Abstract:
BACKGROUND:People who inject drugs have a greater risk of infectious disease and mortality than other substance abusers and nondrug users. Variation in risk behavior among people who inject drugs is likely associated with comorbid mental health disorders. OBJECTIVES:Examine the association between a history of mood disorder and recent risk behavior among people who inject drugs. METHODS:With baseline data from a behavioral HIV prevention clinical trial in a population of people who inject drugs, we used logistic regression models to compare the risk behaviors of people who report a past diagnosis of bipolar disorder (n = 113) or depression (n = 237) to a comparison group with no history of diagnosed mental illness (n = 446). We also assessed differences between groups before and after adjusting for demographic characteristics and current depressive symptoms. RESULTS:While there were no differences between groups in frequency of drug use, people who inject drugs who report a history of mood disorders reported more injection risk behaviors, drug overdoses, sex exchanges, and multiple partners than those with no history of mental illness. Adjusting the comparison for demographic characteristics and current depressive symptoms had little impact on these findings. Variation in risk between depression and bipolar disorder groups was minimal. Conclusions/Importance: People who inject drugs and have mood disorders have unique and significant social, clinical, and risk reduction needs. Despite the limited validity of self-reported mental health history, simply asking about a history of mood disorder may be effective for identifying a particularly vulnerable population of people who inject drugs.
journal_name
Subst Use Misusejournal_title
Substance use & misuseauthors
Williams SC,Davey-Rothwell MA,Tobin KE,Latkin Cdoi
10.1080/10826084.2017.1302954subject
Has Abstractpub_date
2017-07-29 00:00:00pages
1181-1190issue
9eissn
1082-6084issn
1532-2491journal_volume
52pub_type
杂志文章abstract::In narratives of 35 lesbians in alcohol recovery, 46% unexpectedly disclosed having survived childhood sexual abuse (CSA), linking it with addiction and recovery experiences. This subgroup described unbounded difficulties that pervaded their lives well into recovery. They reported multiple addictions, self-harm, isola...
journal_title:Substance use & misuse
pub_type: 杂志文章
doi:10.3109/10826089609045810
更新日期:1996-01-01 00:00:00
abstract::This cross-sectional research examined the effects of ethnicity, age, and primary drug (alcohol or other drug) on recovering women's social network size and social support. Study participants included 21 African-American, 39 Anglo-American, and 3 Mexican-American women in continuous recovery for a minimum of 6 months....
journal_title:Substance use & misuse
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更新日期:2018-11-10 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章,评审
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abstract::Under the leadership of Drs. Vincent P. Dole, Marie Nyswander, and Mary Jeanne Kreek, in collaboration with the psychologist, Norman Gordon and sociologist, Herman Joseph at The Rockefeller University beginning in the 1960s, the first medical treatment for heroin addiction was developed. Drs. Dole, Nyswander and Kreek...
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journal_title:Substance use & misuse
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journal_title:Substance use & misuse
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更新日期:2002-03-01 00:00:00
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journal_title:Substance use & misuse
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更新日期:2017-08-24 00:00:00
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更新日期:2019-01-01 00:00:00
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journal_title:Substance use & misuse
pub_type: 杂志文章
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更新日期:2019-01-01 00:00:00
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