The association between neighborhood residential rehabilitation and injection drug use in Baltimore, Maryland, 2000-2011

• Type of Material: Article
• Authors: Sabriya Linton, Emory University; Jacky M. Jennings, Johns Hopkins University; Carl A. Latkin, Johns Hopkins University; Gregory D. Kirk, Johns Hopkins University; Shruti H. Mehta, Johns Hopkins University
• Language: English
• Date: 2014-07-01
• Publisher: Elsevier
• Publication Version: Author Accepted Manuscript (After Peer Review)
• Copyright Statement: © 2014 Elsevier Ltd.
• License: Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International
• Final Published Version (URL): http://dx.doi.org/10.1016/j.healthplace.2014.04.005
• Title of Journal or Parent Work: Health and Place
• ISSN: 1353-8292
• Volume: 28
• Start Page: 142
• End Page: 149
• Grant/Funding Information: Additional support for this research was provided by the National Institute on Drug Abuse (Grant numbers: T32DA007292 and K01DA022298-05).; This research was funded by the National Institute on Drug Abuse (Grant numbers: R01DA012568 and R01DA04334).
• Keywords: COHORT; RISK; Urban health; Public, Environmental & Occupational Health; Drug abuse; CESSATION; Science & Technology; PUBLIC-HOUSING RELOCATIONS; HEALTH; MARIJUANA USE; Urban redevelopment; DISPLACEMENT; OPPORTUNITY; Injection drug use; Life Sciences & Biomedicine; EPIDEMIOLOGY; HIV
• Research Categories: Psychology, Behavioral; Sociology, Public and Social Welfare; Health Sciences, Public Health

Abstract

This study utilized multilevel cross-classified models to longitudinally assess the association between neighborhood residential rehabilitation and injection drug use. We also assessed whether relocating between neighborhoods of varying levels of residential rehabilitation was associated with injection drug use. Residential rehabilitation was categorized into three groups (e.g. low, moderate, high), and lagged one visit to ensure temporality. After adjusting for neighborhood and individual-level factors, residence in a neighborhood with moderate residential rehabilitation was associated with a 23% reduction in injection drug use [AOR=0.77; 95% CI (0.67,0.87)]; residence in a neighborhood with high residential rehabilitation was associated with a 26% reduction in injection drug use [AOR=0.74; 95% CI (0.61,0.91)]. Continuous residence within neighborhoods with moderate/high rehabilitation, and relocating to neighborhoods with moderate/high rehabilitation, were associated with a lower likelihood of injection drug use. Additional studies are needed to understand the mechanisms behind these relationships.