Drug and HIV-related risk behaviors after geographic migration among a cohort of injection drug users

AIDS Behav. 2010 Aug;14(4):854-61. doi: 10.1007/s10461-008-9397-x. Epub 2008 Apr 22.

Abstract

To determine whether migration impacted on drug use and HIV-related risk behaviors among injection drug users (IDU), we identified participants in a prospective cohort of IDU (Vancouver Injection Drug User Study) who had reported migrating out of Greater Vancouver between May 1996 and November 2005. We compared risk behaviors before and after a move for individuals who migrated (movers) and for a similar period for non-movers using linear growth curve analyses. In total, 1,122 individuals were included, including 430 (38.3%) women and 331 (29.5%) Aboriginal participants. Among these, 192 (17.1%) individuals reported migrating out of Greater Vancouver between 1996 and 2005 while 930 (82.9%) did not. Movers were significantly younger than non-movers: 32.0 (Interquartile Range [IQR]: 24.3-39.2) and 34.6 (IQR: 26.9-40.8) respectively. A significant decrease in those reporting unstable housing, frequent heroin and cocaine injection occurred only in movers. Our findings suggest that, in this setting, risk-taking among IDU declines following periods of migration out of Greater Vancouver.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Age Factors
  • British Columbia / epidemiology
  • Case-Control Studies
  • Drug Users / psychology
  • Drug Users / statistics & numerical data*
  • Emigration and Immigration / statistics & numerical data*
  • Female
  • Follow-Up Studies
  • HIV Infections / epidemiology
  • HIV Infections / transmission*
  • Humans
  • Male
  • Prospective Studies
  • Risk Factors
  • Risk-Taking*
  • Substance Abuse, Intravenous / epidemiology
  • Substance Abuse, Intravenous / psychology*
  • Urban Population