Drug dealing cessation among a cohort of drug users in Vancouver, Canada.
Drug Alcohol Depend
; 118(2-3): 459-63, 2011 Nov 01.
Article
en En
| MEDLINE
| ID: mdl-21664770
ABSTRACT
INTRODUCTION:
Drug dealing among drug users has been associated with elevated risk-taking and negative health outcomes. However, little is known about the cessation of drug dealing among this population.METHODS:
We assessed time to cessation of drug dealing using Cox regression. We also used generalized estimating equation (GEE) analysis and chi-square analysis to examine factors associated with willingness to cease drug dealing.RESULTS:
In total, 868 participants reported drug dealing between November 2005 and March 2009. Among 381 participants dealing drugs at baseline, 194 (51%) ceased dealing. Incidence of dealing cessation was positively associated with spending less than $50 per day on drugs (Adjusted Hazard Ratio [AHR]=1.88, 95% confidence interval [CI] 1.14-3.10) and negatively associated with buying drugs from the same source (AHR=0.60, 95% CI 0.37-0.98). In a GEE analysis, willingness to cease dealing was positively associated with older age (Adjusted Odds Ratio [AOR]=1.02, 95% CI 1.01-1.03), crack use (AOR=2.00, 95% CI 1.44-2.79), public injecting (AOR=1.95, 95% CI 1.55-2.43), and reporting that police presence affects drug purchases (AOR=1.53, 95% CI 1.22-1.91), and negatively associated with crystal methamphetamine injection (AOR=0.62, 95% CI 0.47-0.83).DISCUSSION:
Intensity of drug use and acquisition method were predictive of dealing cessation. Willingness to cease dealing was associated with a range of risky drug-related activities. Interventions to reduce drug dealing should be conceived in tandem with addiction treatment strategies.
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Asunción de Riesgos
/
Trastornos Relacionados con Sustancias
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Consumidores de Drogas
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Criminales
Tipo de estudio:
Etiology_studies
/
Observational_studies
/
Prognostic_studies
/
Qualitative_research
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Risk_factors_studies
Límite:
Adult
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Female
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Humans
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Male
País/Región como asunto:
America do norte
Idioma:
En
Revista:
Drug Alcohol Depend
Año:
2011
Tipo del documento:
Article
País de afiliación:
Canadá