TY - JOUR
T1 - A prospective cohort of people who use methamphetamine in Melbourne and non-metropolitan Victoria, Australia
T2 - Baseline characteristics and correlates of methamphetamine dependence
AU - Quinn, Brendan
AU - Ward, Bernadette
AU - Agius, Paul
AU - Jenkinson, Rebecca
AU - Hickman, Matthew
AU - Sutton, Keith
AU - Hall, Cristal
AU - McKetin, Rebecca
AU - Farrell, Michael P.
AU - Cossar, Reece
AU - Dietze, Paul M.
PY - 2020/11/11
Y1 - 2020/11/11
N2 - Introduction and Aims: Limited research has investigated methamphetamine use and related harms in rural and regional Australia. We investigated whether people who used methamphetamine in non-metropolitan Victoria differed in their sociodemographics and were more likely to be methamphetamine-dependent than those recruited in Melbourne. Design and Methods: We used baseline data from an ongoing prospective cohort study, ‘VMAX’. Participants were recruited from Melbourne and three non-metropolitan Victorian regions. Sequential multivariable logistic regression of nested models assessed unadjusted and adjusted associations between residential locations and methamphetamine dependence. Results: The sample mostly (77%) comprised people who used methamphetamine via non-injecting means (N = 744). Thirty-nine percent were female. Melbourne-based participants were less likely than non-metropolitan participants to identify as Aboriginal and Torres Strait Islander, be heterosexual, have children and be unemployed. More frequent methamphetamine use (adjusted odds ratio 1.22, 95% confidence interval 1.12–1.34) and using crystal methamphetamine versus ‘speed’ powder (adjusted odds ratio 2.38, 95% confidence interval 1.26–3.64) were independently (P < 0.05) associated with being classified as methamphetamine-dependent. A significantly higher percentage of participants in every non-metropolitan region were classified as methamphetamine-dependent vs. those in Melbourne, but this relationship was attenuated when adjusting for methamphetamine use frequency and primary form used. Despite 65% of participants being classified as methamphetamine-dependent, less than half had recently (past year) accessed any professional support for methamphetamine, with minimal variation by recruitment location. Discussions and Conclusions: VMAX participants in non-metropolitan Victoria were more likely to be methamphetamine-dependent than those living in Melbourne. Unmet need for professional support appears to exist among people using methamphetamine across the state, regardless of geographical location.
AB - Introduction and Aims: Limited research has investigated methamphetamine use and related harms in rural and regional Australia. We investigated whether people who used methamphetamine in non-metropolitan Victoria differed in their sociodemographics and were more likely to be methamphetamine-dependent than those recruited in Melbourne. Design and Methods: We used baseline data from an ongoing prospective cohort study, ‘VMAX’. Participants were recruited from Melbourne and three non-metropolitan Victorian regions. Sequential multivariable logistic regression of nested models assessed unadjusted and adjusted associations between residential locations and methamphetamine dependence. Results: The sample mostly (77%) comprised people who used methamphetamine via non-injecting means (N = 744). Thirty-nine percent were female. Melbourne-based participants were less likely than non-metropolitan participants to identify as Aboriginal and Torres Strait Islander, be heterosexual, have children and be unemployed. More frequent methamphetamine use (adjusted odds ratio 1.22, 95% confidence interval 1.12–1.34) and using crystal methamphetamine versus ‘speed’ powder (adjusted odds ratio 2.38, 95% confidence interval 1.26–3.64) were independently (P < 0.05) associated with being classified as methamphetamine-dependent. A significantly higher percentage of participants in every non-metropolitan region were classified as methamphetamine-dependent vs. those in Melbourne, but this relationship was attenuated when adjusting for methamphetamine use frequency and primary form used. Despite 65% of participants being classified as methamphetamine-dependent, less than half had recently (past year) accessed any professional support for methamphetamine, with minimal variation by recruitment location. Discussions and Conclusions: VMAX participants in non-metropolitan Victoria were more likely to be methamphetamine-dependent than those living in Melbourne. Unmet need for professional support appears to exist among people using methamphetamine across the state, regardless of geographical location.
KW - methamphetamine smoking
KW - prospective cohort study
KW - rural–urban
KW - substance use disorder
UR - http://www.scopus.com/inward/record.url?scp=85096742859&partnerID=8YFLogxK
U2 - 10.1111/dar.13194
DO - 10.1111/dar.13194
M3 - Article
C2 - 33176047
AN - SCOPUS:85096742859
JO - Drug and Alcohol Review
JF - Drug and Alcohol Review
SN - 0959-5236
ER -