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Factors associated with inability to access addiction treatment among people who inject drugs in Vancouver, Canada
Open accessAbstract
BACKGROUND: Addiction treatment is an effective strategy used to reduce drug-related harm. In the wake of recent developments in novel addiction treatment modalities, we conducted a longitudinal data analysis to examine factors associated with inability to access addiction treatment among a prospective cohort of persons who inject drugs (PWID). METHODS: Data were derived from two prospective cohorts of PWID in Vancouver, Canada, between December 2005 and November 2013. Using multivariate generalized estimating equations, we examined factors associated with reporting an inability to access addiction treatment. RESULTS: In total, 1142 PWID who had not accessed any addiction treatment during the six months prior to interview were eligible for this study, including 364 women (31.9 %). Overall, 188 (16.5 %) reported having sought but were ultimately unsuccessful in accessing addiction treatment at least once during the study period. In multivariate analysis, factors independently and positively associated with reporting inability to access addiction treatment included: binge drug use (Adjusted Odds Ratio [AOR] = 1.65), being a victim of violence (AOR = 1.77), homelessness (AOR = 1.99), and having ever accessed addiction treatment (AOR = 2.33); while length of time injecting was negatively and independently associated (AOR = 0.98) (all p < 0.05). CONCLUSIONS: These findings suggest that sub-populations of PWID were more likely to report experiencing difficulty accessing addiction treatment, including those who may be entrenched in severe drug addiction and vulnerable to violence. It is imperative that additional resources go into ensuring treatment options are readily available when requested for these target populations.
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Issues regarding the availability of services are one of the main barriers to access in addiction issues, particularly in relation to waiting time.
“Issues regarding the availability of services seem to be one of the main barriers to access in addiction issues, particularly in relation to the problem of waiting time (59, 61–65).”
From Mobile intervention for individuals with psychosis, dual disorders, and their common comorbidities: A literature review (2019) · cites this paper as [64]
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Metadata
- Authors
- Prangnell, A., Daly-Grafstein, B., Dong, H., Nolan, S., Milloy, M.-J., Wood, E., Kerr, T., & Hayashi, K.
- Affiliations
- St. Paul's Hospital (CA)
- University of Toronto (CA)
- University of British Columbia (CA)
- Corresponding author
- Hayashi, Kanna
- Venue
- Substance Abuse Treatment Prevention and Policy
- Published
- 2016-02-25
- Volume
- 11
- Issue
- 1
- Pages
- 9-9
- ISSN
- 1747-597X (ISSN-L)
- PMC
- PMC4766680
- OpenAlex
- W2275438388
- Cited by
- 25
- References
- 40
- Citations by year
- 2026: 1 · 2024: 6 · 2023: 3 · 2022: 2 · 2021: 2 · 2020: 2 · 2019: 4 · 2018: 1 · 2017: 2 · 2016: 2
- FWCI
- 2.81
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Substance Abuse Treatment Prevention and Policy (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- TSpace (University of Toronto) (submittedVersion)
- cIRcle (University of British Columbia) (submittedVersion, cc-by)
- Open Collections
- Funders
- National Institutes of Health (U01DA038886, R01DA021525)
- Canada Research Chairs
- Canadian Institutes of Health Research (MSH-141971)
- Topics
- Health Sciences › Medicine › Epidemiology › HIV, Drug Use, Sexual Risk
- Health Sciences › Medicine › Epidemiology › Substance Abuse Treatment and Outcomes
- Social Sciences › Sociology and Political Science › Homelessness and Social Issues
- Keywords
- people who inject drugs, access to addiction treatment, barriers to treatment, binge drug use, violent victimization, homelessness, treatment seeking, duration of drug use, women who inject drugs, Vancouver
- MeSH terms
- Adult, Canada, Female, Health Services Accessibility, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Substance Abuse, Intravenous, Substance Abuse Treatment Centers
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