Accelerated transition to injection among male heroin initiates in Hanoi, Vietnam: Implications for early harm reduction interventions

Michael C. Clatts, Lloyd A. Goldsamt, Le Minh Giang, Vivian Colón-López

Research output: Contribution to journalArticle

Abstract

This paper examines changes in the interval between first heroin smoking and onset of injection in a large, out-treatment sample of male heroin users in Hanoi, Vietnam (n = 1,115). Mean age at initiation of heroin use (smoking) was 18.4 and mean age of onset of heroin injection was 20.9 years. Full multivariate analysis indicates that the interval between first heroin use (smoking) and first heroin injection has been significantly attenuated among more recent heroin initiates (P = 0.0043), suggesting that heroin users in Vietnam may be at increased risk for exposure to HIV relatively soon after onset of heroin use, highlighting the need for behavioral interventions that target heroin smokers. Critical intervention goals include delaying the onset of injection and improved education about safer drug sharing and drug injection practices.

Original languageEnglish (US)
Pages (from-to)999-1003
Number of pages5
JournalJournal of Community Health
Volume36
Issue number6
DOIs
StatePublished - Dec 2011

Keywords

  • Early HIV intervention
  • Heroin use
  • Transition to injection
  • Vietnam

ASJC Scopus subject areas

  • Health(social science)
  • Public Health, Environmental and Occupational Health

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