ArticleThe American journal of drug and alcohol abuse2010
Service use and barriers to care among heroin users: results from a national survey.
Article in The American journal of drug and alcohol abuse, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
9 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Treatment-seeking behaviour among people with opioid use disorder in the high-income countries: A systematic review and meta-analysis.PloS one · 2021Pooled it
- Alcohol reduction strategies among persons with hiv: past attempts, self-reported effectiveness, and future strategies of interest.Addiction science & clinical practice · 2025Article
- Exploring housing instability through a gender lens among people who inject drugs in Montreal, Canada.Drug and alcohol review · 2025Article
- Transitioning From Detoxification to Substance Use Disorder Treatment: Facilitators and Barriers.Journal of substance abuse treatment · 2016Article
- Veterans' Service Utilization Patterns After Alcohol and Opioid Detoxification in VHA Care.Psychiatric services (Washington, D.C.) · 2016Article
- Mortality among heroin users and users of other internationally regulated drugs: A 27-year follow-up of users in the Epidemiologic Catchment Area Program household samples.Drug and alcohol dependence · 2015Article
- Retention on buprenorphine treatment reduces emergency department utilization, but not hospitalization, among treatment-seeking patients with opioid dependence.Journal of substance abuse treatment · 2012Article
- Impact of in-patient research participation on subsequent heroin use patterns: implications for ethics and public health.Addiction (Abingdon, England) · 2012Article
- Immunosuppressive effects of opioids--clinical relevance.Journal of neuroimmune pharmacology : the official journal of the Society on NeuroImmune Pharmacology · 2011Review
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
backgroundHeroin use is associated with many serious consequences.While effective treatments exist, barriers to services persist. Understanding service use and barriers to treatment can structure treatment practice and target interventions for those who are most at risk.
objectivesTo describe patterns and correlates of substance abuse service utilization and treatment barriers among a nationally representative sample of heroin users.
methodsData for this study were derived from the National Epidemiologic Survey on Alcohol and Related Conditions. This study focused on lifetime heroin users (N = 150).
resultsFifty-nine percent of heroin users reported receiving at least one treatment service. The most common services used were 12-step programs, detoxification, and rehabilitation. Approximately 44% reported at least one barrier to treatment. The most common were lack of motivation and beliefs that it could be managed alone. In a multivariate logistic regression, having a heroin use disorder was associated with a greater likelihood of receiving services (OR = 6.09) and experiencing a barrier (OR = 11.11) compared to those without a disorder. CONCLUSIONS AND SCIENTIFIC SIGNIFICANCE: High rates of service use and barriers were observed for all levels of heroin involvement. These findings underscore the importance of improving access to services for this group, even when full criteria for a drug disorder is not met. Integration of motivational approaches is also needed within the most common services used. To our knowledge, this is the first study to describe patterns and correlates of service use using a nationally representative community sample of heroin users.
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