Longitudinal migration patterns from an open illicit drug scene among people who use illicit drugs in Vancouver, Canada.

Abstract:

:The objective of this study was to identify migration patterns from an open illicit drug scene (the Downtown Eastside [DTES] neighborhood) and describe factors associated with these migration patterns. Data were derived from three cohorts of people who use illicit drugs in Vancouver, Canada. Defined using latent class growth analysis, we identified four distinct migration trajectory groups: 1) consistently living in the DTES (47.8%); 2) early migration out, with a median time of migrating out of DTES of 5.3 months (21.5%); 3) late migration out, with a median time of migrating out of DTES of 38.0 months (20.1%); and 4) frequent revisit back-and-forth to DTES (10.6%). In a multivariable model, compared to the "consistently living in the DTES" group, factors associated with the "frequent revisit" group included being enrolled in non-pharmacological addiction treatment and having an HCV-positive serostatus. Factors associated with the "early migration out" group included being enrolled in detoxification or in other non-pharmacological addiction treatment, later calendar year, being on income assistance, living in a single room occupancy hotel, and having an HCV-positive serostatus. These findings point to the need for appropriate distribution of services in order to meet the needs of this population.

journal_name

J Subst Abuse Treat

authors

Ti L,Dong H,Day A,McKendry R,DeBeck K,Bingham B,Milloy MJ,Barrios R,Hayashi K

doi

10.1016/j.jsat.2019.09.006

subject

Has Abstract

pub_date

2019-12-01 00:00:00

pages

17-23

eissn

0740-5472

issn

1873-6483

pii

S0740-5472(19)30013-3

journal_volume

107

pub_type

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