The association between experiencing discrimination and physical and mental health among PWID
MetadataShow full item record
© 2018 Background: Discrimination can be a daily issue in the lives of people who inject drugs (PWID). However, the extent to which discrimination is related to the health of PWID remains unclear. Methods: Data focusing on discrimination against PWID and potential health correlates were collected as part of the 2013 Illicit Drug Reporting System, a national survey with 887 PWID recruited in all Australian states and territories. Experience of discrimination, its setting, perceived reason and outcome, were self-reported by participants. The Kessler-10 scale and the mental component score of the Short Form 12-Item Health Survey were used to measure mental health. Physical health was assessed using the physical component score of the Short Form 12-Item Health Survey, specifically questions assessing injecting related problems and risk behaviour. Poisson and multinomial regression analyses were performed. Models were adjusted for socio-demographic and drug-related covariates. Findings: PWID reported experiencing discrimination in pharmacies, hospitals, government services and doctors/prescribers. The most commonly reported instances of discrimination were being refused service and experiencing abuse and/or violence. Experience of discrimination was associated with mental and physical health indicators. PWID who experienced discrimination were more likely to report high or very high mental distress (ARRR = 2.4, CI95 = 1.5–3.6) and mental health problems (ARRR = 1.4, CI95 = 1.2–1.7). The mental functioning (ARRR = 1.3, CI95 = 1.1–1.4) and physical functioning (ARRR = 1.1, CI95 = 1.1–1.4) of PWID, who experienced discrimination, were also more likely to be below Australian population mean scores. Conclusion: Self-reported experience of discrimination was associated with poor mental and physical health amongst PWID.
Showing items related by title, author, creator and subject.
Frequent experience of discrimination among people who inject drugs: Links with health and wellbeingCouto e Cruz, C.; Salom, C.; Dietze, P.; Lenton, Simon; Burns, L.; Alati, Rosa (2018)© 2018 Elsevier B.V. Background: 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 ...
The impact of racial discrimination on the health of Australian Indigenous children aged 5-10 years: analysis of national longitudinal data.Shepherd, C.; Li, Jianghong; Cooper, M.; Hopkins, K.; Farrant, B. (2017)Background: A growing body of literature highlights that racial discrimination has negative impacts on child health, although most studies have been limited to an examination of direct forms of racism using cross-sectional ...
The provision of physical health care by nurses to young people with first episode psychosis: A cross-sectional studyChee, G.; Wynaden, Dianne; Heslop, Karen (2018)© 2018 John Wiley & Sons Ltd What is known on the subject?: This paper addresses an identified gap in the international literatures related to physical health care of young people with first episode psychosis. Previous ...