Increased non-fatal overdose risk associated with involuntary drug treatment in a longitudinal study with people who inject drugs

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dc.contributor.affiliationDivision of Global Public Health, School of Medicine, University of California, San Diego, CA, USA
dc.contributor.emailsstrathdee@ucsd.edu (Steffanie A. Strathdee)
dc.creatorRafful, Claudia
dc.creatorOrozco, Ricardo
dc.creatorRangel, Gudelia
dc.creatorDavidson, Peter
dc.creatorWerb, Dan
dc.creatorBeletsky, Leo
dc.creatorStrathdee, Steffanie A.
dc.creator.identificadorhttps://orcid.org/0000-0002-6580-585X (Orozco, Ricardo)
dc.date2018
dc.date.accessioned2026-10-23T20:04:32Z
dc.date.issued2018
dc.date.published2018
dc.descriptionAim: To assess the effect of involuntary drug treatment (IDT) on non-fatal overdose among people who inject drugs (PWID). Design: Longitudinal study. Setting: Tijuana, Mexico. Participants: Baseline sample of 671 PWID included 258 (38.4%) women and 413 (61.6%) men. Measurements: Primary independent variables were reported recent (i.e. past 6 months) non-fatal overdose event (dependent variable) and IDT. Substance use the day of the non-fatal overdose was also examined. Findings: From 2011 to 2017, 213 participants (31.7%) reported a recent non-fatal overdose and 103 (15.4%) reported recent IDT. Heroin, in combination with methamphetamine and tranquilizers, were the drugs most reported at the day of the event. IDT significantly increased the odds of reporting a non-fatal overdose event [adjusted odds ratio (aOR) = 1.76; 95% confidence interval (CI) = 1.04-2.96]. Odds of non-fatal overdose also increased independently for each additional injection per day (aOR = 1.05; 95% CI = 1.02-1.08), recent tranquilizer use (aOR = 1.92; 95% CI = 1.41-2.61) and using hit doctors (aOR = 1.68; 95% CI = 1.29-2.18) and decreased with age (aOR = 0.97 per year, 95% CI = 0.95-0.99). Conclusions: Recent involuntary drug treatment in Mexico is a risk factor for non-fatal drug overdose.
dc.formatPDF
dc.identifierJC13DIEP18
dc.identifier.doi10.1111/add.14159
dc.identifier.eissn1360-0443
dc.identifier.issn0965-2140
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñiz
dc.identifier.placeInglaterra
dc.identifier.urihttps://repositorio.inprf.gob.mx/handle/123456789/230
dc.identifier.urihttps://doi.org/10.1111/add.14159
dc.identifier.urihttps://pmc.ncbi.nlm.nih.gov/articles/PMC5938130/
dc.language.isoeng
dc.publisherWiley-Blackwell
dc.relation113(6):1056-1063
dc.relation.jnabreviadoADDICTION
dc.relation.journalAddiction
dc.rightsAcceso Cerrado
dc.subject.kwCohort study
dc.subject.kwGeneralized estimating equation
dc.subject.kwInvoluntary treatment
dc.subject.kwNon-fatal overdose
dc.subject.kwPeople who inject drugs
dc.subject.kwTijuana
dc.titleIncreased non-fatal overdose risk associated with involuntary drug treatment in a longitudinal study with people who inject drugs
dc.typeArtículo

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