Opiate substitution treatment to reduce in-prison drug injection: a natural experiment

Kinner, Stuart A., Moore, Elizabeth, Spittal, Matthew. L. and Indig, Devon (2013) Opiate substitution treatment to reduce in-prison drug injection: a natural experiment. International Journal of Drug Policy, 24 5: 460-463. doi:10.1016/j.drugpo.2013.01.004

Author Kinner, Stuart A.
Moore, Elizabeth
Spittal, Matthew. L.
Indig, Devon
Title Opiate substitution treatment to reduce in-prison drug injection: a natural experiment
Journal name International Journal of Drug Policy   Check publisher's open access policy
ISSN 0955-3959
Publication date 2013-09-01
Year available 2013
Sub-type Article (original research)
DOI 10.1016/j.drugpo.2013.01.004
Volume 24
Issue 5
Start page 460
End page 463
Total pages 4
Place of publication Amsterdam, Netherlands
Publisher Elsevier
Language eng
Formatted abstract
Background: There is emerging evidence that opiate substitution treatment (OST) in prison is associated with reduced injecting drug use (IDU). In Australia OST is available in prison for men and women in all jurisdictions except Queensland, where it is available only for women. The aim of this study was to examine the association between in-prison OST and in-prison IDU in New South Wales (NSW) and Queensland.
Methods: Cross-sectional survey of Australian prisoners in NSW (N = 1128) and Queensland (N = 1325). Lifetime IDU and in-prison IDU measured by self-report.
Results: Lifetime history of IDU was significantly more common among females than males in both jurisdictions. Among those with a lifetime history of IDU, the lifetime prevalence of in-prison IDU was significantly higher for males than females in both jurisdictions, however the magnitude of this sex difference was considerably greater in Queensland than in NSW.
Conclusion: Provision of OST in prison is associated with a reduced lifetime prevalence of in-prison drug injection, among those with a lifetime history of IDU. Irrespective of OST policies, women with a history of IDU are less likely than their male counterparts to inject in prison; reasons for this novel and replicable sex difference require further examination.
Keyword Injecting drug use
Opiate substitution treatment
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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