The 131st Annual Meeting (November 15-19, 2003) of APHA

The 131st Annual Meeting (November 15-19, 2003) of APHA

4102.0: Tuesday, November 18, 2003 - Board 9

Abstract #55522

Stimulant users: Differences between cocaine and amphetamine users in Long Beach, CA

Grace L. Reynolds, DPA(c)1, Dennis G. Fisher, PhD1, Michele M. Wood, MS1, Michael A. Janson, BA2, and Scott Hershberger, PhD1. (1) Center for Behavioral Research & Services, California State University, Long Beach, 1090 Atlantic Avenue, Long Beach, CA 90813, 562-495-2330,, (2) Office of AIDS Programs and Policy, Los Angeles County Dept. of Health Services, 600 S. Commonwealth Avenue, 2nd Fl., Los Angeles, CA 90005

Objective: To determine differences between stimulant users in an out-of-treatment sample of drug users. Methods: 635 out-of-treatment drug users were recruited between January 2001 and December 2002. Information on drug and sex risk behaviors was elicited using several standard questionnaires, including the Risk Behavior Assessment (RBA). Analyses included chi square analysis and logistic regression. Results: Respondents included 143 women (22.6%) and 491 men (77.4%). Half (322/635, 50.7%) reported using cocaine exclusively. Seventy (11%) reported using amphetamine exclusively, 110 (17.3%) reported using both drugs and the remainder (21%, 133). The remainder reported use of other non-stimulant drugs. These proportions were statistically significant (c(1) = 5.53, p = .02). Predictors of amphetamine use included younger age (OR .949, CI .925, 974), ever injecting drugs (OR 2.77, CI 1.64, 4.70), self-reported homelessness (OR 1.8, CI 1.15, 2.93), and ever having been in outpatient drug free treatment (OR 1.87, CI 1.08, 3.24). Ever having been in methadone detox (OR .54, CI .32, .92) was protective against amphetamine use. Predictors of cocaine use included older age (OR 1.08, CI 1.06, 1.11), ever having been in any time of drug treatment (OR 2.58, CI 1.57, 4.24), self-reported homelessness (OR 2.99, CI 1.8, 4.98), trading drugs for sex (OR 2.84, CI 1.59, 5.05) and trading sex for money (OR 3.93, CI 2.16, 7.13). Cocaine users in this sample were less likely to have ever injected drugs (OR .40, CI .22, .73). Conclusion: Within stimulant users, there is variation in drug treatment experience, injection drug use history and sex trading.

Learning Objectives:

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

Emerging Patterns of Substance Use Poster Session

The 131st Annual Meeting (November 15-19, 2003) of APHA