| Title |
Use of withdrawal management services among people who use illicit drugs in Vancouver, Canada
|
|---|---|
| Published in |
Substance Abuse Treatment, Prevention, and Policy, July 2018
|
| DOI | 10.1186/s13011-018-0164-3 |
| Pubmed ID | |
| Authors |
Sharon Vipler, Kanna Hayashi, M.-J. Milloy, Evan Wood, Ekaterina Nosova, Thomas Kerr, Lianping Ti |
| Abstract |
For many individuals with substance use disorders, the entry point for addiction treatment can be through withdrawal management (e.g. detoxification) services. However, little is known about the factors that predict withdrawal management service use among people who use illicit drugs (PWUD). Using data derived from two prospective cohorts of PWUD, we conducted a longitudinal data analysis of factors associated with use of withdrawal management services. Individuals participating in two cohorts of PWUD were prospectively followed between December 2005 and May 2016 in Vancouver, Canada. Bivariate and multivariate generalized estimating equations were used to examine factors associated with use of withdrawal management services. Out of a total of 2001 participants, 339 (16.9%) individuals reported having been to a withdrawal management centre in the previous 6 months at some point during the study period. In multivariate analyses, male sex (adjusted odds ratio [AOR]: 1.62, 95% Confidence Interval [CI]: 1.17-2.24), homelessness (AOR: 1.86, 95% CI: 1.45-2.38), binge use of any substance (AOR: 1.34, 95% CI: 1.08-1.67), having attended a supervised injection facility (AOR: 1.66, 95% CI: 1.3-2.11), and having accessed other addiction medicine treatment or supports (other than withdrawal management services or opioid agonist therapy; AOR: 3.34, 95% CI: 2.64-4.22) were positively associated with having accessed withdrawal management services, whereas older age (AOR: 0.81, 95% CI: 0.7-0.94) was negatively associated with the outcome. This study identified specific factors associated with accessing withdrawal management services. Current evidence suggests a need to re-examine the provision of withdrawal management services. Consideration needs to be given to redesigning access to care and bridging to evidence-based addiction treatment, particularly for highly vulnerable subpopulations, identified in this study as females and older people. |
X Demographics
The data shown below were collected from the profiles of 4 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United States | 4 | 100% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 4 | 100% |
Mendeley readers
The data shown below were compiled from readership statistics for 94 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 94 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 19 | 20% |
| Student > Master | 15 | 16% |
| Researcher | 9 | 10% |
| Student > Ph. D. Student | 7 | 7% |
| Other | 4 | 4% |
| Other | 14 | 15% |
| Unknown | 26 | 28% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 17 | 18% |
| Nursing and Health Professions | 16 | 17% |
| Social Sciences | 7 | 7% |
| Psychology | 7 | 7% |
| Neuroscience | 4 | 4% |
| Other | 14 | 15% |
| Unknown | 29 | 31% |
Attention Score in Context
This research output has an Altmetric Attention Score of 9. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 20 September 2018.
All research outputs
#3,325,874
of 23,577,654 outputs
Outputs from Substance Abuse Treatment, Prevention, and Policy
#181
of 685 outputs
Outputs of similar age
#67,095
of 328,567 outputs
Outputs of similar age from Substance Abuse Treatment, Prevention, and Policy
#7
of 12 outputs
Altmetric has tracked 23,577,654 research outputs across all sources so far. Compared to these this one has done well and is in the 85th percentile: it's in the top 25% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 685 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 11.4. This one has gotten more attention than average, scoring higher than 72% of its peers.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 328,567 tracked outputs that were published within six weeks on either side of this one in any source. This one has done well, scoring higher than 79% of its contemporaries.
We're also able to compare this research output to 12 others from the same source and published within six weeks on either side of this one. This one is in the 33rd percentile – i.e., 33% of its contemporaries scored the same or lower than it.