Evidence map›Paper›PMID 31379008›Full record

ArticleAddiction (Abingdon, England)2020

Coercion into addiction treatment and subsequent substance use patterns among people who use illicit drugs in Vancouver, Canada.

Andreas Pilarinos, Brittany Barker, Ekaterina Nosova, M-J Milloy, Kanna Hayashi, Evan Wood, Thomas Kerr, Kora DeBeck

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Methadone Maintenance Treatment Discontinuation Among Young People who use Opioids in Vancouver, Canada.Canadian journal of psychiatry. Revue canadienne de psychiatrie · 2023
    Article
  5. Article
  6. Article
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Andreas PilarinosBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.
Brittany BarkerBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.
Ekaterina NosovaBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.
M-J MilloyBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.ORCID 0000-0003-3821-6221
Kanna HayashiBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.ORCID 0000-0003-3843-2928
Evan WoodBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.
Thomas KerrBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.ORCID 0000-0003-2218-8641
Kora DeBeckBritish Columbia Centre on Substance Use, Vancouver, BC, Canada.ORCID 0000-0003-2045-1653

Funding

Vancouver Drug Users Study: The Impacts of Evolving Drug Use Patterns on HIV/AIDSU01DA038886 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI DEBECK, KORA, HAYASHI, KANNA · 2015 to 2024
$12.1M
Impacts of universal access to HIV/AIDS care among HIV+ injection drug usersU01DA021525 · NIDA · UNIVERSITY OF BRITISH COLUMBIA · PI MILLOY, M-J · 2017 to 2024
$4.3M
Canadian Institutes of Health Research (CIHR) New InvestigatorCIHR MOP-102742CIHR MSH-141971NIDA NIH HHS U01 DA021525NIDA NIH HHS U01 DA038886United States National Institutes of HealthU.S. Department of Health and Human Services > National Institutes of Health > National Institute on Drug Abuse U01-DA021525U.S. Department of Health and Human Services > National Institutes of Health > National Institute on Drug Abuse U01-DA038886US National Institutes of Health
6 · The paper itself

Abstract

BACKGROUND AND

aimsMany people who use drugs (PWUD) are coerced into receiving treatment. This study aimed to assess changes in substance use and related outcomes before versus after treatment in people coerced into treatment, voluntarily attending treatment or not attending treatment.

designData from three linked prospective cohort studies of PWUD were used. McNemar's test and non-linear growth curve modeling were employed to: (a) assess changes in substance use patterns before and after coerced addiction treatment and (b) compare these changes with changes in PWUD who (1) voluntarily accessed and (2) did not access treatment.

settingVancouver, Canada.

participantsA total of 3196 community-recruited PWUD. MEASUREMENTS: The outcome variables were substance use and related outcomes assessed by self-reported questionnaire. The input variable was self-reported coerced addiction treatment (defined as being forced into addiction treatment by a doctor or the criminal justice system), voluntary treatment versus no treatment.

findingsBetween September 2005 and June 2015, 399 (12.5%) participants reported being coerced into addiction treatment. In McNemar's test, there were no statistically significant reductions in within-group substance use outcomes for people coerced into treatment, voluntarily attending treatment or not attending treatment. In non-linear growth curve analyses, there were no statistically significant differences in the before and after substance use patterns between those coerced into treatment versus either of the two control groups (all P > 0.05). In subanalyses, we found no statistically significant differences in substance use patterns between people who reported formal coerced treatment through the criminal justice system and people who reported informal coerced treatment through a physician.

conclusionsAmong PWUD in Vancouver, Canada, there appear to be no statistically significant improvements in substance use outcomes among those reporting coerced addiction treatment, those voluntarily accessing treatment, and those not attending treatment.

Indexed as

CoercionDrug UsersIllicit DrugsAdultCanadaFemaleHumansMaleMandatory ProgramsMiddle AgedProspective StudiesSelf ReportSubstance-Related DisordersVoluntary ProgramsYoung AdultIllicit DrugsAddiction treatmentbefore and after analysiscoerced treatmentcompulsory treatmentlongitudinal studysubstance use disorders

Identifiers

PMID31379008
PMCPMC6933075

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.