title: Sociodemographic disparities in access to addiction treatment among a cohort of Vancouver injection drug users.
abstract: Vancouver's explosive HIV epidemic among injection drug users (IDUs) has received international attention due to the presence of a large needle exchange program. The role of addiction treatment has not been evaluated in this setting. We evaluated factors associated with use of addiction treatment among a prospective cohort of Vancouver IDUs. Addiction treatment was negatively associated with Aboriginal ethnicity and unstable housing, both of which have been associated with HIV infection in previous studies. These findings demonstrate low levels of addiction treatment among Vancouver IDUs and suggest that programs may need to be targeted towards specific populations with poor access.
authors.affiliation: British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada. ewood@hivnet.ubc.ca
authors.forename: Evan
authors.initials: E
authors.lastname: Wood
authors.forename: Kathy
authors.initials: K
authors.lastname: Li
authors.forename: Anita
authors.initials: A
authors.lastname: Palepu
authors.forename: David C
authors.initials: DC
authors.lastname: Marsh
authors.forename: Martin T
authors.initials: MT
authors.lastname: Schechter
authors.forename: Robert S
authors.initials: RS
authors.lastname: Hogg
authors.forename: Julio S G
authors.initials: JS
authors.lastname: Montaner
authors.forename: Thomas
authors.initials: T
authors.lastname: Kerr
mesh_terms: D000328:Adult; D001955:British Columbia; D015331:Cohort Studies; D003710:Demography; D005260:Female; D006679:HIV Seropositivity; D006297:Health Services Accessibility; D006801:Humans; D008297:Male; D018671:Needle-Exchange Programs; D044382:Population Groups; D012923:Social Class; D012935:Social Justice; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D015819:Substance Abuse, Intravenous / Q000628:therapy*