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Eating patterns among heroin users: a qualitative study with implications for nutritional interventions
Abstract
AIM: To provide new insights into heroin users' eating patterns in order to inform nutritional interventions. DESIGN: Seventy-seven audio-recorded in-depth interviews which elicited detailed data on eating patterns. SETTING: Community and residential drug services, pharmacies and peer support groups in Southern England, UK. PARTICIPANTS: Forty current or ex-heroin users (21 men and 19 women), of whom 37 (20 men and 17 women) were re-interviewed after 3 months. MEASUREMENTS: Audio data transcribed verbatim, coded systematically and analysed inductively. FINDINGS: Heroin users' eating patterns were influenced by individual, social, cultural, economic and environmental factors. During active heroin use, participants consumed quick, convenient, cheap and sweet foods, ate infrequently and had little interest in food. Eating patterns often improved during stays in residential services and after heroin cessation. Ex-heroin users began to take pleasure in food preparation and eating and identified therapeutic benefits to cooking. Initially, weight gain was experienced positively, but subsequently generated anxieties as participants, particularly women, struggled to control their appetite and worried about becoming overweight. Findings complement and add to previous research and sociological and anthropological literatures. CONCLUSIONS: Heroin users have dysfunctional eating patterns that are amenable to change and community and residential services could enable them to experience the many health, psychological and social benefits of improved eating practices. Nutritional interventions need to be tailored to individual needs and circumstances, but also monitored and evaluated so that there is a future evidence base.
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“During active heroin use, individuals report little interest in food, preferring quick and cheap convenience foods (151).”
From A Biopsychosocial Overview of the Opioid Crisis: Considering Nutrition and Gastrointestinal Health (2019) · cites this paper as [151]
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Metadata
- Authors
- Neale, J., Nettleton, S., Pickering, L., & Fischer, J.
- Affiliations
- Oxford Brookes University (GB)
- University of York (GB)
- University of Glasgow (GB)
- Corresponding author
- Neale, Joanne
- Venue
- Addiction
- Publisher
- Wiley
- Published
- 2012-02-08
- Volume
- 107
- Issue
- 3
- Pages
- 635-641
- ISSN
- 0965-2140 (ISSN-L)
- 1360-0443
- OpenAlex
- W1894363939
- Cited by
- 110
- References
- 39
- Citations by year
- 2026: 4 · 2025: 12 · 2024: 19 · 2023: 9 · 2022: 15 · 2021: 7 · 2020: 9 · 2019: 3 · 2018: 7 · 2017: 7 · 2016: 4 · 2015: 2 · 2014: 5 · 2013: 4 · 2012: 3
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Addiction (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Funders
- Economic and Social Research Council (ES/F030606/1)
- Topics
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Keywords
- heroin use, dietary habits, dietary intervention, dysfunctional eating, community drug services, weight gain, appetite regulation, cooking
- MeSH terms
- Adult, Eating, Feeding Behavior, Female, Heroin Dependence, Humans, Male, Middle Aged, Residential Treatment, Socioeconomic Factors, Nutritional Support
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