ArticlePain management nursing : official journal of the American Society of Pain Management Nurses2021
Pain and Barriers to Accessing Health Services Among People Who Use Drugs.
Article in Pain management nursing : official journal of the American Society of Pain Management Nurses, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
What it found
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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.
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.
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Who cites it
11 citing papers in PubMed.
- Reducing opioid prescriptions does not increase rate of refills or new opioid requests: evidence from a randomized trial.Health affairs scholar · 2026Article
- Healthcare utilization and perceived substance use-related stigma from healthcare workers among incarcerated women with opioid use disorder.Drug and alcohol dependence · 2025Article
- On-site health service delivery models at syringe services programs in the United States: Results of a national cross-sectional survey.Drug and alcohol dependence reports · 2025Article
- Cannabis use and illicit opioid cessation among people who use drugs living with chronic pain.Drug and alcohol review · 2025Article
- Problems accessing pain care, and the adverse outcomes among adults with chronic pain: a cross-sectional survey study.Pain management · 2025Article
- Healthcare Workers' Pain Management-Correlated Barriers and Self-Efficacy at Teaching Hospitals in the City of Ismailia.Journal of pain research · 2025Article
- Navigating Hepatitis C care: Knowledge gaps and access barriers among young women who inject drugs in rural Appalachia.PloS one · 2025Article
- Socioeconomic and sex inequalities in chronic pain: A population-based cross-sectional study.PloS one · 2023Article
- Elective surgery for acute pain in patients with substance use disorder: lessons learned at a rural neurosurgical center. Patient series.Journal of neurosurgery. Case lessons · 2022Article
- The effect of depressive symptoms on pain in a substance-using population with persistent pain: a cross-sectional cohort study.BMC psychiatry · 2021Article
- Heals on Wheels: Development and Implementation of Community Outreach and Group Medical Visits for People Experiencing Chronic Pain.Global advances in integrative medicine and healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
backgroundThe opioid overdose crisis underscores the need for health services among people who use drugs (PWUD) with concurrent pain.
aimsInvestigating the effect of pain on barriers to accessing health services among PWUD.
designProspective cohort study. SETTINGS: A setting of universal access to no-cost medical care in Vancouver, Canada from June 2014 to May 2016. PARTICIPANTS/SUBJECTS: PWUD who completed at least one study interview.
methodsData derived from interviewer-administered questionnaires were used for multivariable generalized linear mixed-effects multiple regression (GLMM) analyses.
resultsAmong 1,348 PWUD, 469 (34.8%) reported barriers to accessing health services at least once during the study period. The median average pain severity was 3 (IQR: 0-6) out of 10. A dose-response relationship was observed between greater pain and increased odds of reporting barriers to accessing health services (adjusted odds ratio [AOR]: 1.59, 95% confidence interval [CI]: 1.15-2.21, p = .005 for mild versus no pain; AOR: 1.76, 95% CI: 1.30-2.37, p < .001 for moderate versus no pain; AOR: 2.55, 95% CI: 1.92-3.37, p < .001 for severe versus no pain). Common barriers included poor treatment by health professionals, socio-structural barriers such as transportation or mobility, and long wait lists or wait times.
conclusionsPain may be a significant risk factor associated with increased barriers to accessing health services among PWUD. Attention to pain management may improve access to health services, and reducing barriers to health services may conversely improve pain management and its related risks and harms.
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Registered trials
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.