Journal of Urban Health

, Volume 88, Issue 1, pp 118–128

Risk Factors for Nonfatal Overdose at Seattle-Area Syringe Exchanges

  • Lindsay M. Jenkins
  • Caleb J. Banta-Green
  • Charles Maynard
  • Susan Kingston
  • Michael Hanrahan
  • Joseph O. Merrill
  • Phillip O. Coffin
Article

DOI: 10.1007/s11524-010-9525-6

Cite this article as:
Jenkins, L.M., Banta-Green, C.J., Maynard, C. et al. J Urban Health (2011) 88: 118. doi:10.1007/s11524-010-9525-6

Abstract

Opioid-involved overdose deaths are on the rise, both nationwide and in the state of Washington. In a survey of 443 participants at syringe exchanges in Seattle, Washington, 16% had overdosed in the last year. Several factors were significantly associated in bivariate analysis: lack of permanent housing; incarceration of five or more days in the past year; gender of sex partners; sharing of syringes and other injection paraphernalia; use of speedballs (cocaine and heroin together), goofballs (methamphetamine and heroin together), buprenorphine; injection use of crack cocaine and sedatives; and use of opioids with sedatives. Adjusting for other variables in multivariate logistic regression analyses, only recent incarceration and sharing of injection materials were still significantly associated with overdose. Correctional facilities, syringe exchange programs, and other agencies serving opioid injectors should include overdose prevention components in release planning and services.

Keywords

OverdoseInjection drug useHeroinPrescription opioidsOpiatesNeedle exchangeSyringe exchange

Copyright information

© The New York Academy of Medicine 2011

Authors and Affiliations

  • Lindsay M. Jenkins
    • 1
    • 2
    • 4
  • Caleb J. Banta-Green
    • 1
  • Charles Maynard
    • 3
  • Susan Kingston
    • 4
  • Michael Hanrahan
    • 4
  • Joseph O. Merrill
    • 5
  • Phillip O. Coffin
    • 6
  1. 1.Alcohol and Drug Abuse InstituteUniversity of WashingtonSeattleUSA
  2. 2.STD/HIV/Hepatitis C Program, Portland, OR, USA.Multnomah County Health DepartmentPortlandUSA
  3. 3.Department of Health ServicesUniversity of WashingtonSeattleUSA
  4. 4.HIV Prevention ProgramPublic Health—Seattle and King CountySeattleUSA
  5. 5.Department of MedicineUniversity of WashingtonSeattleUSA
  6. 6.Division of Allergy and Infectious DiseasesUniversity of WashingtonSeattleUSA