TY - JOUR T1 - Factors Associated with the Transition from Drug Abuse to Initiation of Injection Drug Use TT - JF - Iranian-Rehabilitation-Journal JO - Iranian-Rehabilitation-Journal VL - 13 IS - 2 UR - http://irj.uswr.ac.ir/article-1-536-en.html Y1 - 2015 SP - 16 EP - 22 KW - Addiction KW - Transition KW - Injection pattern KW - Initiation of injection N2 - Objectives: Drug injection carries with it many risks and therefore it is important to understand the initiating factors of injection and its origins. Thus, the purpose of this study was to identify factors associated with the initiation of injection drug use among substance abusers. Methods: Study method was a cross-sectional study. The research statistics universe constitutes all people suffering from a substance dependence disorder with a pattern of injection use in Tehran and Hamedan. This study was conducted among 216 individuals with substance dependence disorders who were selected from harm reduction centers in Tehran and Hamedan. The sampling selection method was simply random. The instruments used for data collection included: demographic information, patterns of drug use and initiation of injection scales. Results: In this study, the average age of initiation to injections was 22.5 years. Factors associated with initiation of drug injection included: acquired more pleasure, easier use, faster effect of injection, ineffective previous use method, curiosity, peer pressure, lack of availability of the drug, poverty, and low quality drugs. Discussion: Results of this study indicate that initiation factors to drug injection are multifaceted (Psychological, Social, Economic and Environmental), therefore, injection interventionists should consider all these factors for prevention, treatment and harm reduction. M3 ER -