title: Social network members' roles and use of mental health services among drug users in New York City.
abstract: Depression is more common among drug users (15-63 %) than the general population (5-16 %). Lack of social support network members may be associated with low mental health service (MHS) use rates observed among drug users. We investigated the relationship between social network members' roles and MHS use among frequent drug users using Social Ties Associated with Risk of Transition into Injection Drug Use data (NYC 2006-2009). Surveys assessed depression, MHS use, demographics, drug use and treatment, and social network members' roles. Participants reporting lifetime depressive episode with start/end dates and information on social/risk network members were included (n = 152). Adjusting for emotional support and HIV status, having one or more informational support network members remained associated with MHS use at last depressive episode (adjusted odds ratio (AOR) 3.37, 95 % confidence interval (CI) 1.38-8.19), as did history of drug treatment (AOR 2.75, 95 % CI 1.02-7.41) and no legal income (AOR 0.23, 95 % CI 0.08-0.64). These data suggest that informational support is associated with MHS utilization among depressed drug users.
authors.affiliation: Department of Epidemiology, Mailman School of Public Health, Columbia University, New York, NY 10032, USA. kjh2127@columbia.edu
authors.forename: Katherine J
authors.initials: KJ
authors.lastname: Sapra
authors.forename: Natalie D
authors.initials: ND
authors.lastname: Crawford
authors.forename: Abby E
authors.initials: AE
authors.lastname: Rudolph
authors.forename: Kandice C
authors.initials: KC
authors.lastname: Jones
authors.forename: Ebele O
authors.initials: EO
authors.lastname: Benjamin
authors.forename: Crystal M
authors.initials: CM
authors.lastname: Fuller
mesh_terms: D000328:Adult; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D005260:Female; D015438:Health Behavior; D006306:Health Surveys; D006801:Humans; D013287:Illicit Drugs; D008297:Male; D008605:Mental Health Services / Q000706:statistics & numerical data*; D009519:New York City; D011446:Prospective Studies; D012307:Risk Factors; D012380:Role; D012944:Social Support; D015819:Substance Abuse, Intravenous / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology / Q000534:rehabilitation*; D014505:Urban Population / Q000706:statistics & numerical data*; D014600:Utilization Review / Q000706:statistics & numerical data; D055815:Young Adult
chemical_list: D013287:Illicit Drugs
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