Anxiety, mood disorders and injection risk behaviors among cocaine users: Results from the COSMO study.
Am J Addict
; 24(7): 654-60, 2015 Oct.
Article
em En
| MEDLINE
| ID: mdl-26359443
ABSTRACT
BACKGROUND AND OBJECTIVES:
Despite being common among cocaine users, mental health problems and their relationship with HIV and hepatitis C high risk injection behaviors are poorly documented. This study was undertaken to examine the relationships between mood and anxiety disorders and the sharing of drug injection equipment among cocaine users who inject drugs.METHODS:
The sample was drawn from a prospective cohort study and comprised of 387 participants. The outcome of interest was "sharing injection material" in the past 3 months. The presence of mood and anxiety disorders during the past year was assessed using the CIDI questionnaire. Statistical analyses were conducted on baseline data using logistic regression.RESULTS:
Most participants were male (84.5%) and were aged 25 or over (92.2%); 43.0% qualified for an anxiety disorder diagnosis and 29.3% for a mood disorder diagnosis. Participants with anxiety disorders were more likely to share needles (Adjusted Odds Ratio [AOR] 2.13, 95%CI 1.15-3.96) and other injection material (AOR 1.81, 95%CI 1.12-2.92). No significant association was found between mood disorders and sharing behaviors. DISCUSSION ANDCONCLUSIONS:
Primary anxiety disorders but not mood disorders increases injection risk behaviors among cocaine users. These results bring to light another negative outcome of mental health comorbidity in this vulnerable population. SCIENTIFICSIGNIFICANCE:
This study underlines the need to fine-tune therapeutic approaches targeting specific mental health problems in individuals with cocaine use disorders. Longitudinal studies that assess impulsivity and other correlates of psychiatric disorders are needed to examine underlying mechanisms of high risk injection behaviors in comorbid populations.
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Transtornos de Ansiedade
/
Assunção de Riscos
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Uso Comum de Agulhas e Seringas
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Transtornos do Humor
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Transtornos Relacionados ao Uso de Cocaína
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Risk_factors_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
/
Middle aged
País como assunto:
America do norte
Idioma:
En
Ano de publicação:
2015
Tipo de documento:
Article