본문 바로가기
KERD
논문KCI 등재

Patterns of Health-related Quality of Life in Men Who Inject Drugs: A Survey in Southeast Iran

0

조회

0

다운로드

0

인용

0

참고문헌

키워드

초록

Objectives: Understanding patterns of quality of life in people who inject drugs (PWID) can help healthcare providers plan and manage their health problems in a more focused manner. Therefore, the current study aimed to identify patterns of health-related quality of life in PWID in southeast Iran.Methods: This cross-sectional study was conducted in southeast Iran on men who had injected drugs at least once during the last year. We used convenience sampling in 2 drop-in centers and venue-based sampling at 85 venues. Demographic characteristics, high-risk behaviors, and health-related quality of life were evaluated using the 5-level EQ-5D version (EQ-5D-5L) questionnaire. Latent profile analysis was used to identify patterns of quality of life.Results: This study enrolled 398 PWID, who had a mean age of 34.1±11.4 years. About 47.9% reported a prison history in the last 10 years, 59.2% had injected drugs in the last month, and 31.6% had a history of sharing syringes. About 46.3% reported having 2 or more sexual partners in the last 6 months, and 14.7% had a history of sex with men. Out of the 5 EQ-5D-5L profiles, the fifth profile had the most people (36.6%). Most variations in quality of life were related to pain and discomfort.Conclusions: We showed that the pain and discomfort dimension of EQ-5D-5L had more variation in PWID. This finding will be useful for allocating appropriate interventions and resources to promote health-related quality of life in this population.

Abstract

Objectives: Understanding patterns of quality of life in people who inject drugs (PWID) can help healthcare providers plan and manage their health problems in a more focused manner. Therefore, the current study aimed to identify patterns of health-related quality of life in PWID in southeast Iran.Methods: This cross-sectional study was conducted in southeast Iran on men who had injected drugs at least once during the last year. We used convenience sampling in 2 drop-in centers and venue-based sampling at 85 venues. Demographic characteristics, high-risk behaviors, and health-related quality of life were evaluated using the 5-level EQ-5D version (EQ-5D-5L) questionnaire. Latent profile analysis was used to identify patterns of quality of life.Results: This study enrolled 398 PWID, who had a mean age of 34.1±11.4 years. About 47.9% reported a prison history in the last 10 years, 59.2% had injected drugs in the last month, and 31.6% had a history of sharing syringes. About 46.3% reported having 2 or more sexual partners in the last 6 months, and 14.7% had a history of sex with men. Out of the 5 EQ-5D-5L profiles, the fifth profile had the most people (36.6%). Most variations in quality of life were related to pain and discomfort.Conclusions: We showed that the pain and discomfort dimension of EQ-5D-5L had more variation in PWID. This finding will be useful for allocating appropriate interventions and resources to promote health-related quality of life in this population.

참고문헌 (37)

  1. "Prevalence of drug use" (2020)[URL]
  2. Fauci AS, "Harrison’s principles of internal medicine", pp.1076~1139 (2005), McGraw-Hill
  3. Grebely J, "Global, regional, and country-level estimates of hepatitis C infection among people who have recently injected drugs", Addiction, 114(1), pp.150~166 (2019)[DOI]
  4. Degenhardt L, "Estimating the burden of disease attributable to injecting drug use as a risk factor for HIV, hepatitis C, and hepatitis B : findings from the Global Burden of Disease Study 2013", Lancet Infect Dis, 16(12), pp.1385~1398 (2016)[DOI]
  5. Des Jarlais DC, "HIV infection among persons who inject drugs : ending old epidemics and addressing new outbreaks", AIDS, 30(6), pp.815~826 (2016)[DOI]
  6. Larney S, "A systematic review of injecting-related injury and disease among people who inject drugs", Drug Alcohol Depend, 171, pp.39~49 (2017)[DOI]
  7. McCarthy NL, "Bacterial infections associated with substance use disorders, large cohort of United States hospitals, 2012-2017", Clin Infect Dis, 71(7), pp.e37~e44 (2020)[DOI]
  8. Mackesy-Amiti ME, "Prevalence of psychiatric disorders among young injection drug users", Drug Alcohol Depend, 124(1-2), pp.70~78 (2012)[DOI]
  9. Mwangi C, "Depression, injecting drug use, and risky sexual behavior syndemic among women who inject drugs in Kenya : a cross-sectional survey", Harm Reduct J, 16(1), pp.35~ (2019)[DOI]
  10. Williams SC, "People who inject drugs and have mood disorders-a brief assessment of health risk behaviors", Subst Use Misuse, 52(9), pp.1181~1190 (2017)[DOI]
  11. Lemstra M, "Risk indicators of depressive symptomatology among injection drug users and increased HIV risk behaviour", Can J Psychiatry, 56(6), pp.358~366 (2011)[DOI]
  12. Nikfarjam A, "National population size estimation of illicit drug users through the network scale-up method in 2013 in Iran", Int J Drug Policy, 31, pp.147~152 (2016)[DOI]
  13. Shokoohi M, "Low HIV testing rate and its correlates among men who inject drugs in Iran", Int J Drug Policy, 32, pp.64~69 (2016)[DOI]
  14. Rahimi J, "HIV prevalence among people who inject drugs(PWID)and related factors in Iran : a systematic review, meta-analysis and trend analysis", Addiction, 115(4), pp.605~622 (2020)[DOI]
  15. "Health topics: HIV/AIDS" (2020)[URL]
  16. Sharifi H, "Estimation of HIV incidence and its trend in three key populations in Iran", PLoS One, 13(11), pp.e0207681~ (2018)[DOI]
  17. Tran BX, "Behavioral and quality-of-life outcomes in different service models for methadone maintenance treatment in Vietnam", Harm Reduct J, 13, pp.4~ (2016)[DOI]
  18. Karimi M, "Health, health-related quality of life, and quality of life : what is the difference?", Pharmacoeconomics, 34(7), pp.645~649 (2016)[DOI]
  19. Huang J, "Health-related quality of life in Chinese medical staff : a latent profile analysis", Front Public Health, 11, pp.1183483~ (2023)[DOI]
  20. Pinheiro LC, "Examining health-related quality of life patterns in women with breast cancer", Qual Life Res, 26(7), pp.1733~1743 (2017)[DOI]
  21. Cheng Q, "Health-related quality of life among people who inject drugs in Australia", Qual Life Res, 32(11), pp.3195~3207 (2023)[DOI]
  22. "Iranshahr, Iran"[URL]
  23. Devlin N, "Methods for analysing and reporting EQ-5D data" (2020), Springer
  24. Herdman M, "Development and preliminary testing of the new five-level version of EQ-5D(EQ-5D-5L)", Qual Life Res, 20(10), pp.1727~1736 (2011)[DOI]
  25. Schwarz G, "Estimating the dimension of a model", Ann Stat, 6(2), pp.461~464 (1978)[DOI]
  26. Sclove SL, "Application of model-selection criteria to some problems in multivariate analysis", Psychometrika, 52, pp.333~343 (1987)[DOI]
  27. Nylund KL, "Deciding on the number of classes in latent class analysis and growth mixture modeling : a Monte Carlo simulation study", Struct Equ Modeling, 14(4), pp.535~569 (2007)[DOI]
  28. Armstrong G, "Quality of life, depression, anxiety and suicidal ideation among men who inject drugs in Delhi, India", BMC Psychiatry, 13, pp.151~ (2013)[DOI]
  29. Roshanfekr P, "Lifetime and past-month substance use and injection among street-based female sex workers in Iran", Harm Reduct J, 18(1), pp.33~ (2021)[DOI]
  30. Vasylyev M, "Anxiety, depression, and quality of life among HIV positive injection drug users in Ukraine, 2017", J Infect Dev Ctries, 13(7. 1), pp.111S~117S (2019)[DOI]
  31. Bielińska A, "A computational model of similarity analysis in quality of life research : an example of studies in Poland", Life(Basel), 12(1), pp.56~ (2022)[DOI]
  32. Korthuis PT, "Health-related quality of life in HIV-infected patients : the role of substance use", AIDS Patient Care STDS, 22(11), pp.859~867 (2008)[DOI]
  33. Nikoo Seresht Z, "The relationship between quality of life and social capital amongst people living with HIV", AIDS attending the Imam Khomeini hospital consultation center for clients with risky behaviors in Tehran–2011, 2011, pp.11(3), 17~28
  34. Yen YF, "Factors associated with health-related quality of life among injection drug users at methadone clinics in Taipei, Taiwan", J Chin Med Assoc, 78(5), pp.292~298 (2015)[DOI]
  35. Préau M, "Health related quality of life among both current and former injection drug users who are HIV-infected", Drug Alcohol Depend, 86(2-3), pp.175~182 (2007)[DOI]
  36. Fischer JA, "Quality of life of people who inject drugs : characteristics and comparisons with other population samples", Qual Life Res, 22(8), pp.2113~2121 (2013)[DOI]
  37. Costenbader EC, "The impact of illicit drug use and harmful drinking on quality of life among injection drug users at high risk for hepatitis C infection", Drug Alcohol Depend, 89(2-3), pp.251~258 (2007)[DOI]

관련 논문AI추천

Decomposing economic disparities in risky sexual behaviors among people who inject drugs in Tehran: Blinder-Oaxaca decomposition analysisAlireza Noroozi, Bahram Armoon, Fatemah Rezaei, Hamid Sharifi, Mehdi Noroozi, Mohammad Rafi Bazrafshan한국역학회 · Epidemiology and Health2017 · 제39권 Self-reported health-related quality of life (HRQoL) and factors affecting HRQoL among individuals with health insurance in IranAli Akbari Sari, Ali Kazemi Karyani, Arash Rashidian, Sarar Emamgholipour Sefiddashti한국역학회 · Epidemiology and Health2016 · 제38권 Determinants of health-related quality of life in Iranian adults: evidence from a cross-sectional studyAli Kazemi, Farid Khosravi, Masoud Khosravipour, Mohammad Hajizadeh, Satar Rezaei, Shahab Rezaeian한국역학회 · Epidemiology and Health2017 · 제39권 Barriers to Health Service Utilization Among Iranian Female Sex Workers: A Qualitative StudyEffat Merghati-Khoei, Fereshteh Rostami-Maskopaee, Jamileh Abolghasemi, Mehran Asadi-AliAbadi, Reza Majdzadeh, Shahnaz Rimaz대한예방의학회 · 예방의학회지2018 · 제51권 제2호Estimation of the Frequency of Intravenous Drug Users in Hamadan City, Iran, Using the Capture-recapture MethodHossein Mahjub, Jalal Poorolajal, Mohammad Mirzaei, Nader Esmailnasab, Salman Khazaei한국역학회 · Epidemiology and Health2012 · 제34권 Analysis of a Targeted Intervention Programme on the Risk Behaviours of Injecting Drug Users in India: Evidence From the National Integrated Biological and Behavioural Surveillance SurveyAnil Kumar, Damodar Sahu, Elangovan Arumugam, Mendu Vishnu Vardhana Rao, Nalini Chandra, Saritha Nair, Varsha Ranjan대한예방의학회 · 예방의학회지2022 · 제55권 제4호

이 간행물의 다른 논문 (10건)