Methamphetamine use and rates of incarceration among street-involved youth in a Canadian setting: a cross-sectional analysis.
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.
Milloy
M-J
MJ
BC Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada. mjmilloy@cfenet.ubc.ca
Kerr
Thomas
T
Buxton
Jane
J
Montaner
Julio
J
Wood
Evan
E
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
D008694:Methamphetamine
J Acquir Immune Defic Syndr. 2006 Jul;42(3):342-6
16639351
Harm Reduct J. 2008 Nov 19;5:35
19019253
CMAJ. 2008 Jun 3;178(12):1537-9
18519899
Public Health Rep. 1999 Jan-Feb;114(1):14-29
9925168
Am J Public Health. 1999 Sep;89(9):1406-9
10474560
N Engl J Med. 2007 Jan 11;356(2):157-65
17215533
Soc Sci Med. 1998 Dec;47(12):2087-99
10075249
AIDS Behav. 2008 Jan;12(1):51-7
17705034
Subst Use Misuse. 2005;40(6):831-43
15974143
Addiction. 2009 Mar;104(3):441-53
19207353
Health Place. 2009 Sep;15(3):753-60
19201642
Health Place. 2009 Mar;15(1):10-7
18358759
J Adolesc Health. 2001 Jul;29(1):31-6
11429303
Can J Public Health. 2006 Jul-Aug;97(4):320-4
16967754
Drug Alcohol Rev. 2008 May;27(3):270-6
18368608
Harm Reduct J. 2006 May 24;3:18
16723029
Addiction. 2006 Mar;101(3):315-22
16499503
BMJ. 2009 Apr 30;338:b1649
19406887
J Urban Health. 2005 Mar;82(1 Suppl 1):i18-25
15738324
Subst Abus. 2001 Dec;22(4):209-216
12466681
Drug Alcohol Rev. 2008 May;27(3):243-52
18368605
BMC Infect Dis. 2003 Oct 28;3:25
14580265
J Adolesc Health. 2008 Mar;42(3):303-6
18295139
JAMA. 2008 Aug 6;300(5):550-4
18677027
J Adolesc. 2005 Apr;28(2):201-14
15878043
BMJ. 2003 Feb 8;326(7384):308
12574043
Drug Alcohol Rev. 2008 Nov;27(6):693-9
19378451
Milbank Q. 2004;82(1):125-56
15016246
CMAJ. 2001 Aug 7;165(3):293-7
11517645
JAMA. 2004 Aug 4;292(5):569-74
15292082
AIDS. 2007 May 31;21(9):1175-83
17502728
J Adolesc Health. 1999 Nov;25(5):358-66
10551667
J Adolesc Health. 2004 May;34(5):384-90
15093792