Impact of cumulative incarceration and the post‐release period on syringe‐sharing among people who inject drugs in Tijuana, Mexico: a longitudinal analysis.
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| Title: | Impact of cumulative incarceration and the post‐release period on syringe‐sharing among people who inject drugs in Tijuana, Mexico: a longitudinal analysis. |
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| Authors: | Rivera Saldana, Carlos D. (AUTHOR), Beletsky, Leo (AUTHOR), Borquez, Annick (AUTHOR), Kiene, Susan M. (AUTHOR), Strathdee, Steffanie A. (AUTHOR), Zúñiga, María Luisa (AUTHOR), Martin, Natasha K. (AUTHOR), Cepeda, Javier (AUTHOR) |
| Source: | Addiction. Oct2021, Vol. 116 Issue 10, p2724-2733. 10p. 4 Charts. |
| Subjects: | Imprisonment, Needle sharing, Prison psychology, Substance abuse, Confidence intervals, Risk assessment, Logistic regression analysis, Odds ratio, Longitudinal method, Bloodborne infections, Disease risk factors |
| Geographic Terms: | Mexico |
| Abstract: | Background and aims: Syringe‐sharing among people who inject drugs, which can occur during incarceration and post‐release, has been linked with increased risk of blood‐borne infections. We aimed to investigate the cumulative effect of repeated incarceration and the post‐release period on receptive syringe‐sharing. Design Ongoing community‐based cohort, recruited through targeted sampling between 2011 and 2012 with 6‐month follow‐ups. Setting: Tijuana, Mexico. Participants: Sample of 185 participants (median age 35 years; 67% female) with no history of incarceration at study entry, followed to 2017. Measurements Cumulative incarceration and post‐release period were constructed from incarceration events reported in the past 6 months for each study visit. Receptive syringe‐sharing in the past 6 months was assessed as a binary variable. We used logistic regression with generalized estimating equations to examine the association between cumulative incarceration events and the post‐release period with receptive syringe‐sharing over time. Missing data were handled through multiple imputation. Findings At baseline, 65% of participants engaged in receptive syringe‐sharing in the prior 6 months. At follow‐up, 150 (81%) participants experienced a total of 358 incarceration events [median = 2, interquartile range (IQR) = 1–3]. The risk of receptive syringe‐sharing increased with the number of repeated incarcerations. Compared with never incarcerated, those with one incarceration had 1.28 [95% confidence interval (CI) = 0.97–1.68] higher adjusted odds of syringe‐sharing; two to three incarcerations, 1.42 (95% CI = 1.02–1.99) and more than three incarcerations, 2.10 (95% CI = 1.15–3.85). Participants released within the past 6 months had 1.53 (95% CI = 1.14–2.05) higher odds of sharing syringes compared with those never incarcerated. This post‐release risk continued up to 1.5 years post‐incarceration (adjusted odds ratio = 1.41, 95% CI = 1.04–1.91), but then waned. Conclusions: A longitudinal community cohort study among people who inject drugs suggested that the effects of incarceration on increased injecting risk, measured through syringe‐sharing, are cumulative and persist during the post‐release period. [ABSTRACT FROM AUTHOR] |
| Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Links: – Type: pdflink Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 152291185 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Impact of cumulative incarceration and the post‐release period on syringe‐sharing among people who inject drugs in Tijuana, Mexico: a longitudinal analysis. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Rivera+Saldana%2C+Carlos+D%2E%22">Rivera Saldana, Carlos D.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Beletsky%2C+Leo%22">Beletsky, Leo</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Borquez%2C+Annick%22">Borquez, Annick</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Kiene%2C+Susan+M%2E%22">Kiene, Susan M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Strathdee%2C+Steffanie+A%2E%22">Strathdee, Steffanie A.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Zúñiga%2C+María+Luisa%22">Zúñiga, María Luisa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Martin%2C+Natasha+K%2E%22">Martin, Natasha K.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Cepeda%2C+Javier%22">Cepeda, Javier</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Addiction%22">Addiction</searchLink>. Oct2021, Vol. 116 Issue 10, p2724-2733. 10p. 4 Charts. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Imprisonment%22">Imprisonment</searchLink><br /><searchLink fieldCode="DE" term="%22Needle+sharing%22">Needle sharing</searchLink><br /><searchLink fieldCode="DE" term="%22Prison+psychology%22">Prison psychology</searchLink><br /><searchLink fieldCode="DE" term="%22Substance+abuse%22">Substance abuse</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Odds+ratio%22">Odds ratio</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Bloodborne+infections%22">Bloodborne infections</searchLink><br /><searchLink fieldCode="DE" term="%22Disease+risk+factors%22">Disease risk factors</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Mexico%22">Mexico</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background and aims: Syringe‐sharing among people who inject drugs, which can occur during incarceration and post‐release, has been linked with increased risk of blood‐borne infections. We aimed to investigate the cumulative effect of repeated incarceration and the post‐release period on receptive syringe‐sharing. Design Ongoing community‐based cohort, recruited through targeted sampling between 2011 and 2012 with 6‐month follow‐ups. Setting: Tijuana, Mexico. Participants: Sample of 185 participants (median age 35 years; 67% female) with no history of incarceration at study entry, followed to 2017. Measurements Cumulative incarceration and post‐release period were constructed from incarceration events reported in the past 6 months for each study visit. Receptive syringe‐sharing in the past 6 months was assessed as a binary variable. We used logistic regression with generalized estimating equations to examine the association between cumulative incarceration events and the post‐release period with receptive syringe‐sharing over time. Missing data were handled through multiple imputation. Findings At baseline, 65% of participants engaged in receptive syringe‐sharing in the prior 6 months. At follow‐up, 150 (81%) participants experienced a total of 358 incarceration events [median = 2, interquartile range (IQR) = 1–3]. The risk of receptive syringe‐sharing increased with the number of repeated incarcerations. Compared with never incarcerated, those with one incarceration had 1.28 [95% confidence interval (CI) = 0.97–1.68] higher adjusted odds of syringe‐sharing; two to three incarcerations, 1.42 (95% CI = 1.02–1.99) and more than three incarcerations, 2.10 (95% CI = 1.15–3.85). Participants released within the past 6 months had 1.53 (95% CI = 1.14–2.05) higher odds of sharing syringes compared with those never incarcerated. This post‐release risk continued up to 1.5 years post‐incarceration (adjusted odds ratio = 1.41, 95% CI = 1.04–1.91), but then waned. Conclusions: A longitudinal community cohort study among people who inject drugs suggested that the effects of incarceration on increased injecting risk, measured through syringe‐sharing, are cumulative and persist during the post‐release period. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Addiction is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1111/add.15445 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 10 StartPage: 2724 Subjects: – SubjectFull: Imprisonment Type: general – SubjectFull: Needle sharing Type: general – SubjectFull: Prison psychology Type: general – SubjectFull: Substance abuse Type: general – SubjectFull: Confidence intervals Type: general – SubjectFull: Risk assessment Type: general – SubjectFull: Logistic regression analysis Type: general – SubjectFull: Odds ratio Type: general – SubjectFull: Longitudinal method Type: general – SubjectFull: Bloodborne infections Type: general – SubjectFull: Disease risk factors Type: general – SubjectFull: Mexico Type: general Titles: – TitleFull: Impact of cumulative incarceration and the post‐release period on syringe‐sharing among people who inject drugs in Tijuana, Mexico: a longitudinal analysis. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Rivera Saldana, Carlos D. – PersonEntity: Name: NameFull: Beletsky, Leo – PersonEntity: Name: NameFull: Borquez, Annick – PersonEntity: Name: NameFull: Kiene, Susan M. – PersonEntity: Name: NameFull: Strathdee, Steffanie A. – PersonEntity: Name: NameFull: Zúñiga, María Luisa – PersonEntity: Name: NameFull: Martin, Natasha K. – PersonEntity: Name: NameFull: Cepeda, Javier IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 10 Text: Oct2021 Type: published Y: 2021 Identifiers: – Type: issn-print Value: 09652140 Numbering: – Type: volume Value: 116 – Type: issue Value: 10 Titles: – TitleFull: Addiction Type: main |
| ResultId | 1 |
