ArticleSubstance abuse treatment, prevention, and policy2018
Major depressive disorder and access to health services among people who use illicit drugs in Vancouver, Canada.
Article in Substance abuse treatment, prevention, and policy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Article
- Perceived Barriers to Care Among People Who Use Drugs in Vietnam.Drug and alcohol review · 2026Article
- Breaking the vicious cycle of delayed healthcare seeking for people who use drugs.Harm reduction journal · 2025Article
- Telehealth to increase healthcare access; perspectives of people who use drugs.BMC medical informatics and decision making · 2024Article
- Adaptive Mentoring Networks and Compassionate Care: A Qualitative Exploration of Mentorship for Chronic Pain, Substance Use Disorders and Mental Health.Journal of CME · 2024Article
- The role of depression in secondary HIV transmission among people who inject drugs in Vietnam: A mathematical modeling analysis.PloS one · 2022Article
- The impact of PSTD on service access among people who use drugs in Vancouver, Canada.Substance abuse treatment, prevention, and policy · 2021Article
- Engagement in primary health care among marginalized people who use drugs in Ottawa, Canada.BMC health services research · 2020Article
- HCV infection status and care seeking among people living with HIV who use drugs in Vietnam.AIDS care · 2020Article
- Mental health problems among clients with substance use problems: a nationwide time-trend study.Social psychiatry and psychiatric epidemiology · 2020Article
- Article
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Authors and funding
6 authors.
Funding
Abstract
backgroundPeople who use illicit drugs (PWUD) are commonly diagnosed with major depressive disorder (MDD). However, little is known about whether PWUD living with MDD experience additional barriers to accessing health services compared to those without MDD. We sought to identify whether MDD symptoms were associated with perceived barriers to accessing health services among people who use illicit drugs (PWUD) in Vancouver, Canada.
methodsData were collected through prospective cohorts of PWUD in Vancouver, Canada between 2005 and 2016. Using multiple logistic regression, we examined the relationship between MDD symptoms, defined as a Centre for Epidemiologic Studies Depression (CES-D) scale total score of ≥16, and barriers to access health services. We also used descriptive statistics to examine common barriers among participants who reported any barriers.
resultsAmong a total of 1529 PWUD, including 521 (34.1%) females, 415 (27.1%) reported barriers to accessing health services, and 956 (62.5%) reported MDD symptoms at baseline. In multiple logistic regression analyses, after adjusting for a range of potential confounders, MDD symptoms (adjusted odds ratio [AOR] = 1.40; 95% confidence interval [CI]: 1.03-1.92) were positively and significantly associated with barriers to accessing health services. Among those who reported MDD symptoms and barriers to access, commonly reported barriers included: long wait lists/times (38.1%); and treated poorly by health care professionals (30.0%).
conclusionThese findings show that the likelihood of experiencing barriers to accessing health services was higher among PWUD with MDD symptoms compared to their counterparts. Policies and interventions tailored to address these barriers are urgently needed for this subpopulation of PWUD.
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