Determinants of cutaneous injection-related infection care at a supervised injecting facility.

Abstract:

PURPOSE:To evaluate the factors associated with receiving cutaneous injection-related infection (CIRI) care among a representative cohort of supervised injecting facility (SIF) users. METHODS:Data were collected biannually as part of a prospective cohort, the Scientific Evaluation of Supervised Injection study. Kaplan-Meier methods and Cox proportional hazards regression with recurrent events were used to examine incidence and factors associated with CIRI care, respectively. RESULTS:One thousand eighty individuals were recruited between December 1, 2003 and January 31, 2008. The incidence density of participants receiving CIRI care was 22.0 per 100 person-years (95% confidence interval [CI]: 19.6-24.6). In the adjusted Cox proportional hazard model, female sex (adjusted hazard ratio [AHR]=1.87 [95% CI: 1.32-2.64]), unstable housing (AHR=1.39 [95% CI: 1.02-1.88]), and daily heroin injection (AHR=1.52 [95% CI: 1.13-2.04]) were independently associated with receiving CIRI care at the SIF. CONCLUSIONS:These results describe who is more likely to receive CIRI care, which is of use to those engaged with policy and practice of treatment regimens involving this population.

journal_name

Ann Epidemiol

journal_title

Annals of epidemiology

authors

Lloyd-Smith E,Wood E,Zhang R,Tyndall MW,Montaner JS,Kerr T

doi

10.1016/j.annepidem.2009.03.007

subject

Has Abstract

pub_date

2009-06-01 00:00:00

pages

404-9

issue

6

eissn

1047-2797

issn

1873-2585

pii

S1047-2797(09)00078-7

journal_volume

19

pub_type

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