title: Satisfaction with access to health care among injection drug users, other drug users, and nonusers.
abstract: This article examines the satisfaction of users of cocaine and/or opiates and non-drug users with access to the health care system. Data were obtained from a sample of 1,477 injection drug users, non-injection drug users, and non-drug users recruited from neighborhoods with high drug use. Multiple regression examined the relationship between satisfaction with access to health care and demographic, health status and health care utilization, ability to pay, and alcohol and drug use variables. Age, ethnicity, health status, having received health care in the last 12 months, not having received health care when needed, having received preventive health care, health insurance, and drug use were independently associated with satisfaction. Injection drug users and non-injection drug users were less satisfied with access to health care. The article discusses strategies to improve health care delivery to drug users.
authors.affiliation: Department of Sociology, University of Miami, PO Box 248162, Coral Gables, FL 33124-2208, USA. dchitwood@miami.edu
authors.forename: Dale D
authors.initials: DD
authors.lastname: Chitwood
authors.forename: Mary
authors.initials: M
authors.lastname: Comerford
authors.forename: H Virginia
authors.initials: HV
authors.lastname: McCoy
mesh_terms: D000328:Adult; D016022:Case-Control Studies; D005260:Female; D005431:Florida; D006297:Health Services Accessibility; D006302:Health Services Research; D006304:Health Status; D006801:Humans; D008297:Male; D017060:Patient Satisfaction / Q000208:ethnology / Q000706:statistics & numerical data*; D012044:Regression Analysis; D015819:Substance Abuse, Intravenous / Q000150:complications / Q000523:psychology; D019966:Substance-Related Disorders / Q000150:complications / Q000523:psychology*; D011795:Surveys and Questionnaires