Key ey find nding ngs f from om th the e 2014 Illicit Dr t - - PowerPoint PPT Presentation

▶
key ey find nding ngs f from om th the e 2014 illicit dr
SMART_READER_LITE
LIVE PREVIEW

Key ey find nding ngs f from om th the e 2014 Illicit Dr t - - PowerPoint PPT Presentation

Feb 01, 2023 231 likes •524 views

Key ey find nding ngs f from om th the e 2014 Illicit Dr t Drug R Rep epor orting ng Sys ystem em Australian National Maritime Museum, Sydney Monday 20 th October 2014 Jenny Stafford and Lucy Burns Funded by the Australian

slide-1
SLIDE 1

Key ey find nding ngs f from

  • m th

the e 2014 Illicit Dr t Drug R Rep epor

  • rting

ng Sys ystem em

Funded by the Australian Government under the Substance Misuse Prevention and Service Improvement Grants Fund

Australian National Maritime Museum, Sydney Monday 20th October 2014 Jenny Stafford and Lucy Burns

slide-2
SLIDE 2

ID IDRS: K : Key ey r res esults for 2 r 2014

slide-3
SLIDE 3

Par Partici cipant nt El Eligi gibi bility

Injected in the last 6 months In the “market” for the past year Sampled from needle and syringe programs, outreach, clinics, snowballing Around 100 participants from each jurisdiction

slide-4
SLIDE 4

Par Partici cipant nt ch char aract acteristics cs

2013 N=887 2014 N=898 Mean age (years) 40 (18-66) 41 (18-67) % Male 64 69 % Single 53 56 % Unemployed 84 83 % Currently in treatment 47 47 % Prison history 56 55 Mean age first injected (years) 20 20

57% 1% 1% 34% 7% NSP Treatment provider Street press Word of mouth Other

Participant recruitment

slide-5
SLIDE 5

Dr Drug ug of cho hoice (%)

53 54 53 50 20 21 23 24 2 8 10 7 5 5 5 10 20 30 40 50 60 % PWID Heroin Any methamph Morphine Cannabis

Dr Drug ug injected mo most t last t mo month th (%)

IDR DRS:

43 42 40 41 26 25 25 30 11 10 15 22↑ 16 16 17 16 10 20 30 40 50 60 % PWID Heroin Any methamph Ice/crystal Morphine

↑ Significant increase between 2013 ands 2014 (p<0.05)

slide-6
SLIDE 6

Recent ent drug use e (%)

60 66 72 16 60 70 73 12 10 20 30 40 50 60 70 80 Heroin Methamphetamine Cannabis Cocaine % PWID 2013 2014

IDR DRS:

Mainly ice/crystal Mainly hydroponic Mainly used in NSW

slide-7
SLIDE 7

Medi dian da days s of use se (%) %)

72 72 60 72 19 22 24 24 5 3 3 2 180 160 170 96↓ 20 40 60 80 100 120 140 160 180 200 2011 2012 2013 2014 % PWID Heroin Any meth Cocaine Cannabis

IDR DRS:

Significant increase - number of days recently used ice/crystal 12 days to 20 days in 2014

↓ Significant decrease between 2013 ands 2014 (p<0.05)

slide-8
SLIDE 8

Recent t me metha thamp mphe heta tami mine us use (%)

55 34 30 35 22 13 12 43 37 55 61↑ 76 60 66 70 10 20 30 40 50 60 70 80 90 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 % PWID Speed Base Ice/Crystal Any Methampetamine

IDR DRS:

↑ Significant increase between 2013 ands 2014 (p<0.05)

slide-9
SLIDE 9

Indicat ator r dat ata a – wei eight and nd nu number er of det etections ns of crys ystalline ne me metha thamp mphe heta tami mine at t the the Aus ustr tralian border

IDR DRS:

83 154 233 2 124 55 14 225 115 36 64 160 1,456 14 30 17 12 18 20 133 76 27 88 160 171 1,084 200 400 600 800 1,000 1,200 1,400 1,600 200 400 600 800 1,000 1,200 1,400 1,600 Number of detections Weight in kilograms Weight Number

Source: Australian Customs and Border Protection Services

slide-10
SLIDE 10

Recent t us use of othe ther drug ugs (%)

38 36 48 64 37 33 46 63 10 20 30 40 50 60 70 Morphine Oxycodone Methadone Benzodiazepines % PWID 2013 2014

IDR DRS:

slide-11
SLIDE 11

Pur urity a and A Avail ilabili ility

slide-12
SLIDE 12

PU PURI RITY o

  • f heroin

n and and me methamph amphetami amine ne

13 7 10 49 21 32 30 29 63 35 60 50 46

10 20 30 40 50 60 70 80 90 100

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

% PWID

Heroin - purity

High Medium Low

19 13 22 23 29 62 32 46 44 40

10 20 30 40 50 60 70 80 90 100

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

% PWID

Methamphetamine - purity

Speed - High Ice - High

slide-13
SLIDE 13

PU PURI RITY/PO /POTENCY o

  • f cocai

caine and and cannab cannabis

16 21 29 46 32 49 36 33

10 20 30 40 50 60 70 80 90 100

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

% PWID

Cocaine - purity

Cocaine - High Cocaine - Medium

63 59 58 55 22 17 20 27 22

10 20 30 40 50 60 70 80 90 100

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

% PWID

Cannabis -potency

Hydro - High Bush - High

slide-14
SLIDE 14

AVAILABILTY of h heroin and n and me methamph amphetami amine

88 89 85 63 75 84 91

50 55 60 65 70 75 80 85 90 95 100

2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

% PWID

Very easy/easy to obtain

Speed Ice

93 72 87 85 89

10 20 30 40 50 60 70 80 90 100

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

% PWID

Very easy/easy to obtain

Heroin

slide-15
SLIDE 15

AVAILABILTY of c cocai caine ne and and canna cannabis

62 80 54 81 65 70 72

10 20 30 40 50 60 70 80 90 100

2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

% PWID

Very easy/easy to obtain

Cocaine

92 89 93 87 78 67 74 76

10 20 30 40 50 60 70 80 90 100

2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014

% PWID

Very easy/easy to obtain

Hydro Bush

slide-16
SLIDE 16

Inj njecti ting ng risk beh ehavi viou

  • urs,

, mental al h heal alth an and d crimina nal a acti tivi vity

slide-17
SLIDE 17

In Injecting ris risk k beha haviour ur and and pr probl blems ms, 201 013-2014 (i (in th the last st mon

  • nth

th)

2013 2014 % Borrowed a needle 7 6 % Lent a needle 11 12 % Shared equipment (excludes needles) 24 25 % Re-used own needle 40 41 % Re-used injecting equipment (excludes needles) 52 56 % Scarring/bruising 37 37 % Difficulty injecting 33 37 % Dirty Hit 11 9 Mainly mixing spoons

slide-18
SLIDE 18

Self lf-repo ported me ment ntal al h heal alth pr probl blems ms (l (last 6 st 6mth ths) s), , 2013-201 014

2013 2014 % Self-reported mental health problem 44 44 Problem reported: N=388 N=346 % Depression 66 68 % Anxiety 46 48 % Manic-depression 10 13 % Schizophrenia 15 15 Attended a health professional for self-reported mental health problem^ (%) 74 72

^ among those who self-reported a mental health problem

slide-19
SLIDE 19

Criminal al ac activity, , 20 2013 13-20 2014 14

Crime in the last month: 2013 2014 % Drug dealing 23 25 % Property 18 18 % Fraud 2 4 % Violence 3 5 % Any Crime 36 38 % Arrested in the last 12 months 32 33

slide-20
SLIDE 20

Recent nt ice use se v versu sus s no no recent ice us use (i (in l las ast 6 6 mon months hs)

slide-21
SLIDE 21

Recent ent use vs e vs. no no recent ent ice: e: dem demographics cs, , 20 2014

Recent Ice (N=547) No recent Ice (N=349)

% Male 71 66 Median age (years) 40 43 % English speaking 95 96 % Single 58 52 % Heterosexual 89 91 % Unemployed 86 79 % Completed trade/tech qualification* 47 43 % Prison history 58 54 % Currently in drug treatment 48 45

* Significant difference (p<0.05)

slide-22
SLIDE 22

Recent ent ice e vs vs. . no recent ent i ice: e: recent ent dr drug use, 20 e, 2014

60 37 17 16 82 68 48 33 38 17 25 9 15 64

60 19 5 6 61 55 43 45 25 10 12 3 2 49

10 20 30 40 50 60 70 80 90

% of recent use

Recent ice (N=547) No recent ice (N=350)

* Significant difference (p<0.05)

Mean age first injected Recent ice – 19 years No recent Ice – 21 years

slide-23
SLIDE 23

Recent ent i ice e vs. . no recent ent i ice: e: inj nject cting ng risk b beh ehavi viours, , 20 2014

Recent Ice (N=547) No recent Ice (N=349) % Borrowed a needle* 8 3 % Lent a needle* 15 7 % Shared other injecting equipment# 27 22 % Re-used own needle * 45 35 % Re-used own injecting equipment# 54 65 % Self-reported injecting problems 64 52

# includes spoons, water, tourniquets and filters

* Significant difference (p<0.05)

Mainly mixing spoons

slide-24
SLIDE 24

Recent ent ice e vs

  • vs. no

no recent ent ice ce: Self lf-rep eported m d ment ental he health th problems ms (last t 6mths mths), 2014

Recent Ice (N=547) No recent Ice (N=349)

% Self-reported mental health problem* 47 27 Problem reported: N=253 N=94 % Depression 67 70 % Anxiety 47 52 % Manic-depression 12 16 % Schizophrenia 17 9 % Panic 11 11 % Paranoia* 9 2 % Drug Induced Psychosis* 9 1 % Attended a health professional for self-reported mental health problem 74 66

* Significant difference (p<0.05)

slide-25
SLIDE 25

Recent ent ice e vs

  • vs. no

no recent ent i ice e : : cri rime me in the the l last mo t month, th, 2 2014

46 32 21 6 6 40 27 15 15 3 2 25

5 10 15 20 25 30 35 40 45 50 Any crime* Dealing* Property crime* Violence* Fraud* Arrested last 12mths* % crime in the last month Recent ice (N=535) No recent ice (N=343)

* Significantldifference (p<0.05)

slide-26
SLIDE 26

(1) 1) IDRS IDRS s summar ary

Dem emographics

  • Mean age 41yrs, mainly male, single, unemployed

Drug ug us use

  • Heroin main drug of choice and the drug injected most in the last

month

  • While there was no change to recent any methamphetamine use,

an increase in use and frequency of use of the form ice/crystal was found

  • Recent heroin and cocaine remained stable
  • Recent cannabis use remained stable but frequency of use

decreased

slide-27
SLIDE 27

(2) IDRS IDRS s summar ary

Purity an and av avai ailab ability

  • Purity varies by drug
  • Availability was generally ‘very easy/easy’ to obtain for all drugs

Recen ent i ice e user ser

  • Younger and unemployed
  • More likely to recently use a variety of drugs – polydrug use
  • More likely to borrow, lend and re-use needles
  • Report injecting problems such as bruising/scarring
  • More likely to self report a recent mental health problem
  • More likely to report crime in the last month and an arrest in the

last 12 months

slide-28
SLIDE 28

For more information please visit the NDARC ‘Drug Trends’ website http://ndarc.med.unsw.edu.au/group/drug-trends