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dc.contributor.authorJorjoran Shushtari, Z.
dc.contributor.authorNoroozi, A.
dc.contributor.authorMirzazadeh, A.
dc.contributor.authorAhounbar, E.
dc.contributor.authorHajbi, A.
dc.contributor.authorNajafi, M.
dc.contributor.authorBazrafshan, A.
dc.contributor.authorFarhadi, M.
dc.contributor.authorFarhoudian, A.
dc.contributor.authorHiggs, Peter
dc.contributor.authorShahboulagh, F.
dc.contributor.authorWaye, K.
dc.contributor.authorNoroozi, M.
dc.date.accessioned2017-07-27T05:22:47Z
dc.date.available2017-07-27T05:22:47Z
dc.date.created2017-07-26T11:11:11Z
dc.date.issued2017
dc.identifier.citationJorjoran Shushtari, Z. and Noroozi, A. and Mirzazadeh, A. and Ahounbar, E. and Hajbi, A. and Najafi, M. and Bazrafshan, A. et al. 2017. Comparing Characteristics of Early-Onset Injection Drug Users to Those With Late-Onset Injection in Kermanshah, Iran. Substance Use and Misuse. 52 (6): pp. 754-759.
dc.identifier.urihttp://hdl.handle.net/20.500.11937/54980
dc.identifier.doi10.1080/10826084.2016.1263666
dc.description.abstract

© 2017 Taylor & Francis Group, LLC. Background: Characteristics and behaviors of early-onset injection drug users are under studied topics in Iran. This study aimed to identify and compare the demographic characteristics as well as the drug using behaviors of early-onset and late-onset injection drug users in Kermanshah, West Iran. Methods: In this cross-sectional study using snowball and convenience sampling, we recruited 450 people during the Fall of 2014 from two drop in centers in Kermanshah, Iran. We collected data through face-to-face interviews. Early-onset injection is defined as whether the person reported their first injection at 22 years of age or younger. Subsequently, late-onset injection is defined as 23 years of age or older. We compared the characteristics of the two groups through both univariate and multiple logistic analyses. Results: Overall, 54% (CI 95%: 44.3%, 62.2%) were early injectors. After controlling for low socioeconomic status, initiation of drug use at a young age, multiple drug use and methamphetamine use were all significantly associated with a higher likelihood of early-onset injection. Additionally, early-onset injection was associated with recent syringe borrowing (OR = 2.6, p = 0.001), recent syringe lending (OR = 1.4, p = 0.01), recent cooker sharing (OR = 3.2, p = 0.01) and injecting two or more times a day (OR = 2.2, p = 0.04). Conclusion: Early-onset injectors were more likely to report a lower socioeconomic status, initiation of first drug use at a younger age, using methamphetamine alongside polydrug use, and engaging in higher risk taking behaviors like borrowing needles. With these associations, the study emphasizes the need for drug-prevention programs to focus on the transition to injection drug use at younger ages.

dc.publisherInforma Healthcare
dc.titleComparing Characteristics of Early-Onset Injection Drug Users to Those With Late-Onset Injection in Kermanshah, Iran
dc.typeJournal Article
dcterms.source.volume52
dcterms.source.number6
dcterms.source.startPage754
dcterms.source.endPage759
dcterms.source.issn1082-6084
dcterms.source.titleSubstance Use and Misuse
curtin.departmentNational Drug Research Institute (NDRI)
curtin.accessStatusFulltext not available


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