title: Methamphetamine use and rates of incarceration among street-involved youth in a Canadian setting: a cross-sectional analysis.
abstract: BACKGROUND
  Given concerns over rising use of methamphetamine, especially among street-involved youth, and the links between exposure to the correctional system and the production of drug-related harm, we sought to assess the relationship between ever using methamphetamine and reporting ever being incarcerated in the At-Risk Youth Survey (ARYS) in Vancouver, Canada.
  
  
  METHODS
  The relationship between ever being imprisoned and ever using methamphetamine was estimated using a multivariate logistic regression analysis while also considering potentially confounding secondary demographic, social and behavioural variables.
  
  
  RESULTS
  Of the 478 youth recruited into ARYS between September 2005 and October 2006, 385 (80.5%) reported ever being incarcerated overnight or longer. In the multivariate model, methamphetamine use was independently associated with ever being incarcerated (Adjusted Odds Ratio: 1.79, 95% Confidence Interval [CI]: 1.03 - 3.13).
  
  
  CONCLUSIONS
  Incarceration was very common in this cohort and strongly linked with ever using methamphetamine. This finding is of concern and, along with the previously identified risks of drug-related harm associated with incarceration, supports the development of novel public policy, such as community-based drug treatment, to address the use of methamphetamine among street youth.
authors.affiliation: BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada. mjmilloy@cfenet.ubc.ca
authors.forename: M-J
authors.initials: MJ
authors.lastname: Milloy
authors.forename: Thomas
authors.initials: T
authors.lastname: Kerr
authors.forename: Jane
authors.initials: J
authors.lastname: Buxton
authors.forename: Julio
authors.initials: J
authors.lastname: Montaner
authors.forename: Evan
authors.initials: E
authors.lastname: Wood
mesh_terms: D000293:Adolescent; D002170:Canada; D003430:Cross-Sectional Studies; D005260:Female; D018453:Homeless Youth / Q000523:psychology*; D006801:Humans; D008297:Male; D008694:Methamphetamine; D015233:Models, Statistical; D015995:Prevalence; D011330:Prisons / Q000706:statistics & numerical data*; D012309:Risk-Taking; D015819:Substance Abuse, Intravenous / Q000453:epidemiology*; D055815:Young Adult
chemical_list: D008694:Methamphetamine
references.citation: J Acquir Immune Defic Syndr. 2006 Jul;42(3):342-6
references.pmid: 16639351
references.citation: Harm Reduct J. 2008 Nov 19;5:35
references.pmid: 19019253
references.citation: CMAJ. 2008 Jun 3;178(12):1537-9
references.pmid: 18519899
references.citation: Public Health Rep. 1999 Jan-Feb;114(1):14-29
references.pmid: 9925168
references.citation: Am J Public Health. 1999 Sep;89(9):1406-9
references.pmid: 10474560
references.citation: N Engl J Med. 2007 Jan 11;356(2):157-65
references.pmid: 17215533
references.citation: Soc Sci Med. 1998 Dec;47(12):2087-99
references.pmid: 10075249
references.citation: AIDS Behav. 2008 Jan;12(1):51-7
references.pmid: 17705034
references.citation: Subst Use Misuse. 2005;40(6):831-43
references.pmid: 15974143
references.citation: Addiction. 2009 Mar;104(3):441-53
references.pmid: 19207353
references.citation: Health Place. 2009 Sep;15(3):753-60
references.pmid: 19201642
references.citation: Health Place. 2009 Mar;15(1):10-7
references.pmid: 18358759
references.citation: J Adolesc Health. 2001 Jul;29(1):31-6
references.pmid: 11429303
references.citation: Can J Public Health. 2006 Jul-Aug;97(4):320-4
references.pmid: 16967754
references.citation: Drug Alcohol Rev. 2008 May;27(3):270-6
references.pmid: 18368608
references.citation: Harm Reduct J. 2006 May 24;3:18
references.pmid: 16723029
references.citation: Addiction. 2006 Mar;101(3):315-22
references.pmid: 16499503
references.citation: BMJ. 2009 Apr 30;338:b1649
references.pmid: 19406887
references.citation: J Urban Health. 2005 Mar;82(1 Suppl 1):i18-25
references.pmid: 15738324
references.citation: Subst Abus. 2001 Dec;22(4):209-216
references.pmid: 12466681
references.citation: Drug Alcohol Rev. 2008 May;27(3):243-52
references.pmid: 18368605
references.citation: BMC Infect Dis. 2003 Oct 28;3:25
references.pmid: 14580265
references.citation: J Adolesc Health. 2008 Mar;42(3):303-6
references.pmid: 18295139
references.citation: JAMA. 2008 Aug 6;300(5):550-4
references.pmid: 18677027
references.citation: J Adolesc. 2005 Apr;28(2):201-14
references.pmid: 15878043
references.citation: BMJ. 2003 Feb 8;326(7384):308
references.pmid: 12574043
references.citation: Drug Alcohol Rev. 2008 Nov;27(6):693-9
references.pmid: 19378451
references.citation: Milbank Q. 2004;82(1):125-56
references.pmid: 15016246
references.citation: CMAJ. 2001 Aug 7;165(3):293-7
references.pmid: 11517645
references.citation: JAMA. 2004 Aug 4;292(5):569-74
references.pmid: 15292082
references.citation: AIDS. 2007 May 31;21(9):1175-83
references.pmid: 17502728
references.citation: J Adolesc Health. 1999 Nov;25(5):358-66
references.pmid: 10551667
references.citation: J Adolesc Health. 2004 May;34(5):384-90
references.pmid: 15093792