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  • Age of heroine users has shifted from being primarily teenage men (mean 16.5 years) in the 1960s, to both women and men in their 20s (mean 22.9 years).
  • Most users are now of white ethnicity, and are increasingly affluent and in suburban as well as rural areas.
  • Reasons of actual heroine use (instead of Rx), aside from intensity of high, often relate to cost: heroine can be more readily accessible and less expensive than prescription opioids.
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