Modeling Initiation into Drug Injection among Street Youth

This study aimed at examining the predictors of initiation into drug injection among street youth using social cognitive theory framework. A prospective cohort study based on semi-annual interviews was carried out. Psychosocial determinants referred to avoidance of initiation. Other potential predic...

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Bibliographic Details
Published in:Journal of drug education 2011-01, Vol.41 (2), p.119-134
Main Authors: Roy, Élise, Godin, Gaston, Boudreau, Jean-François, Côté, Philippe-Benoit, Denis, Véronique, Haley, Nancy, Leclerc, Pascale, Boivin, Jean-François
Format: Article
Language:English
Subjects:
Adolescent
Adolescents
Alcohol abuse
Alcohol use
Avoidance
Children & youth
Cocaine
Cohort analysis
Drinking
Drinking behavior
Drug Abuse
Drug prevention
Epistemology
Female
Health risk assessment
Heroin
HIV Infections - epidemiology
Homeless People
Homeless Youth - psychology
Humans
Incidence
Initiation
Injections
Interpersonal Relationship
Interviews
Interviews as Topic
Intravenous drug addiction
Intravenous drugs
Male
Models, Psychological
Parent Influence
Predictor Variables
Prevalence
Prevention
Proportional Hazards Models
Prospective Studies
Psychosocial factors
Quebec - epidemiology
Regression (Statistics)
Risk
Risk Factors
Sexual Abuse
Sexuality
Social Cognition
Social cognitive theory
Sociodemographics
Street youth
Substance abuse
Substance Abuse, Intravenous - epidemiology
Substance Abuse, Intravenous - psychology
Surveys and Questionnaires
Young Adult
Youth
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Summary:This study aimed at examining the predictors of initiation into drug injection among street youth using social cognitive theory framework. A prospective cohort study based on semi-annual interviews was carried out. Psychosocial determinants referred to avoidance of initiation. Other potential predictors were: sociodemographic characteristics, relationships with injectors, parent's substance misuse, drug use patterns, homelessness, survival sex, sexual abuse. Independent predictors were identified using Cox proportional hazards regression models. Among the 352 participants, high control beliefs about avoidance of initiation was protective while younger age, daily alcohol consumption, heroin use, cocaine use, and survival sex all increased risk of initiation. Preventive strategies targeting street youth should both enhance youth's control beliefs and actual control over their substance use and improve their life conditions.
ISSN:0047-2379
1541-4159
DOI:10.2190/DE.41.2.a