Evidence map›Paper›PMID 40814947›Full record

ArticleAddiction (Abingdon, England)2025

Qualitative analysis of barriers and facilitators to healthcare engagement for people with injecting-related invasive infections using a social ecological framework.

Lucy O Attwood, Sophia E Schroeder, Olga Vujovic, Andrew J Stewardson, Joseph S Doyle, Paul Dietze, Peter Higgs, Samantha Colledge-Frisby

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

8 authors.

Lucy O AttwoodDepartment of Infectious Diseases, The Alfred Hospital and School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-0447-7917
Sophia E SchroederDisease Elimination Program, Burnet Institute, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0001-8611-7346
Olga VujovicDepartment of Infectious Diseases, The Alfred Hospital and School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Andrew J StewardsonDepartment of Infectious Diseases, The Alfred Hospital and School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Joseph S DoyleDepartment of Infectious Diseases, The Alfred Hospital and School of Translational Medicine, Monash University, Melbourne, Victoria, Australia.
Paul DietzeDisease Elimination Program, Burnet Institute, Melbourne, Victoria, Australia.
Peter HiggsDisease Elimination Program, Burnet Institute, Melbourne, Victoria, Australia.
Samantha Colledge-FrisbyDisease Elimination Program, Burnet Institute, Melbourne, Victoria, Australia.ORCID https://orcid.org/0000-0003-3571-0136

Funding

National Drug Research InstituteNational Health and Medical Research Council GNT2002670National Health and Medical Research Council GNT2026648
6 · The paper itself

Abstract

BACKGROUND AND

aimsInjecting-related bacterial infections are increasing in many countries. Systemic infections often require prolonged treatment. Evidence suggests that people who inject drugs who have invasive infections are less likely to complete antimicrobial treatment and have poorer outcomes than patients without a history of injecting drug use. We used a social ecological model to identify critical barriers and facilitators that impact healthcare service access for people who inject drugs with an invasive infection.

designA qualitative study using semi-structured interviews.

settingMelbourne, Victoria, Australia in 2023.

participantsTwenty participants were recruited from SuperMIX, a longitudinal cohort of people who inject drugs. MEASUREMENTS: Thematic analysis used inductive coding to chart themes onto the core domains of the social ecological model.

findingsParticipant experiences informed five key themes. (1) Health literacy influenced how participants responded to the physical and experiential embodiment of symptoms. (2) The intersection between drug use and marginalisation created compounding barriers to care. (3) Familial and social embeddedness of participants could both enable or restrict their healthcare access. (4) The use of patient-centred care to respond to intersecting needs directly contributed to healthcare engagement outcomes. Finally, (5) trust was a critical dimension that influenced participants' experiences of healthcare access. While its presence or absence was felt at intrapersonal and interpersonal levels, cultivating or discouraging trust had its roots at the societal and institutional level.

conclusionsAmong people who inject drugs, facilitators and barriers to seeking healthcare for invasive infections appear to be influenced by factors at all levels of the social ecological model (intrapersonal, interpersonal, institutional and societal).

Indexed as

Bacterial InfectionsHealth Services AccessibilityPatient Acceptance of Health CareSubstance Abuse, IntravenousAdultFemaleHealth LiteracyHumansLongitudinal StudiesMaleMiddle AgedPatient-Centered CareQualitative ResearchVictoriaendocarditishospitalisationinjecting drug usemodels of caresepsissocial ecological model

Identifiers

PMID40814947
PMCPMC12586791

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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.