An analysis of 15-19-year-old first attenders at the Dublin Needle Exchange, 1990-97

Aims. Identification of characteristics and trends over time in young injec ting drug users at first attendance at needle exchange. Design. Retrospecti ve cross-sectional survey of routinely collected data. Setting. Dublin need le exchange programme which consists of 11 sites in the greater Dublin area . Participants. First-time attenders (n = 1224) at the needle exchange from 1990 to 1997, between the ages of 15 and 19. Measurement. Factors associat ed with a likelihood of needle sharing and condom use were tested using log istic regression. Findings. Increases in both the number and proportion of young injectors, particularly young female injectors, have occurred over th e 8 years. Forty-eight per cent of the young injectors were injecting for l ess than 1 year. Needle sharing prevalence in the year previous to first at tendance was 39% and condom use was 61%. The proportion of females not usin g a condom during sexual relationships was significantly higher than males. Very few of the young attenders had received any treatment for drug depend ance. Conclusions. After the first year of injecting drug use the likelihoo d of needle sharing increased and we recommend that interventions occur ear ly on and are targeted to the needs of young injecting drug users, in parti cular young females. It is essential that services are accessible to the yo ung injecting drug user and that barriers to contact with services are mini mized or eliminated. Some high-risk behaviours are occurring in the context of the sexual relationship and this should be taken into account when desi gning prevention programmes, especially for young females.