ArticleCanadian family physician Medecin de famille canadien2021
Inability to access primary care clinics among people who inject drugs in a Canadian health care setting.
Article in Canadian family physician Medecin de famille canadien, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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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
8 citing papers in PubMed.
- Examining Access to Primary Care for People With Opioid Use Disorder in Ontario, Canada: A Randomized Clinical Trial.JAMA network open · 2022Trial
- Evaluation of a Pilot mHealth Intervention to Engage Primary Care Clients at an Urban Clinic Serving Marginalized Populations: Mixed-Methods Cohort Study.JMIR mHealth and uHealth · 2025Article
- Social-structural barriers to primary care among sex workers: findings from a community-based cohort in Vancouver, Canada (2014-2021).BMC health services research · 2025Article
- Structural Barriers to Primary Care Among Sex Workers: Findings from a Community- Based Cohort in Vancouver, Canada (2014-2021).Research square · 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
- Barriers to Assessing and Treating Trauma in Primary Care and Opportunities for Improvement: Perspectives from Prescribers of Medications for Opioid Use Disorder.Substance use & misuse · 2023Article
- Cohort profile: The provincial substance use disorder cohort in British Columbia, Canada.International journal of epidemiology · 2021Article
- Non-disclosure of drug use in outpatient health care settings: Findings from a prospective cohort study in Vancouver, Canada.The International journal on drug policy · 2020Article
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
objectiveTo examine the prevalence and correlation of self-reported inability to access community primary care clinics among people who inject drugs (PWID).
designSelf-report questionnaire data.
settingVancouver, BC.
participantsData were derived from 3 prospective cohort studies of PWID between 2013 and 2016.
main outcome measuresMultivariable generalized estimating equations were used to determine prevalence of and reasons for self-reported inability to access primary care, as well as factors associated with inability to access care.
resultsOf 1396 eligible participants, including 525 (37.6%) women, 209 (15.0%) persons were unable to access a primary care clinic at some point during the study period. In the multivariable analysis, factors independently associated with inability to access clinics included ever being diagnosed with a mental health disorder (adjusted odds ratio [AOR] = 1.63, 95% CI 1.14 to 2.35), dealing drugs (AOR = 1.60, 95% CI 1.15 to 2.22), using emergency services (AOR = 1.51, 95% CI 1.13 to 2.02), being female (AOR = 1.49, 95% CI 1.08 to 2.08), and testing positive for HIV (AOR = 0.47, 95% CI 0.30 to 0.72) (for all factors,
conclusionSpecific exposures were linked to challenges in accessing primary care among the sample of PWID, even in a publicly funded health care setting. Notably, models designed for care of people with HIV appear to increase access to primary care among PWID. Further research is needed to determine how to effectively treat accompanying mental illness, how to provide women-centred services, and how to connect people with primary care who would likely otherwise go to the emergency department.
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