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Perceived access and barriers to care among illicit drug users and hazardous drinkers: findings from the Seek, Test, Treat, and Retain data harmonization initiative (STTR).


ABSTRACT: BACKGROUND:Illicit drug use (DU) and hazardous drinking (HD) among marginalized populations may be associated with greater barriers to care. METHODS:We used baseline data on the participants of the Seek, Test, Treat, and Retain data harmonization initiative. DU includes use of any illicit drugs within the past 6 months. HD was defined as scores ?8 for men and???7 for women on Alcohol Use Disorders Identification Test within the past 12 months. Social support scores were assigned by summing scores from individual questions related to social support. Two outcomes for multivariable regression models and mediation analysis were perceived access to care and perceived barriers to care scores, calculated from summated points from individual questions within each domain. All models were adjusted for age, gender, race/ethnicity, and social support and stratified by HIV status. RESULTS:Among 1403 illicit drug users and 4984 non-drug users, the mean age was 39.6?±?12.2 years old, 71% were male, 57% African Americans, and 39% Hispanic/Latinos. Over 25% reported difficulties in covering medical costs and finding transportation to health care facilities and greater proportions of drug users and hazardous drinkers reported these issues than non-DU/non-HD. In multivariable models, DU and HD were both independently associated with having greater barriers to care (?: 0.49 (95% confidence interval: 0.19 to 0.79) p 

SUBMITTER: Matsuzaki M 

PROVIDER: S-EPMC5859651 | biostudies-literature | 2018 Mar

REPOSITORIES: biostudies-literature

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Perceived access and barriers to care among illicit drug users and hazardous drinkers: findings from the Seek, Test, Treat, and Retain data harmonization initiative (STTR).

Matsuzaki Mika M   Vu Quan M QM   Gwadz Marya M   Delaney Joseph A C JAC   Kuo Irene I   Trejo Maria Esther Perez MEP   Cunningham William E WE   Cunningham Chinazo O CO   Christopoulos Katerina K  

BMC public health 20180320 1


<h4>Background</h4>Illicit drug use (DU) and hazardous drinking (HD) among marginalized populations may be associated with greater barriers to care.<h4>Methods</h4>We used baseline data on the participants of the Seek, Test, Treat, and Retain data harmonization initiative. DU includes use of any illicit drugs within the past 6 months. HD was defined as scores ≥8 for men and ≥ 7 for women on Alcohol Use Disorders Identification Test within the past 12 months. Social support scores were assigned b  ...[more]

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