Transitions in the Route of Heroin Use

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Abstract
Our descriptive study focused on the assessment of ‘transitions’ (stable changes in the predominant route of administration) in 104 heroin users seeking treatment in a Spanish Day Centre. We employed a short version of the Drug Transitions Study adding items on the influence of various variables on the current method of use, impact of AIDS, and the use of cocaine. 45.2% of the individuals made transitions, a result not far from the British Drug Transitions Study, which found 39% transitions. The route of administration of heroin is not a static phenomenon, furthermore it does not progress through a sequential pattern to parental routes. The most valued item determining the choice of the current route of use was ‘achieving a better high’. Fear of contracting an HIV infection was second.

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