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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