Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs.

IF 1.5 Q3 HEALTH POLICY & SERVICES
Health Services Research and Managerial Epidemiology Pub Date : 2021-11-20 eCollection Date: 2021-01-01 DOI:10.1177/23333928211048640
Ellesse-Roselee L Akré, Daniel J Marthey, Chisom Ojukwu, Casey Ottenwaelder, Megan Comfort, Jennifer Lorvick
{"title":"Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs.","authors":"Ellesse-Roselee L Akré,&nbsp;Daniel J Marthey,&nbsp;Chisom Ojukwu,&nbsp;Casey Ottenwaelder,&nbsp;Megan Comfort,&nbsp;Jennifer Lorvick","doi":"10.1177/23333928211048640","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationship between social stability and access to healthcare services among a community-based sample of adult female drug users.</p><p><strong>Methods: </strong>We developed a measure of social stability and examined its relationship to health care access. Data came from a cross-sectional sample of female drug users (N = 538) in Oakland, CA who were interviewed between September 2014 and August 2015. We categorized women as having low (1-5), medium (6-10), or high (11-16) social stability based on the tertile of the index sample distribution. We then used ordered logistic regression to examine the relationship between social stability and self-reported access to mental health services and medical care.</p><p><strong>Results: </strong>Compared with women in the low stability group, those with high stability experienced a 58% decline in the odds of needed but unmet mental health services [AOR: 0.42; 95% C.I.: 0.26, 0.69] and a 68% decline in the odds of unmet medical care [AOR: 0.32; 95% C.I.: 0.19, 0.54] after adjusting for confounders. The coefficients we observed reduced in size at higher levels of the stability index suggesting a positive association between social experiences and access to healthcare services.</p><p><strong>Conclusion: </strong>Women who use drugs are at increased risk of adverse health outcomes and often experience high levels of unmet healthcare needs. Our study highlights the importance of addressing social determinants of health and suggests that improving social factors such as housing stability and personal safety may support access to healthcare among female drug users.</p>","PeriodicalId":12951,"journal":{"name":"Health Services Research and Managerial Epidemiology","volume":" ","pages":"23333928211048640"},"PeriodicalIF":1.5000,"publicationDate":"2021-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/8f/d1/10.1177_23333928211048640.PMC8606914.pdf","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Services Research and Managerial Epidemiology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1177/23333928211048640","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2021/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
引用次数: 2

Abstract

Objective: To examine the relationship between social stability and access to healthcare services among a community-based sample of adult female drug users.

Methods: We developed a measure of social stability and examined its relationship to health care access. Data came from a cross-sectional sample of female drug users (N = 538) in Oakland, CA who were interviewed between September 2014 and August 2015. We categorized women as having low (1-5), medium (6-10), or high (11-16) social stability based on the tertile of the index sample distribution. We then used ordered logistic regression to examine the relationship between social stability and self-reported access to mental health services and medical care.

Results: Compared with women in the low stability group, those with high stability experienced a 58% decline in the odds of needed but unmet mental health services [AOR: 0.42; 95% C.I.: 0.26, 0.69] and a 68% decline in the odds of unmet medical care [AOR: 0.32; 95% C.I.: 0.19, 0.54] after adjusting for confounders. The coefficients we observed reduced in size at higher levels of the stability index suggesting a positive association between social experiences and access to healthcare services.

Conclusion: Women who use drugs are at increased risk of adverse health outcomes and often experience high levels of unmet healthcare needs. Our study highlights the importance of addressing social determinants of health and suggests that improving social factors such as housing stability and personal safety may support access to healthcare among female drug users.

Abstract Image

Abstract Image

Abstract Image

以社区为基础的吸毒妇女样本中的社会稳定和未满足的保健需求。
目的:探讨以社区为基础的成年女性吸毒者的社会稳定与卫生保健服务可及性之间的关系。方法:我们制定了社会稳定的措施,并检查其与卫生保健服务的关系。数据来自2014年9月至2015年8月期间在加利福尼亚州奥克兰接受采访的女性吸毒者(N = 538)的横断面样本。根据指数样本分布的五位数,我们将女性的社会稳定性分为低(1-5)、中(6-10)和高(11-16)。然后,我们使用有序逻辑回归来检验社会稳定与自我报告获得心理健康服务和医疗保健之间的关系。结果:与低稳定性组的女性相比,高稳定性组的女性需要但未得到满足的心理健康服务的几率下降了58% [AOR: 0.42;95% ci: 0.26, 0.69],未满足医疗服务的几率下降68% [AOR: 0.32;校正混杂因素后,95% ci: 0.19, 0.54]。我们观察到的系数在稳定性指数较高的水平上减小,这表明社会经验与获得医疗保健服务之间存在正相关。结论:使用药物的妇女出现不良健康结果的风险增加,并且经常经历高度未满足的医疗保健需求。我们的研究强调了解决健康的社会决定因素的重要性,并表明改善住房稳定和个人安全等社会因素可能有助于女性吸毒者获得医疗保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.60
自引率
6.20%
发文量
32
审稿时长
12 weeks
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信