The Cedar Project: XXXX maintenance treatment among young Aboriginal @entity1 who use opioids in two Canadian cities.

@entity1 @entity36386 @entity10745 @entity2133 @entity167 @entity569 @entity284
INTRODUCTION AND AIMS: The Cedar Project is a community-based study aiming to identify variables associated with ever being on @entity284 maintenance treatment ( @entity569 ) among young Aboriginal @entity1 using drugs and to discuss possible barriers to @entity569 in this population. DESIGN AND METHODS: This is a prospective cohort study with recruitment by health-care providers, outreach, and @entity2133 in Vancouver and Prince George. @entity1 included 605 Aboriginal @entity1 who were age 14-30 years, reported illicit drug use in the month prior to enrolment, and provided written informed consent. Variables associated with ever being on @entity569 were analysed through   (2) -testing and multivariate logistic regression, limited to @entity1 reporting opioid use (n = 397). RESULTS: Less than half of @entity1 reporting daily injection of opioids had ever been on @entity569 . In adjusted multivariate logistic regression analyses, older age [ @entity36386 ; 95% confidence interval (CI) 1.08-1.28)]; female gender (OR 3.76; 95% CI 2.00-7.07); @entity10745 antibody positivity (OR 2.76; 95% CI 1.53-4.95); and daily opioid injection (OR 2.59; 95% CI 1.46-4.61) were positively associated with ever being on @entity569 . Weekly or more @entity167 use (OR 0.43; 95% CI 0.21-0.87) was negatively associated with ever being on @entity569 . DISCUSSION AND CONCLUSION: @entity569 access by young Aboriginal @entity1 is low. The associations between @entity569 use and other variables need further study to steer efforts directed at recruitment into @entity569 . The removal of barriers to @entity569 and inclusion of young Aboriginal @entity1 in the development of treatment programs based on Indigenous values are urgently required to help Aboriginal @entity1 who use drugs.
