Etiology of limited transmission diseases among drug users: does recent migration magnify the risk of sharing injection equipment?

Epidemiological studies have attributed area-specific changes in infectious disease prevalence to human migration. There is a paucity of research investigating the postmigration adjustment period as an effect on risk behaviors that are required in limited transmission diseases. A two-group typology,...

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Bibliographic Details
Published in:Social science & medicine (1982) 2000-04, Vol.50 (7-8), p.1091-1097
Main Authors: PASCHANE, D. M, FISHER, D. G
Format: Article
Language:English
Subjects:
Adjustment
Alaska
Analysis. Health state
Biological and medical sciences
Cluster Analysis
Disease
Disease Transmission, Infectious
Diseases
Drug abuse
Drug Injection
Emigration and Immigration
Epidemiology
General aspects
Humans
Intravenous drug addicts
Medical equipment
Medical sciences
Migrants
Migration
Migration Substance abuse Policy Alaska
Needle Sharing
Public health. Hygiene
Public health. Hygiene-occupational medicine
Regional Differences
Risk factors
Risk-Taking
Transmission
USA
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Summary:Epidemiological studies have attributed area-specific changes in infectious disease prevalence to human migration. There is a paucity of research investigating the postmigration adjustment period as an effect on risk behaviors that are required in limited transmission diseases. A two-group typology, derived by cluster analysis, allowed for an analytical differentiation in the postmigration period. The cluster variable and other possible cofactors were included in linear and logistic regression modeling of sharing drug injection equipment among drug users in Alaska. The results indicate that among participants who have injected drugs, those in the postmigration adjustment period are nearly six times more likely to share injection equipment than those drug users who are not in a postmigration period. Further research is suggested and limitations are discussed.
ISSN:0277-9536
1873-5347
DOI:10.1016/S0277-9536(99)00357-3