What factors are associated with high-frequency drug treatment use among a racially and ethnically diverse population of injection drug users?
This study explored the frequency of drug treatment utilization by 36,081 injection drug users (IDUs) in Massachusetts, 1996-2002. A number of multiple and logistic regression analyses examined the relationship between demographic characteristics, parental status, level of and type of drug use, history of mental health treatment use, types of drug treatment entered, and the number of times an IDU had entered drug treatment for the seven-year time period. Homelessness, using heroin as the primary drug of choice, and health insurance status were all associated with number of treatments entered. Logistic regression analysis identified that health insurance was a key factor associated with more frequent treatment: those with private health insurance were ten times more likely to be in the 90th percentile (12-107 entries) with respect to number of treatment entries.
Chassler
Deborah
D
Boston University School of Social Work, Boston, Massachusetts, USA. chassler@bu.edu
Lundgren
Lena
L
Lonsdale
Joya
J
D000293:Adolescent; D000328:Adult; D000818:Animals; D044383:Black People / Q000523:psychology / Q000706:statistics & numerical data*; D002908:Chronic Disease; D019970:Cocaine-Related Disorders / Q000453:epidemiology / Q000208:ethnology* / Q000534:rehabilitation*; D003131:Combined Modality Therapy; D015897:Comorbidity; D018864:Cultural Diversity; D005260:Female; D006556:Heroin Dependence / Q000453:epidemiology / Q000208:ethnology* / Q000534:rehabilitation*; D006630:Hispanic or Latino / Q000523:psychology / Q000706:statistics & numerical data*; D006703:Ill-Housed Persons / Q000706:statistics & numerical data; D006801:Humans; D007348:Insurance, Health / Q000706:statistics & numerical data; D008137:Longitudinal Studies; D008297:Male; D008404:Massachusetts; D001523:Mental Disorders / Q000208:ethnology / Q000534:rehabilitation; D008605:Mental Health Services / Q000706:statistics & numerical data; D008875:Middle Aged; D010359:Patient Readmission / Q000706:statistics & numerical data; D012959:Socioeconomic Factors; D016320:Substance Abuse Treatment Centers / Q000706:statistics & numerical data*; D015819:Substance Abuse, Intravenous / Q000453:epidemiology / Q000208:ethnology* / Q000534:rehabilitation*; D014600:Utilization Review / Q000706:statistics & numerical data; D044465:White People / Q000523:psychology / Q000706:statistics & numerical data*; D001741:Black or African American