Housing Situation and Occupation in relation to Problematic Drug Use Risk Behaviour

Abstract

Problem drug use (PDU) often results in risk behaviour, which is associated with decreased physical and mental health, and increased susceptibility for infectious diseases. Contextual factors appear to be important determinants in this relationship. The purpose of this study was to investigate contextual protective and risk factors by measuring housing situation and occupation in relation to three components of PDU risk behaviour (actively injecting drugs, poly injection, and needle sharing) among young problem drug users. A subsample (n=428) of a cross-sectional study was used. Participants were aged between 17-25 and were from Prague, Bratislava, Turin and Rome. Logistic regressions suggested that being a student (OR=.27) or engaging in undeclared work (OR=.41) negatively predicted active injection drug use. Having an unstable housing situation positively predicted poly injection (OR=4.09), as well as living with parents (OR=5.97), partner (OR=4.09) or friends (OR=2.11) compared to living alone. Being a student negatively predicted poly injection drug use (OR=.35). Being employed (OR=.45) or engaging in undeclared work (OR=.49) negatively predicted needle sharing. In conclusion, this study showed that housing and occupation are important factors associated with PDU risk behaviour. Therefore, interventions aimed at housing stability, independent housing opportunities and occupation, could decrease PDU risk behaviour.