Background: Analyses of the individual-, social- and structural-level factors promoting the transmission of HIV and other blood-borne pathogens have consistently identified exposure to correctional environments, especially for individuals who use injection drugs (IDU), as a risk factor for infection. The objectives of this project were: to review the epidemiologic literature on incarceration and HIV infection among IDU, critically examining evidence presented supporting a causal linkage between imprisonment and infection; to investigate incarceration experiences in a cohort of active IDU; and to assess the possible effects of incarceration on the post-release risk environment of active IDU. Methods: Longitudinal datasets for quantitative analyses were derived from the Vancouver Injection Drug User Study (VIDUS) and the Scientific Evaluation of Supervised Injection (SEOSI), both prospective cohorts of IDU in Vancouver’s Downtown Eastside neighbourhood. In the first analysis, the prevalence and correlates of reporting incarceration in the the previous six months were identified in SEOSI using generalized estimating equations (GEE). In the second analysis, the possible effect of imprisonment on the prevalence of risk factors for HIV infection was estimated in VIDUS using linear growth curve analysis. Results: In the first analysis, 902 individuals interviewed at least once between 1 July 2004 and 30 June 2006 were included. Overall, 423 (46.9%) reported an incarceration event at some point during the study period. In a multivariate GEE model, recent incarceration was independently associated with a number of high-risk factors, including syringe sharing. In the second analysis, 1603 individuals were interviewed at least once between 1 May 1996 and 31 December 2005 and in cluded. Of these, 147 (9.2%) matched the study criteria and were included as cases; 742 (46.3%) were included as matched controls. In linear growth curve analyses adjusted for age, gender and ethnicity, syringe sharing was significantly more common in the incarcerated group (p = 0.03) after incarceration than in the control group. Conclusions: Our findings support the existence of a role for incarceration in continued viral transmission. In response, appropriate harm reduction measures should be expanded within correctional environments and social, political and legal reforms enacted to reduce the incidence of imprisonment for individuals who use illicit drugs.

published_or_final_version / Politics and Public Administration / Master / Master of Public Administration

Background This paper provides an updated review of the literature on drug prevention programmes (from 2001 to July2011) and reports the findings from these previous studies on the effectiveness and nature of present drug prevention practices. Relevant data on the effectiveness of drug prevention intervention among adolescents has been summarised and examined. In addition, this paper identifies various essential elements that have the potential for creating and providing effective drug prevention strategies, whether to prevent substance misuse or to minimise the harm caused. Different prevention strategies will also be discussed, including: social influence approach, refusal skill training, and motivational interviewing. Design The paper will conduct a review of the previous literature. Aims This literature review proposes to: 1. Review all of the published evidence from research which was conducted between 2001and 2011 on the effectiveness of drug prevention programmes for adolescents. 2. Identify findings and recommendations regarding the content, approaches, format, theoretical bases, and methods associated with an effective drug prevention program. 3. Discuss any potential or proved effective components on a drug prevention program in tackling such drug abuse problems. Methods Two searching engines (i.e. PubMed and Medline) were used to find the relevant papers and journals which have been published within the past ten years (i.e. 2001 to 2011). Studies about the evaluation of the effectiveness of drug education and prevention strategies, targeting the most vulnerable group (i.e. aged between 12 and 25) were included. Results Twenty four studies met the criteria and were reviewed in depth. Thirteen of them evaluated the effectiveness of school-based interventions, including the school-based drug testing program. The remaining papers evaluated the effectiveness of non-school based prevention interventions in different approaches such as social influence, parental cooperation, refusal skills education, and life skills training. Conclusions Social influence approaches were evidenced as the most effective intervention to prevent drug abuse. Interventions that are conducted interactively (e.g. simulated scenario and role-playing) are more effective than providing normative information. Gender differences were found in some of the interventions. However, it is recommended that further research should be conducted to evaluate these results. / published_or_final_version / Public Health / Master / Master of Public Health

Background: Analyses of the individual-, social- and structural-level factors promoting the transmission of HIV and other blood-borne pathogens have consistently identified exposure to correctional environments, especially for individuals who use injection drugs (IDU), as a risk factor for infection. The objectives of this project were: to review the epidemiologic literature on incarceration and HIV infection among IDU, critically examining evidence presented supporting a causal linkage between imprisonment and infection; to investigate incarceration experiences in a cohort of active IDU; and to assess the possible effects of incarceration on the post-release risk environment of active IDU. Methods: Longitudinal datasets for quantitative analyses were derived from the Vancouver Injection Drug User Study (VIDUS) and the Scientific Evaluation of Supervised Injection (SEOSI), both prospective cohorts of IDU in Vancouver’s Downtown Eastside neighbourhood. In the first analysis, the prevalence and correlates of reporting incarceration in the the previous six months were identified in SEOSI using generalized estimating equations (GEE). In the second analysis, the possible effect of imprisonment on the prevalence of risk factors for HIV infection was estimated in VIDUS using linear growth curve analysis. Results: In the first analysis, 902 individuals interviewed at least once between 1 July 2004 and 30 June 2006 were included. Overall, 423 (46.9%) reported an incarceration event at some point during the study period. In a multivariate GEE model, recent incarceration was independently associated with a number of high-risk factors, including syringe sharing. In the second analysis, 1603 individuals were interviewed at least once between 1 May 1996 and 31 December 2005 and in cluded. Of these, 147 (9.2%) matched the study criteria and were included as cases; 742 (46.3%) were included as matched controls. In linear growth curve analyses adjusted for age, gender and ethnicity, syringe sharing was significantly more common in the incarcerated group (p = 0.03) after incarceration than in the control group. Conclusions: Our findings support the existence of a role for incarceration in continued viral transmission. In response, appropriate harm reduction measures should be expanded within correctional environments and social, political and legal reforms enacted to reduce the incidence of imprisonment for individuals who use illicit drugs.

No description available.

The thesis was designed to determine the nature, type, and scope of drug use existing on the Ball State University Campus. An anonymous questionnaire was administered to a ten percent stratified random sample of undergraduate students with a proportional allocation of ten percent from each of the four college years.Results of the survey revealed drug use (use for other than medically prescribed reasons) by 31.5 percent of the sample. Ball State students who used drugs were likely: To be 21 to 22 years of age, to be males, to be juniors, to major in the Science of Humanities, to be divorced, to specify “none” for religious affiliation, to live in off-campus unapproved housing, to have a grade point average of 1.5 to 2.0, to have parents with incomes of $15,000-$20,000, to have begun their use of drugs as college sophomores, to have received their first drugs from friends, to have used, to be currently using, and to anticipate continuing to use the drug, marijuana, and to give curiosity as their main reason for using drugs.

No description available.

In an effort to shift away from the narrow medical model of drug treatment the Advisory Council on the Misuse of Drugs (ACMD), in 1982, introduced the idea of the 'problem drug user' (PDU) and recommended a multi-disciplinary approach in order to meet the increasingly evident multiple and complex problems presented by dependent drug users. However, despite the development of a series of drug strategies (HM Government, 1995; 1998; 2002; 2008; 2010) and vast increases in funding, dependent drug users are still struggling to receive the services they require to address their diverse problems (Neale, 2008; Buchanan, 2010). Through an analysis of in-depth interviews with dependent drug users and their keyworkers this thesis seeks to explain these deficiencies. The author argues that the broad umbrella of drug policy that has adopted a framework of risk-based strategies to regulate and control drugs and drug users has focused on the social and economic costs associated with problem drug use, particularly in relation to the belief that much acquisitive crime is drug-related. Hence, the focus has not been on the problems that drug users have but on the problems they cause. The medical model that has dominated the treatment of addiction has been reinforced, therefore, not only because 'drug addiction' has been described as a chronic and relapsing condition (NTA, 2002), but also because of the wider social control objectives (crime reduction, in particular) that this approach delivers (Lind et al., 2005; Gossop, 2005; Millar et al., 2008). The author examines the implications of these drug policy directions on the treatment journeys of dependent drug users. Firstly, the author demonstrates how the confluence of the health and crime reduction agendas has led to the paradoxical perception of drug users as being 'sick-but-deviant' that has served to exacerbate their stigmatised identities. Secondly, the author suggests that the closer alignment between the drug treatment workforce and the criminal justice system has led to the isolation of drug treatment from wider health and social care services. Together, these two consequences of drug policies have created further barriers to service access and successful recovery, thereby providing an explanation for the unmet need of dependent drug users attending treatment services.

The contribution of this research is in the area of adolescent decision making. The specific decision examined is the decision to use or not use drugs. Several factors were expected to have significant impacts on this crucial adolescent decision. These factors included peer, school, family, and religion influences. The source of the data was a sample of ninth through twelfth grade students in a north Texas city. The students responded to a survey questionnaire in the spring semester of 1989. A total of 632 students responded to the questions about alcohol- and drug-related attitudes, beliefs, and behaviors. Four major hypotheses were tested, and each one was supported by the research findings. In the first hypothesis, it was expected that family drug use factors would have a positive effect on adolescent drug use. Family factors included the following: parental use of alcohol, problems for family members due to parental drinking, and problems for the respondent due to parental drinking. Family factors had a statistically significant effect on alcohol use and any drug use.

Background: Analyses of the individual-, social- and structural-level factors promoting the transmission of HIV and other blood-borne pathogens have consistently identified exposure to correctional environments, especially for individuals who use injection drugs (IDU), as a risk factor for infection. The objectives of this project were: to review the epidemiologic literature on incarceration and HIV infection among IDU, critically examining evidence presented supporting a causal linkage between imprisonment and infection; to investigate incarceration experiences in a cohort of active IDU; and to assess the possible effects of incarceration on the post-release risk environment of active IDU. Methods: Longitudinal datasets for quantitative analyses were derived from the Vancouver Injection Drug User Study (VIDUS) and the Scientific Evaluation of Supervised Injection (SEOSI), both prospective cohorts of IDU in Vancouver’s Downtown Eastside neighbourhood. In the first analysis, the prevalence and correlates of reporting incarceration in the the previous six months were identified in SEOSI using generalized estimating equations (GEE). In the second analysis, the possible effect of imprisonment on the prevalence of risk factors for HIV infection was estimated in VIDUS using linear growth curve analysis. Results: In the first analysis, 902 individuals interviewed at least once between 1 July 2004 and 30 June 2006 were included. Overall, 423 (46.9%) reported an incarceration event at some point during the study period. In a multivariate GEE model, recent incarceration was independently associated with a number of high-risk factors, including syringe sharing. In the second analysis, 1603 individuals were interviewed at least once between 1 May 1996 and 31 December 2005 and in cluded. Of these, 147 (9.2%) matched the study criteria and were included as cases; 742 (46.3%) were included as matched controls. In linear growth curve analyses adjusted for age, gender and ethnicity, syringe sharing was significantly more common in the incarcerated group (p = 0.03) after incarceration than in the control group. Conclusions: Our findings support the existence of a role for incarceration in continued viral transmission. In response, appropriate harm reduction measures should be expanded within correctional environments and social, political and legal reforms enacted to reduce the incidence of imprisonment for individuals who use illicit drugs. / Medicine, Faculty of / Population and Public Health (SPPH), School of / Graduate