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    The association between experiencing discrimination and physical and mental health among PWID

    Access Status
    Fulltext not available
    Authors
    Couto e Cruz, C.
    Salom, C.
    Dietze, P.
    Burns, L.
    Alati, Rosa
    Date
    2019
    Type
    Journal Article
    
    Metadata
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    Citation
    Couto e Cruz, C. and Salom, C. and Dietze, P. and Burns, L. and Alati, R. 2019. The association between experiencing discrimination and physical and mental health among PWID. International Journal of Drug Policy. 65: pp. 24-30.
    Source Title
    International Journal of Drug Policy
    DOI
    10.1016/j.drugpo.2018.12.010
    ISSN
    0955-3959
    School
    School of Public Health
    URI
    http://hdl.handle.net/20.500.11937/74299
    Collection
    • Curtin Research Publications
    Abstract

    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.

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