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Effects of race, neighborhood, and social network on age at initiation of injection drug use

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  • Fuller, C.M.
  • Borrell, L.N.
  • Latkin, C.A.
  • Galea, S.
  • Ompad, D.C.
  • Strathdee, S.A.
  • Vlahov, D.

Abstract

Objectives. We investigated individual- and neighborhood-level factors associated with adolescent initiation of injection drug use. Methods. Injection drug users (IDUs) who had been injecting 2 to 5 years underwent HIV testing and completed a sociobehavioral risk survey. Modeling techniques accounting for intraneighborhood correlations were used in data analyses. Results. Adolescent-initiating IDUs were less likely than adult-initiating IDUs to report high-risk sex and injection behaviors and more likely to report high-risk networks. African American IDUs from neighborhoods with large percentages of minority residents and low adult educational levels were more likely to initiate injection during adolescence than White IDUs from neighborhoods with low percentages of minority residents and high adult education levels. Conclusions. Racial segregation and neighborhood-level educational attainment must be considered when drawing inferences about age at initiation of injection drug use and related high-risk behaviors.

Suggested Citation

  • Fuller, C.M. & Borrell, L.N. & Latkin, C.A. & Galea, S. & Ompad, D.C. & Strathdee, S.A. & Vlahov, D., 2005. "Effects of race, neighborhood, and social network on age at initiation of injection drug use," American Journal of Public Health, American Public Health Association, vol. 95(4), pages 689-695.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2003.02178_7
    DOI: 10.2105/AJPH.2003.02178
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    Cited by:

    1. Messer, Lynne C. & Vinikoor, Lisa C. & Laraia, Barbara A. & Kaufman, Jay S. & Eyster, Janet & Holzman, Claudia & Culhane, Jennifer & Elo, Irma & Burke, Jessica G. & O'Campo, Patricia, 2008. "Socioeconomic domains and associations with preterm birth," Social Science & Medicine, Elsevier, vol. 67(8), pages 1247-1257, October.
    2. Karen A. Snedker & Jerald R. Herting & Emily Walton, 2009. "Contextual Effects and Adolescent Substance Use: Exploring the Role of Neighborhoods," Social Science Quarterly, Southwestern Social Science Association, vol. 90(5), pages 1272-1297, December.
    3. Alexander Ahammer & Martin Halla, 2022. "The intergenerational persistence of opioid dependence: Evidence from administrative data," Health Economics, John Wiley & Sons, Ltd., vol. 31(11), pages 2425-2444, November.

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