Abstract
The US opioid epidemic has severely impacted young adults, and threatens to reverse successes in reducing HIV/HCV transmission among people who inject drugs (PWID). We examined injection cessation among participants in a behavioral intervention trial for young adults who use drugs in the nightclub scene. Participants were enrolled in a three-arm randomized trial testing the efficacy of age peer interviewer or self-administered health and social risk assessments compared to wait list control. Outcomes were measured at twelve months. Eligibility criteria was ages eighteen to thirty-nine, recent multidrug use, and regular attendance at large nightclubs. Sub-analyses included PWID at baseline who completed the twelve-month follow-up (N=69). Chi-square and F statistics examined differences between participants reporting discontinuing intravenous drug us (IDU) at follow-up compared to those with ongoing IDU. Median age=twenty-five; 33% female; 70% Hispanic, 23% White, 6% Black. Education=58% some college or more. Childhood victimization history=44%. Infectious disease prevalence=HIV 3%, HCV 16%. Recent baseline substance use included greater than 90% marijuana, cocaine, heroin, Rx opioids and benzodiazepines. Cessation of IDU at twelve-month follow-up was reported by 54% (N=37). Cessation was unrelated to baseline substance use frequencies. PWID in the interviewer-administered intervention arm were more likely to report IDU cessation compared to other conditions (p=.008). Cessation was less likely among PWID who injected both stimulants and opioids at baseline (p=.004), as well as among those with childhood victimization histories (p=.003). Indices of social support, resilience, and positive coping behaviors were higher among PWID reporting injection cessation (all p< .01).
Presenters
Mance E. ButtramNova Southeastern University Steven P. Kurtz
Professor and Director, Center for Applied Research on Substance Use and Health Disparities, Nova Southeastern University, United States
Details
Presentation Type
Theme
Public Health Policies and Practices
KEYWORDS
Young Adults, Injection Drug Use, Nightclubs, Behavioral Intervention Trial
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