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. 2019 Mar 1;41(1):36-45.
doi: 10.1093/pubmed/fdx187.

Residential eviction predicts initiation of or relapse into crystal methamphetamine use among people who inject drugs: a prospective cohort study

William Damon  1 , Ryan McNeil  1   2 , M-J Milloy  1   2 , Ekaterina Nosova  1 , Thomas Kerr  1   2 , Kanna Hayashi  1   3
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Residential eviction predicts initiation of or relapse into crystal methamphetamine use among people who inject drugs: a prospective cohort study

William Damon et al. J Public Health (Oxf). .

Abstract

Reports of increasing methamphetamine use among vulnerable populations may be attributed in part to the adaptive use of stimulants in response to the loss of stable housing through residential eviction. We employed multivariable recurrent event extended Cox regression to examine the independent association between recent evictions and initiation of or relapse into crystal methamphetamine use among people who inject drugs in Vancouver, Canada enrolled in two prospective cohort studies. In a multivariable analysis, eviction remained independently associated with methamphetamine initiation or relapse (adjusted hazard ratio = 1.90; 95% confidence interval: 1.31-2.75). Findings demonstrate the need to secure tenancies for drug-using populations to reduce harms.

Keywords: Cox regression; drug use; eviction; housing; initiation; methamphetamine.

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Figures

Fig. 1
Fig. 1
Cumulative incidence of first self-reported crystal methamphetamine initiation or relapse, stratified by recent eviction at baseline among 1257 PWID in Vancouver, Canada (2007–15).
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