International Journal of Drug Policy
Volume 21, Issue 1 , Pages 49-55 , January 2010

Association between neighbourhood socioeconomic characteristics and high-risk injection behaviour amongst injection drug users living in inner and other city areas in Montréal, Canada

  • Mélissa Généreux

      Affiliations

    • Community Medicine Residency Program, Université de Montréal, Québec, Canada
    • Department of Social and Preventive Medicine, Université de Montréal, Montréal, Québec, Canada
  • ,
  • Julie Bruneau

      Affiliations

    • CRCHUM, Centre Hospitalier de l′Université de Montréal, Montréal, Québec, Canada
    • Department of Family Medicine, Université de Montréal, Montréal, Québec, Canada
    • Corresponding Author InformationCorresponding author at: Centre Hospitalier de l′Université de Montréal, Hôpital Saint-Luc, 1058 rue Saint-Denis, Montréal, Québec, Canada H2X 3J4.
  • ,
  • Mark Daniel

      Affiliations

    • Department of Social and Preventive Medicine, Université de Montréal, Montréal, Québec, Canada
    • CRCHUM, Centre Hospitalier de l′Université de Montréal, Montréal, Québec, Canada
    • School of Health Sciences, University of South Australia, Adelaide, Australia

Received 16 November 2008 ,Accepted 22 January 2009.

References 

  1. ASSSM (Agence de la santé et des services sociaux de Montréal). (2006). Recrudescence d’infections par le virus de l’immunodéficience humaine (VIH) et le virus de l’hépatite C (VHC) chez les utilisateurs de drogues injectables (UDI) de Montréal. Government of Quebec. August 2006. Available at: http://www.santepub-mtl.qc.ca/Mi/itss/vihsida/31082006.html. Accessed 14-11-08.
  2. Backmund M, Reimer J, Meyer K, Gerlach JT, Zachoval R. Hepatitis C virus infection and injection drug users: prevention, risk factors, and treatment. Clinical Infectious Diseases. 2005;40(Suppl. 5):S330–S335
  3. Bellot, C., Raffestin, I., Royer, N. M., & Noël, V. (2005). Judiciarisation et criminalisation des populations itinérantes à Montréal. Rapport de recherché pour le Secrétariat National des Sans-abri.
  4. Berke EM, Koepsell TD, Moudon AV, Hoskins RE, Larson EB. Association of the built environment with physical activity and obesity in older persons. American Journal of Public Health. 2007;97(3):486–492
  5. Bluthenthal RN, Do DP, Finch B, Martinez A, Edlin BR, Kral AH. Community characteristics associated with HIV risk among injection drug users in the San Francisco Bay Area: A multilevel analysis. Journal of Urban Health. 2007;84(5):653–666
  6. Boardman JD, Finch BK, Ellison CG, Williams DR, Jackson JS. Neighborhood disadvantage, stress, and drug use among adults. Journal of Health and Social Behavior. 2001;42(2):151–165
  7. Boileau C, Bruneau J, Al-Nachawati H, Lamothe F, Vincelette J. A prognostic model for HIV seroconversion among injection drug users as a tool for stratification in clinical trials. Journal of Acquired Immune Deficiency Syndromes. 2005;39(4):489–495
  8. Bow CJ, Waters NM, Faris PD, Seidel JE, Galbraith PD, Knudtson ML, et al. Accuracy of city postal code coordinates as a proxy for location of residence. International Journal of Health Geographics. 2004;3(1):5
  9. Browning CR, Cagney KA. Moving beyond poverty: Neighborhood structure, social processes, and health. Journal of Health and Social Behavior. 2003;44(4):552–571
  10. Brugal MT, Borrell C, Diaz-Quijano E, Pasarin MI, Garcia-Ollala P, Villalbi JR. Deprivation and AIDS in a southern European city: Different pattern across transmission group. European Journal of Public Health. 2003;13(3):259–261
  11. Bruneau J, Lamothe F, Soto J, Lachance N, Vincelette J, Vassal A, et al. Sex-specific determinants of HIV infection among injection drug users in Montréal. Canadian Medical Association Journal. 2001;164(6):767–773
  12. Buchanan D, Shaw S, Teng W, Hiser P, Singer M. Neighbourhood differences in patterns of syringe access, use, and, discard among injection drug users: Implications for HIV outreach and prevention education. Journal of Urban Health. 2003;80(3):438–454
  13. Chaix B, Heyland AH, Sabel CE, Chauvin P, Rastam L, Kristersson H, et al. Spatial clustering of mental disorders characteristics of the neighbourhood context in Malmo, Sweden, in 2001. Journal of Epidemiology and Community Health. 2006;60(5):427–435
  14. Chaix B, Merlo J, Chauvin P. Comparison of a spatial approach with the multilevel approach for investigating place effects on health: The example of healthcare utilisation in France. Journal of Epidemiology and Community Health. 2005;59(6):517–526
  15. Chaix B, Merlo J, Subramanian SV, Lynch J, Chauvin P. Comparison of a spatial perspective with the multilevel analytical approach in neighborhood studies: The case of mental and behavioral disorders due to psychoactive substance use in Malmo, Sweden, 2001. American Journal of Epidemiology. 2005;162(2):171–182
  16. Chaix B, Rosvall M, Merlo J. Assessment of the magnitude of geographical variations and socioeconomic contextual effects on ischaemic heart disease mortality: A multilevel survival analysis of a large Swedish cohort. Journal of Epidemiology and Community Health. 2007;61(4):349–355
  17. Cooper HL, Bossak B, Tempalski B, Des Jarlais DC, Friedman SR. Geographic approaches to quantifying the risk environment: A focus on syringe exchange program site access and drug-related law enforcement activities. The International Journal of Drug Policy. 2009;20(3):217–226
  18. Crawford DA, Timperio AF, Salmon JA, Baur B, Giles-Corti B, Roberts RJ, et al. Neighbourhood fast food outlets and obesity in children and adults: The CLAN study. The International Journal of Pediatric Obesity. 2008;11(June):1–8
  19. Daniel M, Moore S, Kestens Y. Framing the biosocial pathways underlying associations between place and cardiometabolic disease. Health & Place. 2008;14(2):117–132
  20. Darke S, Hall W, Swift W. Geographical differences in risk-taking among Sydney methadone maintenance patients: A comparison of inner city and outer south western methadone maintenance patients. Drug and Alcohol Review. 1994;13(3):301–305
  21. Diaz T, Des Jarlais DC, Vlahov D, Perlis TE, Edwards V, Friedman SR, et al. Factors associated with prevalent hepatitis C: Differences among young adult injection drug users in Lower and Upper Manhattan, New York City. American Journal of Public Health. 2001;91(1):23–30
  22. Diez-Roux AV. Investigating neighborhood and area effects on health. American Journal of Public Health. 2001;91(11):1783–1789
  23. Diez-Roux AV. Invited commentary: Places, people, and health. American Journal of Epidemiology. 2002;155(6):516–519
  24. Diez-Roux AV. Neighbourhoods and health: Where are we and where do we go from here?. Revue d’Epidemiologie et de Sante Publique. 2007;55(1):13–21
  25. Fuller CM, Borrell LN, Latkin CA, Galea S, Ompad DC, Strathdee SA, et al. Effects of race, neighborhood, and social network on age at initiation of injection drug use. American Journal of Public Health. 2005;95(4):689–695
  26. Galea S, Ahern J. Distribution of education and population health: An ecological analysis of New York City neighbourhoods. American Journal of Public Health. 2005;95(12):2198–2205
  27. Galea S, Ahern J, Vlahov D. Contextual determinants of drug use risk behavior: A theoretic framework. Journal of Urban Health. 2003;80(4 Suppl. 3):iii50–iii58
  28. Galea S, Freudenberg N, Vlahov D. Cities and population health. Social Science & Medicine. 2005;60:1017–1033
  29. Galea S, Hall C, Kaplan GA. Social epidemiology and complex system dynamic modelling a applied to health behaviour and drug research. The International Journal of Drug Policy. 2009;20(3):209–216
  30. Hutchinson SJ, Taylor A, Goldberg DJ, Gruer L. Factors associated with injecting risk behaviour among serial community-wide samples of injecting drug users in Glasgow 1990–94: Implications for control and prevention of blood–borne viruses. Addiction. 2000;95(6):931–940
  31. Maas B, Fairbairn N, Kerr T, Li K, Montaner JS, Wood E. Neighborhood and HIV infection among IDU: Place of residence independently predicts HIV infection among a cohort of injection drug users. Health & Place. 2007;13(2):432–439
  32. Miller CL, Wood E, Spittal PM, Li K, Frankish JC, Braitsten P, et al. The future of coinfection: Prevalence and incidence of HIV and hepatitis C virus coinfection among young injection drug users. Journal of Acquired Immune Deficiency Syndromes. 2004;36(2):743–749
  33. Ompad DC, Galea S, Caiaffa WT, Vlahov D. Social determinants of the health of urban populations: Methodological considerations. Journal of Urban Health. 2007;84(Suppl. 3):i42–i53
  34. Parent R, Alary M, Morissette C, Roy E. Infectious disease surveillance among injection drug users. Epidemiology of HIV from 1995 to 2004. Epidemiology of HCV from 2003 to 2004. Direction risques biologiques, environnementaux et occupationnels. Institut National de Santé Publique du Québec; 2005;
  35. Pate RR, Colabianchi N, Porter D, Almeida MJ, Lolebo F, Dowda M. Physical activity and neighbourhood resources in high school girls. American Journal of Preventive Medicine. 2008;34(5):413–419
  36. Patrick DM, Strathdee SA, Archibald CP, Ofner M, Craib KJP, Cornelisse PGA, et al. Determinants of HIV seroconversion in injecting drug users period of rising prevalence in Vancouver. International Journal of STD & AIDS. 1997;8(7):437–445
  37. Roca J, Vlahov D, Borrell C, Jansa JM, Brugal T, Yazbeck H, et al. Geographic variation in HIV infection among injecting drug users with Barcelona. The International Journal of the Addictions. 1995;30(2):219–229
  38. Rockwell R, Deren S, Goldstein MF, Friedman SR, Des Jarlais DC. Trends in the AIDS epidemic among New York City's injection drug users: Localized or citywide?. Journal of Urban Health. 2002;79(1):136–146
  39. Rockwell R, Des Jarlais DC, Friedman SR, Perlis TE, Paone D. Geographic proximity, policy and utilization of syringe exchange programmes. AIDS Care. 1999;11(4):437–442
  40. Rothenberg R, Muth SQ, Malone S, Potterat JJ, Woodhouse DE. Social and geographic distance in HIV risk. Sexually Transmitted Diseases. 2005;32(8):506–512
  41. Santibanez SS, Garfein RS, et al. Update and overview of practical epidemiologic aspects of HIV/AIDS among injection drug users in the United States. Journal of Urban Health. 2006;83(1):86–100
  42. Savoie, J., Bédard, F., & Collins, C. (2006). Neighbourhood characteristics and the distribution of crime on the Island of Montréal. Crime and Justice Research Paper series. Catalogue no. 85-561-MIE2006007. Statistics Canada, Ottawa.
  43. Séguin AM, Divay G. Urban poverty: Fostering sustainable and supportive communities. Ottawa: Canadian Policy Research Network Inc.; 2002;
  44. Service de la mise en valeur du territoire et du patrimoine. (2004). Les arrondissements de Montréal – Répertoire socio-démographique et classement par variables. Ville de Montréal, Montréal.
  45. Stafford M, Marmot M. Neighbourhood deprivation and health: Does it affect us all equally?. International Journal of Epidemiology. 2003;32(3):357–366
  46. Statistics Canada. (2001). Low income cut-offs (LICOs). Available at: http://www12.statcan.ca/english/census01/Products/Reference/dict/fam021.htm. Accessed 05-01-2007.
  47. U.S Census Bureau. (2007). Census tracts and block numbering areas. Available at: http://www.census.gov/geo/www/cen_tract.html. Accessed 2007-04-24.
  48. Vancouver Coastal Health News Release . Injection drug use in the DTES. Vancouver: Vancouver Coastal Health News Release; 2003;
  49. Ville de Montréal . Plan d’action 2005–2007. Montréal: Arrondissement Ville-Marie; 2008;
  50. Vlahov D, Galea S. Urbanization, urbanicity, and health. Journal of Urban Health. 2002;79(4):S1–S12
  51. Wallace R, Wallace D. Socioeconomic determinants of health: Community marginalisation and the diffusion of disease and disorder in the United States. British Medical Journal. 1997;314(7090):1341–1345
  52. Wasylenki DA. Inner city health. Canadian Medical Association Journal. 2001;164(2):214–215
  53. Wen M, Browning CR, Cagney KA. Poverty, affluence, and income inequality: Neighbourhood economic structure and its implications for health. Social Science & Medicine. 2003;57(5):843–860
  54. Wood E, Tyndall MW, Spittal PM, Li K, Hogg RS, Montaner JS, et al. Factors associated with persistent high-risk syringe sharing in the presence of an established needle exchange programme. AIDS. 2002;16(6):941–943

PII: S0955-3959(09)00042-5

doi: 10.1016/j.drugpo.2009.01.004

International Journal of Drug Policy
Volume 21, Issue 1 , Pages 49-55 , January 2010