Am J Drug Alcohol Abuse. 1999 Aug;25(3):463-73. Unique Identifier :
Few studies have examined recovery from opiate and cocaine dependence
without treatment, referred to as "natural recovery," "spontaneous
recovery," and "spontaneous remission." The present study examined the
relationship between network characteristics and cessation of heroin,
cocaine, and crack use in a sample of underclass inner-city injection
drug users in Baltimore, Maryland. Participants were enrolled in an
experimental human immunodeficiency virus (HIV) preventive intervention.
Between the baseline and follow-up interviews, which averaged 5.2
months, 24 (7%) of 335 participants reported ceasing to use heroin,
cocaine, and crack. Individuals who had reported cessation of drug use
at follow-up had reported at baseline a smaller proportion of their
network members with whom they used drugs (p < .02). Using multiple
logistic regression analyses and adjusting for baseline drug use,
enrollment in drug treatment, and demographic and background variables,
cessation of drug use was associated with a lower proportion of personal
network members in one's drug network (odds ratio [OR] = 25.4, p < .05).
The data from this study suggest that network members have potential for
social influence on the cessation of drug use.
JOURNAL ARTICLE Adult Case-Control Studies Cocaine-Related
Disorders/*REHABILITATION *Crack Cocaine Female Human HIV
Infections/PREVENTION & CONTROL Logistic Models Male Maryland Odds
Ratio Opioid-Related Disorders/*REHABILITATION Peer Group Poverty
Areas Prospective Studies Risk Factors *Social Support Substance