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Profile of Hepatitis C & Injection Drug Use in Canada

Appendix

Table 1: Characteristics of Canadian injection drug users in studies of persons in needle exchange programs and/or treatment

Reference

Site

Clinical
setting

Ratio
M : F

Age

% single

% < H.S
education

% not
employed

% Native

Injection drugs
of choice

% sharing
needles

Other traits
or comments

Millson et
al., 1990

Toronto

treatment
centres

valign="top" width="40">

2.1:1

44% <30

38%

37%

54%

--

heroin, cocaine

37% in past month

--

Bardlesy et
al., 1990

Vancouver

needle
exchange

1.7:1

58% <30

--

--

--

34%

--

--

--

Hewitt &
Vinge, 1991

Alberta

treatment
centres

2.8:1

22% <25
91% <40

76%

--

69%

--

cocaine

--

--

TDPH, 1991
James &
Huebert,
19911;
Huebert and
James, 1992

Toronto


Alberta

needle
exchange

treatment
centres

1.9:1


2.3:1

64% <31


mean=30.5
42% <30

--


--

--


60%

--


--

--


--

--


84% cocaine
47% Talwin & Ritalin; 32%
amphetamines

--


60%

--

Coates et
al., 1992

Toronto
and
Montreal

treatment
centres

Tor: 1.8:1
Mon: 2.7:1

Mean=
Tor: 30.3
Mon: 30.6

Tor: 50%
Mon: 67%

Mean yrs=
Tor: 10.5
Mon: 10.7

Tor: 68%
Mon: 81%

--

Tor: heroin
(46%); Mon:
cocaine (66%)

approx 3/4
in both cities

Income <10K=
Tor: 31%
Mon: 36%

Poulin et al.,
1992

Cape
Breton,
Nova
Scotia

needle
exchange

3.4:1

mean=
28 (m) and
26 (f)

--

--

43%

--

--

--

54% tested +
for Hep B

Wolfe &
Sykes,
19921

Edmonton

treatment
centres

2.7:1

41% <30

--

52%

87%

--

--

low2

0.5% HIV+

Elnitsky &
Abernathy,
1993

Calgary

needle
exchange

3:1

mean=32
42% <30

--

57%

69%

32%

91% cocaine
42% heroin, 41%
morphine

54%

29% living off
crime

SADAC,
1993

Saskatchewan

treatment
centres

1.6:1

62% <30

--

74%

63% + 30%
less than full
time

64%
(nearly 1/2
women)

heroin, talwine,
cocaine

--

--

Bruneau, 1994

Montreal

treatment
centres +
shelters

3.7:1

mean=32

--

--

88%
(Income:
43% <$10K)

--

69% cocaine

91%

11.4% HIV+
(16% among
untreated)

Devillaer &
Smye, 1994

Hamilton-
Wentworth

treatment
centres

2.9:1

mean=29
58% < 30

43%

--

72%

--

cocaine

47% in past
year

mean duration
of use=10.5
years

Poulin et al.,
1995

Quebec City

needle
exchange

2.6:13

mean=29

--

61%

--

--4

mean duration
of use=10.5
years

43%
shared with
HIV+=16%

Hepatitis=
29%(m),
37% (f)

Myers et al.,
1994; Millson
et al., 1995;
Myers et al.,
1995

Toronto

needle
exchange

6.1:1

mean=28
59% < 30

--

--

77%

--

cocaine 70%
heroin 15%

46%

81% jailed since
injecting

Archibald et al., 1996

Vancouver

IDUs in
treatment for HIV infection

2.1:1

mean=35

--

--

88% on
social
assistance

33%

cocaine, heroin,
speedballs

46% of those
HIV+

2/3 attempted
suicide once+

Belanger et al., 1996

Quebec City

needle
exchange

2.7:1

22% <20
mean=29.7
(m),24.4 (f)

--

--

--

--

cocaine, heroin,
PCP

54%

sharing related
to young age
and females

Sweet et al.,
1996

Prince
Edward Island

treatment
centres

5.6:1

22% <25
58% <35

--

--

--

--

72% cocaine

61%

no HIV+ but not
all tested

Romanowski et al., 1997

Alberta

sexually
transmitted
disease clinics

--

--

--

--

--

--

--

--

IDU among
HIV+: 17% (m)
& 3% (f)

Stratton et al.,
1997, Lior and
Stratton, 1998

semi-rural
community
in Nova
Scotia

treatment
centres

5.1:1

mean = 30

63%

"44%
completed
some HS"

78% not
full time

--

cocaine

64%--note:
no needle
exchange

5% HIV+
23% HBV+
47% HCV+

Strathdee et al., 1997

Vancouver

needle
exchange

1.8:1

median = 35

--

81%

--

27%

cocaine 64%
heroin 25%

69%

23% HIV+;
88% Hep C+

Bruneau et al.,
1997

Montreal

needle
exchange

5:1

mean = 32
50% <30

--

--

(Income:
39% <$10K
and 71%
<$25K)

--

cocaine (64%)

76% (78% if
in needle
exchange and
72% if not)

10.7% HIV+
Higher HIV+
rate for needle
exchange users5

  1. Unpublished report cited in McHutchion, 1996.
  2. 84% report never sharing or always cleaning needles.
  3. The demographic characteristics apply to persons who attended the needle exchange program for at least 2 months.
  4. Not reported, but 64% jailed at least once.
  5. Needle exchange attracts high-risk IDUs, but authors suspect that it may also bring some isolated injection drug users into contact with other IDUs and lead to some needle sharing that might not have otherwise occurred.

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