Factors Predicting Entry of Injecting Drug Users into Substance Abuse Treatment

Zule, William; Desmond, David P.

doi:10.1081/ada-100100603

Cited by 46 publications

(62 citation statements)

References 8 publications

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“…This finding is consistent with earlier studies showing that those who are depressed or who have more serious drug dependence may be more likely to seek treatment (Zule and Desmond, 2000;Zule et al, 2003). Substance abuse treatment forces individuals to sever ties with friends and relatives who also use, which is likely to significantly impact patterns of socialization in the short term possibly explaining the gaps in social functioning scores.…”

Section: Discussionsupporting

confidence: 90%

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Costenbader

Zule

Coomes

2007

Drug and Alcohol Dependence

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Background-Heavy alcohol use, hepatitis C and illicit drug use each have been shown to have negative impacts on health-related quality of life (HRQL). To date, considerations of HRQL have not played a prominent role in the design and measurement of intervention strategies for out-oftreatment at-risk populations.Methods-Data were collected from out-of-treatment IDUs recruited through street outreach in North Carolina. Multiple linear regression analyses were used to examine the independent effects of HCV status, harmful drinking (AUDIT), and illicit drug use on HRQL (SF-36).Results-Fifty-one percent of 619 study participants tested HCV-positive; 57% met criteria for harmful or hazardous drinking and 63% reported daily use of hard drugs. HRQL scores for this population were significantly lower than those of the general population. Multiple linear regression analyses demonstrated that harmful levels of alcohol consumption and use of methamphetamine in the past month had the strongest associations with reduced HRQL.Conclusions-Given the high rates of HCV in most IDU communities, new harm reduction approaches are needed for these populations which focus beyond prevention to the functioning and well-being of those already infected. In particular, reducing heavy alcohol use in addition to slowing HCV progression shows promise for improving HRQL.

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Section: Discussionsupporting

confidence: 90%

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Costenbader

Zule

Coomes

2007

Drug and Alcohol Dependence

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“…Offering some support for this explanation are results from a study using NCS data that found African Americans had much more positive attitudes toward seeking mental health care than did whites (Diala et al, 2001). Consistent with findings from other studies (Fiorentine and Anglin, 1994;Siegal et al, 2002;Zule et al, 1997;Zule and Desmond, 2000), previous drug abuse treatment was found to be significantly associated with perceived need for treatment. This suggests that those who have been through treatment are likely to have found it sufficiently helpful to see the need for it again, despite of their return to illicit substance use.…”

Section: Discussionsupporting

confidence: 77%

“…For adults suffering drug abuse and dependency disorders, seeing a need for treatment may well be the necessary first step in the help-seeking process (Forentine and Anglin, 1994;Kertesz et al, 2006). Indeed, persons perceiving a need for drug abuse treatment are more likely to enter treatment than those who do not (Kertesz et al, 2006;Siegal et al, 2002;Charauvastra et al, 2002;Zule and Desmond, 2000). In addition, there is some evidence to suggest that perceiving a need for treatment is predictive of staying in treatment as well as having better outcomes (Shen et al, 2000;Longshore and Teruya, 2006).…”

Section: Introductionmentioning

confidence: 99%

Perceived need for substance abuse treatment among illicit stimulant drug users in rural areas of Ohio, Arkansas, and Kentucky

Falck

Wang

Carlson

et al. 2007

Drug and Alcohol Dependence

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Non-medical drug use in rural communities in the United States is a significant and growing public health threat. Understanding what motivates drug users in rural areas to seek substance abuse treatment may help in addressing the problem. Perceived need for treatment, a construct indicative of problem recognition and belief in problem solution, has been identified as an important predictor of help-seeking behavior. This cross-sectional study used data collected through face-to-face interviews to examine factors associated with perceived need for drug abuse treatment among notin-treatment, adult, illicit stimulant drug users (n=710) in rural areas of Ohio, Kentucky, and Arkansas. More than one-quarter of the sample perceived a need for treatment. Results from a stepwise multiple regression analysis showed that white users, users with better physical and mental health status, and occasional users of methamphetamine were significantly less likely to see a need for treatment. Users with higher Addiction Severity Index composite scores for family/social problems or legal problems, and users with prior drug abuse treatment experience were significantly more likely to perceive a need for treatment. These findings have practical implications for efforts addressing substance abuse in rural areas.

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“…We also observed a marginal association between previous treatment and treatment entry in the unadjusted model. This relationship has been reported in prior studies (17,20,21). However, this relationship did not persist after adjusting for other predictors of treatment entry.…”

Section: Discussioncontrasting

confidence: 39%

“…Variables found to be associated with entry into treatment in this population are being female (17), having health insurance (18,19), recent heroin use (20,21), a lengthy duration of drug use (>10 years) (21), HIV-risk injecting behavior (20,21), a desire for treatment (20,21), and prior treatment experience (17,20,21).…”

Section: Introductionmentioning

confidence: 99%

Social Contextual Factors Associated with Entry into Opiate Agonist Treatment Among Injection Drug Users

Lloyd

Ricketts

Strathdee

et al. 2005

The American Journal of Drug and Alcohol Abuse

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We tested hypotheses that social living arrangement and drug use in one's network are independently associated with entry into opiate agonist treatment modalities. Injection drug users (IDUs) attending the Baltimore Needle Exchange Program who received a referral for drug abuse treatment were studied. Baseline interviews, HIV testing, and the Addiction Severity Index (ASI) were administered. Agency records were used to confirm entry into a treatment program offering opiate agonist maintenance therapy within 30 days of the baseline interview. Logistic regression was used to identify predictors of treatment entry. To date, of 245 IDUs, 39% entered such a program. Multivariate logistic regression models controlling for age and intervention status revealed that compared to individuals who lived alone, in a controlled, or nonstable environment (e.g., streets, abandoned house, transitional housing program, or boarding house), individuals who lived with a sexual partner were 3 times more likely to enter treatment (adjusted Odds Ratio [aOR]=3.04; p=0.013) and those who lived with family or friends were almost 3 times more likely to enter treatment (aOR=2.72; p=0.016). In the bivariate analyses, a marginal association was observed between being responsible for children or others and entry into treatment (p=0.066); however, this association was not significant in the multivariate model. Findings from this study suggest that supportive living environments may facilitate entry into treatment and may be helpful in devising appropriate and targeted interventions to encourage drug treatment entry.

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Factors Predicting Entry of Injecting Drug Users into Substance Abuse Treatment

Cited by 46 publications

References 8 publications

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection

Perceived need for substance abuse treatment among illicit stimulant drug users in rural areas of Ohio, Arkansas, and Kentucky

Social Contextual Factors Associated with Entry into Opiate Agonist Treatment Among Injection Drug Users

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