are urgently needed to improve overdose education and naloxone distribution to young adult NMPO users who inject drugs. SN - 1873-6327 UR - https://www.unboundmedicine.com/medline/citation/28735037/Injection_drug_use_and_overdose_among_young_adults_who_use_prescription_opioids_non_medically_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0306-4603(17)30269-1 DB - PRIME DP - Unbound Medicine ER -