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Depressive symptoms, drug network, and their synergistic effect on needle-sharing behavior among street injection drug users

Authors
 Wallace Mandell  ;  Joohyung Kim  ;  Carl Latkin  ;  Tongwoo Suh 
Citation
 AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE, Vol.25(1) : 117-127, 1999 
Journal Title
 AMERICAN JOURNAL OF DRUG AND ALCOHOL ABUSE 
ISSN
 0095-2990 
Issue Date
1999
MeSH
Adult ; Comorbidity ; Depressive Disorder/diagnosis ; Depressive Disorder/epidemiology ; Depressive Disorder/psychology* ; Disinfection ; Female ; HIV Infections/etiology ; HIV Infections/prevention & control ; Humans ; Logistic Models ; Male ; Maryland/epidemiology ; Needle Sharing/adverse effects ; Needle Sharing/psychology* ; Needle Sharing/statistics & numerical data ; Needles ; Risk Factors ; Risk-Taking* ; Social Support ; Sodium Hypochlorite ; Substance Abuse Treatment Centers ; Substance Abuse, Intravenous/complications ; Substance Abuse, Intravenous/epidemiology ; Substance Abuse, Intravenous/psychology*
Abstract
In this study, we examined the relationship between depressive symptoms and needle-sharing behavior in a community sample of intravenous drug users (N = 499) in Baltimore, Maryland. Based on the polytomous logistic regression, higher depressive symptoms were positively associated both with needle sharing after cleaning with bleach and with needle sharing without first cleaning with bleach at the bivariate analyses. This relationship remained significant (OR = 1.66) even after adjusting for demographic characteristics, life events, drug use patterns, and social and drug networks. A significant synergistic effect of depressive symptoms and drug network on needle sharing after cleaning with bleach and needle sharing without cleaning was observed. More depressed intravenous drug users who also had a larger drug network were found to be at higher risk of needle sharing after cleaning with bleach, as well as needle sharing without cleaning (OR = 2.59). Depression status is discussed as a predisposing factor and drug network size as a precipitating factor for needle-sharing behavior. Implications for preventing needle-sharing behavior by reducing depressive symptoms are discussed.
Full Text
https://www.tandfonline.com/doi/full/10.1081/ada-100101849
DOI
10.1081/ada-100101849
Appears in Collections:
3. College of Nursing (간호대학) > Dept. of Nursing (간호학과) > 1. Journal Papers
Yonsei Authors
Kim, Joohyung(김주형)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/173743
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