"Hooked on" Prescription-Type Opiates Prior to Using Heroin: Results from a Survey of Syringe Exchange Clients

被引:88
作者
Peavy, K. Michelle [1 ]
Banta-Green, Caleb J. [1 ]
Kingston, Susan
Hanrahan, Michael [2 ]
Merrill, Joseph O. [3 ]
Coffin, Phillip O. [4 ]
机构
[1] Univ Washington, Inst Alcohol & Drug Abuse, Seattle, WA 98105 USA
[2] HIV Prevent Publ Hlth Seattle & King Cty, HIV Educ & Prevent Serv, Seattle, WA USA
[3] Univ Washington, Dept Med, Seattle, WA 98105 USA
[4] San Francisco Dept Publ Hlth, San Francisco, WA USA
关键词
heroin; pharmaceutical opioids; syringe exchange; trajectory; DRUG-USERS; ABUSE; OPIOIDS;
D O I
10.1080/02791072.2012.704591
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The availability and diversion of prescription-type opioids increased dramatically in the first decade of the twenty-first century. One possible consequence of increased prescription opioid use and accessibility is the associated rise in opioid dependence, potentially resulting in heroin addiction. This study aimed to determine how common initial dependence on prescription-type opioids is among heroin injectors; associations with demographic and drug-using characteristics were also examined. Interview data were collected at syringe exchanges in King County, Washington in 2009. Among the respondents who had used heroin in the prior four months, 39% reported being "hooked on" prescription-type opioids first. Regression analysis indicated that younger age, sedative use and no recent crack use were independently associated with self-report of being hooked on prescription-type opioids prior to using heroin. These data quantify the phenomenon of being hooked on prescription-type opioids prior to initiating heroin use. Further research is needed to characterize the epidemiology, etiology and trajectory of prescription-type opioid and heroin use in the context of continuing widespread availability of prescription-type opioids.
引用
收藏
页码:259 / 265
页数:7
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