Longitudinal migration patterns from an open illicit drug scene among people who use illicit drugs in Vancouver, Canada.
Adult
British Columbia
/ epidemiology
Comorbidity
Drug Users
/ statistics & numerical data
Female
Health Services Needs and Demand
Hepatitis C
/ epidemiology
Humans
Illicit Drugs
Longitudinal Studies
Male
Population Dynamics
/ statistics & numerical data
Public Assistance
/ statistics & numerical data
Residence Characteristics
/ statistics & numerical data
Substance-Related Disorders
/ epidemiology
Illicit drug scene
Migration
People who use illicit drugs
Services
Journal
Journal of substance abuse treatment
ISSN: 1873-6483
Titre abrégé: J Subst Abuse Treat
Pays: United States
ID NLM: 8500909
Informations de publication
Date de publication:
12 2019
12 2019
Historique:
received:
14
01
2019
revised:
23
09
2019
accepted:
27
09
2019
entrez:
24
11
2019
pubmed:
24
11
2019
medline:
1
9
2020
Statut:
ppublish
Résumé
The objective of this study was to identify migration patterns from an open illicit drug scene (the Downtown Eastside [DTES] neighborhood) and describe factors associated with these migration patterns. Data were derived from three cohorts of people who use illicit drugs in Vancouver, Canada. Defined using latent class growth analysis, we identified four distinct migration trajectory groups: 1) consistently living in the DTES (47.8%); 2) early migration out, with a median time of migrating out of DTES of 5.3 months (21.5%); 3) late migration out, with a median time of migrating out of DTES of 38.0 months (20.1%); and 4) frequent revisit back-and-forth to DTES (10.6%). In a multivariable model, compared to the "consistently living in the DTES" group, factors associated with the "frequent revisit" group included being enrolled in non-pharmacological addiction treatment and having an HCV-positive serostatus. Factors associated with the "early migration out" group included being enrolled in detoxification or in other non-pharmacological addiction treatment, later calendar year, being on income assistance, living in a single room occupancy hotel, and having an HCV-positive serostatus. These findings point to the need for appropriate distribution of services in order to meet the needs of this population.
Identifiants
pubmed: 31757260
pii: S0740-5472(19)30013-3
doi: 10.1016/j.jsat.2019.09.006
pmc: PMC6892597
mid: NIHMS1543949
pii:
doi:
Substances chimiques
Illicit Drugs
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
17-23Subventions
Organisme : NIDA NIH HHS
ID : U01 DA021525
Pays : United States
Organisme : NIDA NIH HHS
ID : U01 DA038886
Pays : United States
Organisme : CIHR
ID : MSH-141971
Pays : Canada
Informations de copyright
Copyright © 2019 Elsevier Inc. All rights reserved.
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