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Street-Involved Youth

Within urban settings, street-involved youth face exceptional health risks and challenges. Crystal methamphetamine use and initiation of injection drug use are just two of the major issues facing street-involved youth in Vancouver. With the establishment of the At-Risk Youth Study (ARYS), UHRI investigators are now conducting research focused on the health of street-involved youth who use drugs. This new body of work focuses on a variety of topics, including drug use, homelessness, syringe sharing, and overdose.

Publications

  • Ahamad K, DeBeck K, Feng C, Sakakibara T, Kerr T, Wood E. Gender influences on initiation of injecting drug use. American Journal of Drug and Alcohol Abuse, 2014 Jan 9 [Epub ahead of print]. PubMed
  • Omura J, Wood E, Nguyen P, Kerr T, DeBeck K. Incarceration among street-involved youth in a Canadian study: Implications for health and policy interventions. International Journal of Drug Policy, 2013 Nov 7 [Epub ahead of print]. PubMed
  • Uhlmann S, DeBeck K, Simo A, Kerr T, Montaner J, Wood E. Crystal methamphetamine initiation among street-involved youth. American Journal of Drug and Alcohol Abuse, 2014; 40(1): 31-36. PubMed
  • Werb D, Kerr T, Buxton J, Shoveller J, Richardson C, Montaner J, Wood E. Crystal methamphetamine and initiation of injection drug use among street-involved youth in a Canadian setting. Canadian Medical Association Journal, 2013; 185(18): 1569-1575. PubMed
  • DeBeck K, Kerr T, Marshall BDL, Simo A; Montaner J, Wood E. Risk factors for progression to regular injection drug use among street-involved youth in a Canadian setting. Drug and Alcohol Dependence, 2013; 133(2): 468-472. PubMed
  • Cheng T, Wood E, Feng C, Mathias S, Montaner J, Kerr T, DeBeck K. Transitions into and out of homelessness among street-involved youth in a Canadian setting. Health & Place, 2013; 23(1): 122-127. PubMed
  • Chami G, Werb D, Feng C, DeBeck K, Kerr T, Wood E. Neighborhood of residence and risk of initiation into injection drug use among street-involved youth in a Canadian setting. Drug and Alcohol Dependence, 2013; 132(3): 486-490. PubMed
  • Feng C, DeBeck K, Kerr T, Mathias S, Montaner J, Wood E. Homelessness independently predicts injection drug use initiation among street-involved youth in a Canadian setting. Journal of Adolescent Health, 2013; 52(4): 499-501. PubMed Summary
  • Hadland SE, Werb D, Kerr T, Fu E, Wang H, Montaner JS, Wood E. Childhood sexual abuse and risk for initiating injection drug use: A prospective cohort study. Preventive Medicine, 2012; 55(5): 500-504. PubMed Summary
  • Hadland SE, Marshall BDL, Kerr T, Lai C, Montaner JS, Wood E. Ready access to illicit drugs among youth and adult users. American Journal on Addictions, 2012; 21(5): 488-490. PubMed
  • Hadland SE, Milloy MJ, Kerr T, Zhang R, Guillemi S, Hogg RS, Montaner JS, Wood E. Young age predicts poor antiretroviral adherence and viral load suppression among injection drug users. AIDS Patient Care and STDs, 2012; 26(5): 274-280. PubMed
  • Hadland SE, Marshall BDL Kerr T, Qi J, Montaner JS, Wood E. Suicide and history of childhood trauma among street youth. Journal of Affective Disorders, 2012; 136(3): 377-380. PubMed Summary
  • Marshall B, Grafstein E, Buxton J, Qi J, Wood E, Shoveller J, Kerr T. Frequent methamphetamine injection predicts emergency department utilization among street-involved youth. Public Health, 2012; 126(1): 47-53. PubMed
  • Johnston CL, Marshall BDL, Qi J, Zonneveld CJ, Kerr T, Montaner JSG, Wood E. HIV knowledge and perceptions of risk in a young, urban, drug-using population. Public Health, 2011; 125(11): 791-794. PubMed Summary
  • Hadland SE, Marshall BD, Kerr T, Qi J, Montaner JS, Wood E. Depressive symptoms and patterns of drug use among street youth. Journal of Adolescent Health, 2011; 48(6): 585-590. PubMed
  • Hadland SE, Marshall BDL, Kerr T, Zhang R, Montaner JS, Wood E. A comparison of drug use and risk behavior profiles among younger and older street youth. Substance Use & Misuse, 2011; 46(12): 1486-1494. PubMed
  • Marshall BDL, Shoveller JA, Wood E, Patterson TL, Kerr T. Difficulty accessing syringes mediates the relationship between methamphetamine use and syringe sharing among young injection drug users. AIDS and Behavior, 2011; 15(7): 1546-1553. PubMed
  • Werb D, Kerr T, Fast D, Qi J, Montaner JSG, Wood E. Drug-related risks among street youth in two neighborhoods in a Canadian setting. Health & Place, 2010; 16(5): 1061-1067. PubMed
  • Chettiar J, Shannon K, Wood E, Zhang R, Kerr T. Survival sex work involvement among street-involved youth who use drugs in a Canadian setting. Journal of Public Health, 2010; 32(3): 322-327. PubMed
  • Marshall BDL, Werb D. Health outcomes associated with methamphetamine use among young people: A systematic review. Addiction, 2010; 105(6): 991-1002. PubMed
  • Marshall BDL, Kerr T, Qi J, Montaner JSG, Wood E. Public injecting and HIV risk behaviour among street-involved youth. Drug and Alcohol Dependence, 2010; 110(3): 254-258. PubMed
  • Fast D, Small W, Krüsi A, Wood E, Kerr T. ‘I guess my own fancy screwed me over’: Transitions in drug use and the context of choice among young people entrenched in an open drug scene. BMC Public Health, 2010; 10(1): 126. PubMed
  • Werb D, Kerr T, Zhang R, Montaner JSG, Wood E. Methamphetamine use and malnutrition among street-involved youth. Harm Reduction Journal, 2010; 7(1): 5. PubMed
  • Hadland SE, Kerr T, Marshall BD, Small W, Lai C, Montaner JS, Wood E. Non-injection drug use patterns and history of injection among street youth. European Addiction Research, 2010; 16(2): 91-98. PubMed
  • Krüsi A, Fast D, Small W, Wood E, Kerr T. Social and structural barriers to housing among street-involved youth who use illicit drugs. Health and Social Care in the Community, 2010; 18(3): 282-288. PubMed
  • Marshall BDL, Shannon K, Kerr T, Zhang R, Wood E. Survival sex work and increased HIV risk among sexual minority street-involved youth. Journal of Acquired Immune Deficiency Syndromes, 2010; 53(5): 661-664. PubMed
  • Shannon K, Kerr T, Marshall B, Li K, Zhang R, Strathdee SA, Tyndall MW, Montaner JSG, Wood E. Survival sex work involvement as a primary risk factor for hepatitis C virus acquisition in drug-using youths in a Canadian setting. Archives of Pediatrics & Adolescent Medicine, 2010; 164(1): 61-65. PubMed
  • Fast D, Shoveller J, Shannon K, Kerr T. Safety and danger in downtown Vancouver: Understandings of place among young people entrenched in an urban drug scene. Health & Place, 2010; 16(1): 51-60. PubMed
  • Wong J, Marshall BDL, Kerr T, Lai C, Wood E. Addiction treatment experience among a cohort of street-involved youths and young adults. Journal of Child & Adolescent Substance Abuse, 2009; 18(4): 398-409.
  • Fast D, Small W, Wood E, Kerr T. Coming ‘down here’: Young people’s reflections on becoming entrenched in a local drug scene. Social Science & Medicine, 2009; 69(8): 1204-1210. PubMed Summary
  • Milloy M-JS, Kerr T, Buxton J, Montaner JS, Wood E. Methamphetamine use and rates of incarceration among street-involved youth in a Canadian setting: A cross-sectional analysis. Substance Abuse Treatment, Prevention, and Policy, 2009; 4(1): 17. PubMed
  • Kerr T, Stoltz J, Marshall BDL, Lai C, Strathdee SA, Wood E. Childhood trauma and injection drug use among high-risk youth. Journal of Adolescent Health, 2009; 45(3): 300-302. PubMed Summary
  • Kerr T, Marshall BDL, Miller C, Shannon K, Zhang R, Montaner JSG, Wood E. Injection drug use among street-involved youth in a Canadian setting. BMC Public Health, 2009; 9(1): 171. PubMed Summary
  • Small W, Fast D, Krüsi A, Wood E, Kerr T. Social influences upon injection initiation among street-involved youth in Vancouver, Canada: A qualitative study. Substance Abuse Treatment, Prevention, and Policy, 2009; 4(1): 8. PubMed
  • Marshall BDL, Kerr T, Shoveller JA, Patterson TL, Buxton JA, Wood E. Homelessness and unstable housing associated with an increased risk of HIV and STI transmission among street-involved youth. Health & Place, 2009; 15(3): 753-760. PubMed Summary
  • Marshall BDL, Wood E. Sex work and sex exchange among street children: An urgent need for a global response. Journal of Adolescent Health, 2009; 44(3): 201-202. PubMed
  • Marshall BDL, Kerr T, Shoveller JA, Montaner JSG, Wood E. Structural factors associated with an increased risk of HIV and sexually transmitted infection transmission among street-involved youth. BMC Public Health, 2009; 9(1): 7. PubMed Summary
  • Miller CL, Kerr T, Fischer B, Zhang R, Wood E. Methamphetamine injection independently predicts hepatitis C infection among street-involved youth in a Canadian setting. Journal of Adolescent Health, 2009; 44(3): 302-304. PubMed Summary
  • Hadland SE, Kerr T, Li K, Montaner JS, Wood E. Access to drug and alcohol treatment among a cohort of street-involved youth. Drug and Alcohol Dependence, 2009; 101(1-2): 1-7. PubMed Summary
  • Martin I, Palepu A, Wood E, Li K, Montaner J, Kerr T. Violence among street-involved youth: The role of methamphetamine. European Addiction Research, 2009; 15(1): 32-38. PubMed Summary
  • Marshall BDL, Kerr T, Livingstone C, Li K, Montaner JSG, Wood E. High prevalence of HIV infection among homeless and street-involved Aboriginal youth in a Canadian setting. Harm Reduction Journal, 2008; 5(1): 35. PubMed Summary
  • Werb D, Kerr T, Li K, Montaner J, Wood E. Risks surrounding drug trade involvement among street-involved youth. American Journal of Drug and Alcohol Abuse, 2008; 34(6): 810-820. PubMed
  • Marshall BDL. The contextual determinants of sexually transmissible infections among street-involved youth in North America. Culture, Health, and Sexuality, 2008; 10(8): 787-799. PubMed
  • Rachlis B, Wood E, Zhang R, Montaner JS, Kerr T. High rates of homelessness among a cohort of street-involved youth. Health & Place, 2009; 15(1): 10-17. PubMed Summary
  • Lloyd-Smith E, Kerr T, Zhang R, Montaner JS, Wood E. High prevalence of syringe sharing among street involved youth. Addiction Research & Theory, 2008; 16(4): 353-358. Summary
  • Werb D, Kerr T, Lai C, Montaner J, Wood E. Nonfatal overdose among a cohort of street-involved youth. Journal of Adolescent Health, 2008; 42(3): 303-306. PubMed
  • Wood E, Stoltz J, Zhang R, Strathdee S, Montaner J, Kerr T. Circumstances of first crystal methamphetamine use and initiation of injection drug use among high-risk youth. Drug and Alcohol Review, 2008; 27(3): 270-276. PubMed Summary
  • Stoltz JA, Shannon K, Kerr T, Zhang R, Montaner JS, Wood E. Associations between childhood maltreatment and sex work in a cohort of drug-using youth. Social Science & Medicine, 2007; 65: 1214-1221. PubMed
  • Stoltz JA, Wood E, Miller C, Small W, Li K, Tyndall MW, Montaner JS, Kerr T. Characteristics of young illicit drug injectors who use North America’s first medically supervised safer injecting facility. Addiction Research & Theory, 2007; 15(1): 63-69.
  • Wood E. Gender and risk factors for initiation into injection drug use. Drug and Alcohol Review, 2007; 26(3): 333-334. PubMed
  • Miller CL, Strathdee SA, Li K, Kerr T, Wood E. A longitudinal investigation into excess risk for blood-borne infection among young injection drug users (IDUs). American Journal of Drug and Alcohol Abuse, 2007; 33(4): 527-536. PubMed
  • Miller CL, Kerr T, Strathdee SA, Li K, Wood E. Factors associated with premature mortality among young injection drug users in Vancouver. Harm Reduction Journal, 2007; 4(1). PubMed
  • Miller CL, Strathdee SA, Kerr T, Li K, Wood E. Factors associated with early adolescent initiation into injection drug use: Implications for intervention programs. Journal of Adolescent Health, 2006; 38(4): 462-464. PubMed
  • Wood E, Stoltz JA, Montaner JS, Kerr T. Evaluating methamphetamine use and risks of injection initiation among street youth: The ARYS study. Harm Reduction Journal, 2006; 3(18). PubMed
  • Miller CL, Spittal PM, Frankish JC, Li K, Schechter MT, Wood E. HIV and hepatitis C outbreaks among high-risk youth in Vancouver demands a public health response. Canadian Journal of Public Health, 2005; 96(2): 107-108. PubMed
  • Miller CL, Wood E, Spittal PM, Li K, Frankish JC, Braitstein P, Montaner JS, Schechter MT. The future face of coinfection: Prevalence and incidence of HIV and hepatitis C virus coinfection among young injection drug users. Journal of Acquired Immune Deficiency Syndromes, 2004; 36(2): 743-749. PubMed