The self-reported personal wellbeing of a sample of Australian injecting drug users

The self-reported personal wellbeing of a sample of Australian injecting drug users
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DOI:
10.1111/j.1360-0443.2010.03090.x
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发表时间:
2010-12-01
期刊:
影响因子:
6
通讯作者:
Burns, Lucy
Burns, Lucy
中科院分区:
医学1区
文献类型:
--
作者:
Dietze, Paul;Stoove, Mark;Burns, Lucy

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AimsTo使用标准化工具检查澳大利亚注射毒品使用者(IDU)样本的自我报告个人幸福感,并确定自我报告个人幸福感变化的关键相关因素。设计,采用个人幸福感指数(PWI)对881名澳大利亚IDU患者进行横断面调查。发现IDU在PWI和所有分量表上的得分均显着低于澳大利亚普通人群。较低的PWI评分与一系列社会人口统计学、药物使用和其他健康和社会特征相关。在所有PWI分量表中,较低的个人幸福感得分与失业,过去6个月的心理健康问题和更频繁的注射(所有P < 0.05)。该量表所涉及的一些领域,如健康、生活水平和生活成就,完全属于目前干预战略的范围,如药物疗法维持治疗以及住房和就业支助服务。这表明PWI可以通过允许结构化识别一个人的生活领域作为治疗方案的一部分来解决,从而在临床环境中是有用的。为了提供有针对性的预防和干预工作的信息,需要对吸毒者的PWI及其相关因素进行纵向研究。
AimsTo examine the self-reported personal wellbeing of a sample of Australian injecting drug users (IDU) using a standardized instrument and determine the key correlates of variations in self-reported personal wellbeing.Design, setting and participantsCross-sectional survey of 881 Australian IDU.MeasurementsSelf-reported personal wellbeing collected using the Personal Wellbeing Index (PWI).FindingsIDU scored significantly lower than the general Australian population on the PWI and all subscales. Lower PWI scores were associated with a range of socio-demographic, drug use and other health and social characteristics. Across all PWI subscales, lower personal wellbeing scores were associated with unemployment, past 6-month mental health problems and more frequent injecting (all P < 0.05).ConclusionsThe PWI is sufficiently sensitive to distinguish between IDU and the general population, and to identify key correlates of PWI among IDU. Some domains canvassed within the scale, such as health, standard of living and life achievements, are well within the scope of current intervention strategies, such as pharmacotherapy maintenance treatment and housing and employment support services. This suggests that the PWI could be useful in clinical settings by allowing structured identification of the areas of a person's life to be addressed as a part of a treatment regimen. In order to inform targeted prevention and intervention efforts, longitudinal studies of PWI and its correlates among IDU are required.