Nasaler Heroinkonsum in Österreich
Abstract
Ziel: Einschätzung der Bedeutung des nasalen Heroinkonsums in Österreich. Methodik: Analyse der Daten aus dem nationalen Dokumentationssystems der Klientinnen und Klienten der Drogenhilfe des Klientenjahrganges 2007 mit Leitdroge Heroin (N = 2.211) mit dem Fokus auf die Variablen «vorwiegende Einnahmeform», «injizierende Applikation» und Einstiegsalter in den Heroinkonsum bzw. in die injizierende Applikation. Ergebnisse: Nasaler Heroinkonsum stellt bei jungen Klientinnen und Klienten der Drogenhilfe die häufigste Applikationsform von Heroin dar. Ein nicht unerheblicher Teil der Personen mit Leitdroge Heroin steigt im Laufe der Drogenkarriere vom nasalen auf den injizierenden Heroinkonsum um. Schlussfolgerungen: Die Bedeutung des nasalen Heroinkonsums wurde in Österreich bisher unterschätzt. Überlegungen zur Verhinderung des Umstiegs von nasalen auf intravenösen Heroinkonsum im Sinne der Schadensminimierung scheinen angebracht.
Aims: To determine the importance of heroin sniffing in Austria. Method: Analysis of treatment data stemming from the Austrian national documentation system of clients presenting at drug facilities in the year 2007 with heroin as primary drug (N = 2211). We focus on main route of administration, drug injection, age at first use of heroin, and age at first drug injection. Results: Heroin sniffing is the main route of administration among young clients with heroin as primary drug. A relatively large number of heroin sniffers eventually switch over to drug injection in the course of their drug career. Conclusion: The importance of heroin sniffing has been underestimated in Austria. To reduce harm, consideration should be taken of how to keep clients from switching from sniffing to drug injection.
Literatur
2001). Large decline in injecting drug use in Amsterdam, 1986–1998: Explanatory mechanisms and determinants of injecting transitions. Journal of Epidemiology community Health, 55, 356–363.
(1995). Heroin update: Smoking, injecting cause similar effects; Usage patterns may be shifting. NIDA-notes 10 (4). Bethesda, MD: National Institute on Drug Abuse.
(2003). Reasons for selecting an initial route of heroin administration and for subsequent transitions during a severe HIV epidemic. Addiction, 98, 749–760.
(2003). Intensity of drug injection as a determinant of sustained injection cessation among chronic drug users: The interface with social factors and service utilization. Addiction, 99, 727–737.
(2007). Langzeitsubstitutionsbehandlung Opioidabhängiger. Schriftenreihe Health Technology Assessment (HTA) in der Bundesrepublik Deutschland, Bd.53. Köln: Deutsches Institut für Medizinische Dokumentation und Information DIMDI.
(2006). Risk factors associated with injection initiation among drug users in Northern Thailand. Harm Reduction Journal, 3, 10.
(1996). The first hit: Circumstances surrounding initiation into injecting. Addiction, 91, 1187–1196.
(2000). Treatment demand indicator standard protocol 2.0. Lisbon: Autor.
. (2007). Statistical bulletin 2007. www. emcdda.europa.eu/stats07/main. Sonderauswertung 10.12.2008. Lisbon: Autor.
. (1997). The transition from injecting to smoking heroin in three Spanish cities. Addiction, 92, 1749–1763.
(1996). Temporal and geographic variations in the characteristics of heroin seized in Spain and their relation with the route of administration. Drug and Alcohol Dependence, 40, 185–194.
(2002). High-risk behaviors associated with transition from illicit non-injection to injection drug use among adolescent and young adult drug users: a case-control study. Drug and Alcohol Dependence, 66, 189–198.
(2007). Rauschdrogen: Marktformen und Wirkungsweisen. Berlin: Springer.
(2009). Bericht zur Drogensituation 2009. Wien: Gesundheit Österreich GmbH.
(1994). Transitions in patterns of heroin administration: A study of heroin chasers and heroin injectors. Addiction, 89, 301–309.
(1997). From chasing the dragon to chinezen. The diffusion of heroin smoking in the Netherlands. Retrieved from www.drugtext.org/library/books/grund/CHASDRAG.html
(1999). Preventing and curtailing injecting drug use: A review of opportunities for developing route transition interventions. Drug and Alcohol Review, 18, 441–451.
(1998). Evaluation of a brief intervention to prevent initiation into injecting. Drugs Education Prevention Policy, 5, 185–194.
(2006). BADO – Basisdokumentation. KlientInnenjahrgang 2005. Auswertungsbericht. Wien: Autor.
. (2006). Transitions to injecting drug use among noninjecting heroin users. Journal of Acquired Immune Deficit Syndrome, 41, 493–503.
(2005). Bericht zur Drogensituation 2005. Wien: Autor.
. (2007). Risk factors for initiation into drug injection among adolescent street youth. Drugs: Education, Prevention and Policy, 14, 389–399.
(1997). How constant is individual’s route of heroin administration? Data from treatment and non-treatment samples. Drug and Alcohol Dependence, 46, 115–118.
(2004). Updating the infection risk reduction hierarchy: Preventing transition into injection. Journal of Urban Health, 81, 14–19.
(