Illicit and injecting drug use among Indigenous young people in urban, regional and remote Australia

被引:20
|
作者
Bryant, Joanne [1 ]
Ward, James [2 ]
Wand, Handan [3 ]
Byron, Kat [4 ]
Bamblett, Andrew [4 ]
Waples-Crowe, Peter [5 ]
Betts, Sarah [6 ]
Coburn, Tony [7 ]
Delaney-Thiele, Dea [8 ]
Worth, Heather [9 ]
Kaldor, John [3 ]
Pitts, Marian [10 ]
机构
[1] Univ New South Wales, Ctr Social Res Hlth, Sydney, NSW 2052, Australia
[2] South Australian Hlth & Med Res Inst, Infect Dis Res Aboriginal & Torres Strait Islande, Adelaide, SA, Australia
[3] Univ New South Wales, Kirby Inst, Sydney, NSW, Australia
[4] Victorian Aboriginal Community Controlled Hlth Or, Melbourne, Vic, Australia
[5] Victoria Univ, Moondani Balluk Indigenous Unit, Melbourne, Vic, Australia
[6] Aboriginal Hlth Council South Australia, Adelaide, SA, Australia
[7] Queensland Aboriginal & Islander Hlth Council, Brisbane, Qld, Australia
[8] Aboriginal Med Serv Western Sydney, Sydney, NSW, Australia
[9] Univ New South Wales, Sch Publ Hlth & Community Med, Sydney, NSW, Australia
[10] La Trobe Univ, Australian Res Ctr Sex Hlth & Soc, Melbourne, Vic, Australia
基金
澳大利亚研究理事会;
关键词
illicit drug use; injecting drug use; Indigenous; Australia; young people; NEW-SOUTH-WALES; CANNABIS USE; ARNHEM-LAND; ABORIGINAL COMMUNITIES; NORTHERN-TERRITORY; SUBSTANCE USE; PREVALENCE; ALCOHOL; POPULATION;
D O I
10.1111/dar.12320
中图分类号
R194 [卫生标准、卫生检查、医药管理];
学科分类号
摘要
Introduction and AimsTo examine patterns of illicit drug use among Australian Indigenous young people, identify correlates of frequent use separately in urban, regional and remote settings and characterise those who inject. Design and MethodCross-sectional design at 40 Indigenous events. Self-complete surveys were administered to Indigenous people aged 16-29 years using mobile devices. Results2,877 participants completed the survey. One in five reported using cannabis at least weekly in the previous year, but the use of other drugs was less prevalent. Patterns of drug use were largely similar across regions, although more participants in urban and regional areas reported using ecstasy (12% vs 11% vs 5%) and cocaine (6% vs 3% vs 1%) and more reported weekly cannabis use (18% vs 22% vs 14%). Injecting was rare (3%) but those who did inject reported a high incidence of needle sharing (37%). Methamphetamine (37%), heroin (36%) and methadone (26%) were the most commonly injected drugs, and injecting was related to prison experience (AOR 5.3 95% CI 2.8-10.0). Discussion and ConclusionAttention is needed in relation to cannabis use, particularly among those Indigenous young people living in regional and urban settings. Also, although injecting is uncommon, it is associated with prison involvement. Priority must be given to reducing the numbers of Indigenous youth entering justice settings, delaying the age at first entry to justice settings, and reducing the risk of BBV acquisition while in custody through, for example, prison-based NSP, BBV education, and Indigenous-specific treatment that emphasises connection to country and culture.
引用
收藏
页码:447 / 455
页数:9
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