High-risk drug-use practices among a large sample of Australian prisoners

Kinner, Stuart A., Jenkinson, Rebecca, Gouillou, Maelenn and Milloy, M-J. (2012) High-risk drug-use practices among a large sample of Australian prisoners. Drug and Alcohol Dependence, 126 1-2: 156-160. doi:10.1016/j.drugalcdep.2012.05.008


Author Kinner, Stuart A.
Jenkinson, Rebecca
Gouillou, Maelenn
Milloy, M-J.
Title High-risk drug-use practices among a large sample of Australian prisoners
Journal name Drug and Alcohol Dependence   Check publisher's open access policy
ISSN 0376-8716
1879-0046
Publication date 2012-11
Year available 2012
Sub-type Article (original research)
DOI 10.1016/j.drugalcdep.2012.05.008
Open Access Status
Volume 126
Issue 1-2
Start page 156
End page 160
Total pages 5
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier Ireland
Collection year 2013
Language eng
Formatted abstract
Background: Drug injection in prison is associated with a high risk of transmission of  blood-borne pathogens including hepatitis C (HCV). The aim of this study was to estimate the prevalence and identify independent correlates of recent in-prison injecting drug use (P-IDU) among a large sample of adult prisoners in Queensland, Australia.
Methods: Confidential, structured interviews with 1,322 adult prisoners in Queensland, Australia. Prevalence estimates were corrected for sampling bias using inverse probability weighting. Independent correlates of recent P-IDU were identified using multivariable Poisson regression with backwards elimination.
Results: We estimated that among all adult prisoners in Queensland, Australia, the prevalence of lifetime IDU was 55.1%, of lifetime P-IDU 23.0%, and of recent (during current sentence) P-IDU 13.2%. Significant, independent correlates of recent P-IDU included male gender (ARR = 3.07, 95%CI 1.83–5.12), being unemployed prior to incarceration (ARR = 1.34, 95%CI 1.01–1.76), use of three or more drug types prior to incarceration (ARR = 1.80, 95%CI 1.40–2.31), a history of needle/ syringe sharing (ARR = 5.00, 95%CI 3.06–8.16), receiving a tattoo during the current prison sentence (ARR = 2.19, 95%CI 1.67–2.86) and HCV exposure (ARR = 1.47, 95%CI 1.08–2.02). Older age was protective (ARR = 0.90 per 5 years older, 95%CI 0.83–0.99).
Conclusion
: Drug injection in prison is common and, given the associations between in-prison drug injection and syringe sharing, unsafe tattooing and HCV exposure, poses a risk to both prisoner health and public health. There remains an urgent need to implement evidence-based infection control measures, including needle and syringe programs, within prison settings.
Keyword Prisons
Injecting drug use
Prevalence
Hepatitis-C Virus
Hiv
Incarceration
Injection
Inmates
Transmission
Population
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2013 Collection
School of Medicine Publications
 
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