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Frequent experienceof discriminationamong people whoinject drugs: Linkswith health andwellbeing Camila Couto e CruzCaroline SalomPaul Dietze2018 год

Frequent experience of discrimination among people who inject drugs: Links with health and wellbeing
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Аннотация: Previous research has shown that people who inject drugs (PWID) experience discrimination on a regular basis. This study explores the relationships between discrimination against PWID and health and wellbeing.Data on discrimination against PWID and their health and wellbeing were drawn from the Illicit Drug Reporting System collected in Australia in 2016. The Personal Wellbeing Index was used to measure wellbeing, and the Kessler-10 scale was used to measure psychological distress. Experience of overdose, injecting related illnesses, diseases, and risky injecting behaviour were also assessed. We fitted multivariate logistic regression models adjusted for socio-demographic, imprisonment history, and drug-related factors.Of the 796 participants included in the study, the majority who reported experiencing discrimination were male (65%), heterosexual (89%), and unemployed (89%). Thirty percent of the sample (n = 238) reported they had never experienced discrimination because of their injecting drug use. Seventeen percent of participants had not experienced discrimination in the twelve months prior to the interview, 24% experienced discrimination monthly, 16% experienced discrimination weekly, and 13% experienced discrimination daily or more. Frequent discrimination was associated with increased odds of overdosing, injecting related illnesses and diseases, mental health issues, and poor wellbeing. Among those who reported experiencing discrimination, females and those who identified as Indigenous were found to have poorer health and wellbeing outcomes.Our findings highlighted that frequent discrimination may lead to worse health and wellbeing among PWID. If our findings are supported by other research, policies aimed at reducing discrimination against PWID may be warranted or improved.
Год издания: 2018
Авторы: Camila Couto e Cruz, Caroline Salom, Paul Dietze, Simon Lenton, Lucy Burns, Rosa Alati
Издательство: Elsevier BV
Источник: Drug and Alcohol Dependence
Ключевые слова: HIV, Drug Use, Sexual Risk, Migration, Health and Trauma, Racial and Ethnic Identity Research
Другие ссылки: Drug and Alcohol Dependence (HTML)
PubMed (HTML)