TY - JOUR PY - 2014// TI - Binge drug use among street-involved youth in a Canadian setting JO - Addiction research and theory A1 - Wood, Evan A1 - Kerr, Thomas A1 - Nguyen, Paul A1 - Debeck, Kora A1 - Nolan, Seonaid SP - 535 EP - 540 VL - 22 IS - 6 N2 - BACKGROUND: Binge drug use has been associated with increased risk of human immunodeficiency virus (HIV) infection and other serious health-related harms among adult drug user populations. This study sought to determine the prevalence and correlates of binge drug use among street-involved youth in a Canadian setting.

METHODS: From September 2005 to May 2012, data were collected from the At-Risk Youth Study (ARYS), a prospective cohort of street-involved youth aged 14-26 years who use illicit drugs. Multivariate generalized estimating equation (GEE) logistic regression was used to identify factors associated with binge drug use.

RESULTS: Of the 987 participants included in this analysis, 41.5% reported binge drug use at baseline and another 59.1% reported binge drug use at some point during the study. In multivariate GEE analyses, older age (adjusted odds ratio [AOR] = 1.11), homelessness (AOR = 1.67), drug injecting (AOR = 1.63), non-fatal overdose (AOR = 1.98), public injecting (AOR = 1.42), being a victim of violence (AOR = 1.38), sex work (AOR = 2.51) and participation in drug dealing (AOR = 2.04) were independently associated with binge drug use in the previous six months (all p < 0.05).

DISCUSSION: The prevalence of reporting binge drug use among the youth was high in this setting and was independently associated with a range of high-risk activities and markers of vulnerability. Querying high-risk youth about binge drug use may help prioritize those in greatest need of addiction treatment strategies and public health interventions.

LA - en SN - 1606-6359 UR - http://dx.doi.org/10.3109/16066359.2014.926896 ID - ref1 ER -