Prevalence and correlates of neck injection among people who inject drugs in Tijuana, Mexico

Drug and Alcohol Review
Claudia RaffulSteffanie A Strathdee

Abstract

Injecting drugs in the neck has been related to adverse health conditions such as jugular vein thrombosis, deep neck infections, aneurysm, haematomas, airway obstruction, vocal cord paralysis and wound botulism, among others. We identified prevalence and correlates of neck injection among people who inject drugs (PWID) in Tijuana, Mexico. Beginning in 2011, PWID aged ≥18 years who injected drugs within the last month were recruited into a prospective cohort. At baseline and semi-annually, PWID completed interviewer-administered surveys soliciting data on drug-injecting practices. Logistic regression was used to identify predictors of injecting in the neck as the most frequent injection site at a single visit. Of 380 PWID, 35.3% injected in the neck at least once in the past 6 months, among whom 71.6% reported it as their most common injection site, the most common injecting site after the arms (47%). Controlling for age, years injecting and injecting frequency, injecting heroin and methamphetamine two or more times per day and having sought injection assistance were associated with injecting in the neck [adjusted odds ratios (AOR): 2.12; 95% confidence intervals (CI): 1.27-3.53 and AOR: 2.65; 95% CI: 1.52-4.53 respectively]. In...Continue Reading

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Citations

Jan 29, 2016·Harm Reduction Journal·Jeanette Somlak PedersenKanna Hayashi
Dec 11, 2020·The American Journal on Addictions·Sara N GlickMatthew R Golden
Dec 2, 2020·The International Journal on Drug Policy·Sarah BrothersRicky N Bluthenthal

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