Hunger and associated harms among injection drug users in an urban Canadian setting
Hunger and associated harms among injection drug users in an urban Canadian setting
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DOI：
10.1186/1747-597x-5-20
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发表时间：
2010-08-26
影响因子：
3.3
通讯作者：
Kerr, Thomas
中科院分区：
文献类型：
--
作者：
Anema, Aranka;Wood, Evan;Kerr, Thomas
背景：粮食不足往往与边缘化人口的健康风险和不良后果有关。然而，鲜为人知的是，相关的食物不足注射吸毒者（IDU）。方法：我们进行了一项横断面研究，以检查的患病率和相关的自我报告的饥饿在一个大的队列IDU在温哥华，加拿大。食物不足被定义为报告“我饿了，但不吃，因为我买不起足够的食物”。Logistic回归被用来确定独立的社会人口统计学和药物使用的特点与food insufficient.Results：在1,053名参与者，681（64.7%）报告饥饿，买不起足够的食物。自我报告的饥饿独立相关：不稳定的住房（调整后的比值比[AOR]：1.68，95%置信区间[CI]：1.20 - 2.36，药物支出>= 50美元/天（AOR：1.43，95% CI：1.06 - 1.91），抑郁症状结论：这些研究结果表明，在这种情况下，IDU可能会受益于干预措施，努力改善获得食物和社会支持服务，包括成瘾治疗计划，这可能会减少持续使用药物对饥饿的不利影响。
Background: Food insufficiency is often associated with health risks and adverse outcomes among marginalized populations. However, little is known about correlates of food insufficiency among injection drug users (IDU).Methods: We conducted a cross-sectional study to examine the prevalence and correlates of self-reported hunger in a large cohort of IDU in Vancouver, Canada. Food insufficiency was defined as reporting "I am hungry, but don't eat because I can't afford enough food". Logistic regression was used to determine independent socio-demographic and drug-use characteristics associated with food insufficiency.Results: Among 1,053 participants, 681 (64.7%) reported being hungry and unable to afford enough food. Self-reported hunger was independently associated with: unstable housing (adjusted odds ratio [AOR]: 1.68, 95% confidence interval [CI]: 1.20 - 2.36, spending >= $50/day on drugs (AOR: 1.43, 95% CI: 1.06 - 1.91), and symptoms of depression (AOR: 3.32, 95% CI: 2.45 - 4.48).Conclusion: These findings suggest that IDU in this setting would likely benefit from interventions that work to improve access to food and social support services, including addiction treatment programs which may reduce the adverse effect of ongoing drug use on hunger.