Non-fatal overdose among adult prisoners with a history of injecting drug use in two Australian states

Moore, Elizabeth, Winter, Rebecca, Indig, Devon, Greenberg, David and Kinner, Stuart A. (2013) Non-fatal overdose among adult prisoners with a history of injecting drug use in two Australian states. Drug and Alcohol Dependence, 133 1: 45-51. doi:10.1016/j.drugalcdep.2013.06.001


Author Moore, Elizabeth
Winter, Rebecca
Indig, Devon
Greenberg, David
Kinner, Stuart A.
Title Non-fatal overdose among adult prisoners with a history of injecting drug use in two Australian states
Journal name Drug and Alcohol Dependence   Check publisher's open access policy
ISSN 0376-8716
1879-0046
Publication date 2013-11
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.drugalcdep.2013.06.001
Open Access Status
Volume 133
Issue 1
Start page 45
End page 51
Total pages 7
Place of publication Shannon, Co. Clare, Ireland
Publisher Elsevier
Collection year 2014
Language eng
Formatted abstract
Background
Recently released prisoners are at markedly increased risk of death and drug-related causes predominate. Non-fatal overdose (NFOD) is considerably more common than fatal overdose, but has received relatively little research attention and most studies of NFOD in this population have suffered from small samples of unknown representativeness. This study aimed to estimate the prevalence and correlates of lifetime NFOD among prisoners in NSW and Queensland.

Methods
Cross-sectional surveys of adult prisoners in two Australian states: New South Wales (n = 972) and Queensland (n = 1316). Use of similar measures and methods in the two states made direct comparison of findings possible.

Results
In both NSW and Queensland, 23% of participants reported a lifetime history of NFOD and prisoners with a history of injecting drug use were significantly more likely to report lifetime NFOD. The lifetime prevalence of NFOD among prisoners with a history of injecting drug use was significantly higher in NSW than in Queensland (44% vs. 35%; p < 0.01). Independent correlates of lifetime NFOD were similar across the two states and included ever attempting suicide, ever injecting heroin, and ever injecting opioids.

Conclusions
The risk of NFOD among prisoners with a history of injecting drug use is high. An understanding of the risk factors for NFOD in this population can inform targeted, evidence-based interventions to reduce this risk.
Keyword Non-fatal overdose
Injecting drug use
Australia
Epidemiology
Prison
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2014 Collection
School of Medicine Publications
 
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