Home > Trends of heroin use and heroin injection epidemics in Europe: findings from the EMCDDA treatment demand indicator (TDI).

Barrio, Gregorio and Montanari, Linda and Bravo, Maria and Guarita, Bruno and de La Fuente, Luis and Pulido, Jose and Vicente, Julian (2013) Trends of heroin use and heroin injection epidemics in Europe: findings from the EMCDDA treatment demand indicator (TDI). Journal of Substance Abuse Treatment , 45 , (1) , pp. 19-30.

We estimate trends and geographical differences in the heroin epidemic in the European Union plus Croatia and Turkey by analyzing aggregated data on first heroin treatment admissions (cases) during 2000–2009. In 2005–2009 the proportion of drug injectors was higher in Central and Eastern European countries (CEECs) than in Western European countries (WECs), whereas the opposite occurred with mean age at first heroin use and first treatment. During this period, the number of cases, cases per center, and proportion of injectors in WECs declined, whereas mean age at first treatment and first heroin use increased. The opposite occurred in Turkey, except for proportion of injectors, while trends were less clear in the other CEECs. In the 7 WECs with data, trends in 2000–2005 and 2005–2009 were similar. This suggests that the number of recent-onset heroin users and heroin injectors may have declined some years before the study period, especially in WECs.


Item Type:Article
Date:2013
Page Range:pp. 19-30
Volume:45
Number:1
EndNote:View
Accession Number:HRB (Electronic Only)
Subjects:T Demographic characteristics > Intravenous / injecting drug user
VA Geographic area > Europe > Ireland
HJ Treatment method > Substance disorder treatment method
B Substances > Opioids (opiates) > Heroin
VA Geographic area > Europe
A Substance use, abuse, and dependence > Prevalence

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