Incarceration history and opioid use among adults living with HIV and chronic pain: a secondary analysis of a prospective cohort study.

IF 3 Q1 CRIMINOLOGY & PENOLOGY

Health and Justice Pub Date : 2024-05-29 DOI:10.1186/s40352-024-00272-x

Anna B Lichtiger, Yuting Deng, Chenshu Zhang, Justina Groeger, Hector R Perez, Gayatri Nangia, Melanie Prinz, Emma Richard, Matthew Glenn, Ana Alicia De La Cruz, Ariana Pazmino, Chinazo O Cunningham, K Rivet Amico, Aaron Fox, Joanna L Starrels

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引用次数: 0

Abstract

Background: Adults living with HIV have disproportionately high chronic pain, prescription opioid use, history of substance use, and incarceration. While incarceration can have long-lasting health impacts, prior studies have not examined whether distant (>1 year prior) incarceration is associated with opioid use for chronic pain, or with opioid misuse or opioid use disorder among people living with HIV and chronic pain.

Methods: We conducted a secondary analysis of a prospective cohort study of adults living with HIV and chronic pain. The independent variables were any distant incarceration and drug-related distant incarceration (both dichotomous). Dependent variables were current long-term opioid therapy, current opioid misuse, and current opioid use disorder. A series of multivariate logistic regression models were conducted, adjusting for covariates.

Results: In a cohort of 148 participants, neither distant incarceration nor drug-related incarceration history were associated with current long-term opioid therapy. Distant incarceration was associated with current opioid misuse (AOR 3.28; 95% CI: 1.41-7.61) and current opioid use disorder (AOR 4.40; 95% CI: 1.54-12.56). Drug-related incarceration history was also associated with current opioid misuse (AOR 4.31; 95% CI: 1.53-12.17) and current opioid use disorder (AOR 7.28; 95% CI: 2.06-25.71).

Conclusions: The positive associations of distant incarceration with current opioid misuse and current opioid use disorder could indicate a persistent relationship between incarceration and substance use in people living with HIV and chronic pain. Additional research on opioid use among formerly incarcerated individuals in chronic pain treatment is needed.

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成人艾滋病病毒感染者和慢性疼痛患者的监禁史与阿片类药物使用：一项前瞻性队列研究的二次分析。

背景：感染艾滋病毒的成年人中，慢性疼痛、处方阿片类药物使用、药物使用史和监禁的比例过高。虽然监禁可能会对健康产生长期影响，但之前的研究并没有研究远期（>1 年前）监禁是否与阿片类药物用于慢性疼痛有关，或是否与阿片类药物滥用或阿片类药物使用障碍有关：我们对一项针对成年艾滋病病毒感染者和慢性疼痛患者的前瞻性队列研究进行了二次分析。自变量为任何远距离监禁和与毒品有关的远距离监禁（均为二分法）。因变量为当前长期阿片类药物治疗、当前阿片类药物滥用和当前阿片类药物使用障碍。在对协变量进行调整后，我们建立了一系列多变量逻辑回归模型：在 148 名参与者的队列中，远距离监禁或与毒品有关的监禁史均与当前长期阿片类药物治疗无关。远距离监禁与当前阿片类药物滥用（AOR 3.28；95% CI：1.41-7.61）和当前阿片类药物使用障碍（AOR 4.40；95% CI：1.54-12.56）有关。与毒品相关的监禁史也与当前阿片类药物滥用（AOR 4.31；95% CI：1.53-12.17）和当前阿片类药物使用障碍（AOR 7.28；95% CI：2.06-25.71）相关：远期监禁与当前阿片类药物滥用和当前阿片类药物使用失调之间的正相关关系可能表明，在艾滋病毒感染者和慢性疼痛患者中，监禁与药物使用之间存在持续关系。还需要对接受慢性疼痛治疗的曾被监禁者使用阿片类药物的情况进行更多的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Health and Justice Social Sciences-Law

CiteScore

4.10

自引率

8.60%

发文量

审稿时长

13 weeks

期刊介绍： Health & Justice is open to submissions from public health, criminology and criminal justice, medical science, psychology and clinical sciences, sociology, neuroscience, biology, anthropology and the social sciences, and covers a broad array of research types. It publishes original research, research notes (promising issues that are smaller in scope), commentaries, and translational notes (possible ways of introducing innovations in the justice system). Health & Justice aims to: Present original experimental research on the area of health and well-being of people involved in the adult or juvenile justice system, including people who work in the system; Present meta-analysis or systematic reviews in the area of health and justice for those involved in the justice system; Provide an arena to present new and upcoming scientific issues; Present translational science—the movement of scientific findings into practice including programs, procedures, or strategies; Present implementation science findings to advance the uptake and use of evidence-based practices; and, Present protocols and clinical practice guidelines. As an open access journal, Health & Justice aims for a broad reach, including researchers across many disciplines as well as justice practitioners (e.g. judges, prosecutors, defenders, probation officers, treatment providers, mental health and medical personnel working with justice-involved individuals, etc.). The sections of the journal devoted to translational and implementation sciences are primarily geared to practitioners and justice actors with special attention to the techniques used.