Polydrug use among heroin users in Cleveland, OH

Drug and Alcohol Dependence
Georgiy BobashevLee Hoffer

Abstract

Since 2000, heroin use patterns have shifted within the United States. How this change may relate to polydrug use among local heroin users is unknown. Although polydrug use has been studied, user perceptions of drug use in terms of health risks, arrest risk, availability, cost, liking, and dependence have not been considered. Data are presented from a brief, face-to-face survey conducted in 2016 of 200 non-in-treatment heroin users from Cleveland, OH. We assessed the use of and attitudes on alcohol, marijuana, methamphetamine, heroin, crack cocaine, powder cocaine, and prescription drugs. We estimated polydrug (concurrent past month) use with cluster analysis and latent profiles. Regression analysis estimated the strength of relationships between attitudes and frequency of use. We identified five clusters: Cluster 1 used heroin concomitantly with alcohol and occasionally crack; Cluster 2 used heroin and crack cocaine daily; Cluster 3 used heroin daily and almost exclusively; Cluster 4 used heroin and marijuana daily; and Cluster 5 were part-time drug users. Drug use frequency was associated with liking and being anxious when drugs could not be obtained. High perceived availability of heroin and cocaine and low cost facilitated ...Continue Reading

Citations

Jul 3, 2020·Frontiers in Neuroscience·Elizabeth A CrummySusan M Ferguson
Dec 22, 2020·Drug and Alcohol Dependence·Daniel Dacosta-SánchezOscar M Lozano-Rojas
Mar 3, 2021·Drug and Alcohol Dependence·Philip J FredaHenry R Kranzler
Jan 6, 2022·Clinical Toxicology : the Official Journal of the American Academy of Clinical Toxicology and European Association of Poisons Centres and Clinical Toxicologists·Namkee G ChoiS David Baker

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