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People Who Inject Drugs and Have Mood Disorders—A Brief Assessment of Health Risk Behaviors.

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Title: People Who Inject Drugs and Have Mood Disorders—A Brief Assessment of Health Risk Behaviors.
Authors: Williams, Stacey Carroll (AUTHOR), Davey-Rothwell, Melissa Ann (AUTHOR), Tobin, Karin E. (AUTHOR), Latkin, Carl (AUTHOR)
Source: Substance Use & Misuse. 2017, Vol. 52 Issue 9, p1181-1184. 10p. 1 Diagram, 2 Charts.
Subjects: Affective disorders, Mental depression, Bipolar disorder, Risk assessment, Risk-taking behavior, Comorbidity, Logistic regression analysis, Psychology of drug abusers
Abstract: Background: People who inject drugs have a greater risk of infectious disease and mortality than other substance abusers and nondrug users. Variation in risk behavior among people who inject drugs is likely associated with comorbid mental health disorders. Objectives: Examine the association between a history of mood disorder and recent risk behavior among people who inject drugs. Methods: With baseline data from a behavioral HIV prevention clinical trial in a population of people who inject drugs, we used logistic regression models to compare the risk behaviors of people who report a past diagnosis of bipolar disorder (n = 113) or depression (n = 237) to a comparison group with no history of diagnosed mental illness (n = 446). We also assessed differences between groups before and after adjusting for demographic characteristics and current depressive symptoms. Results: While there were no differences between groups in frequency of drug use, people who inject drugs who report a history of mood disorders reported more injection risk behaviors, drug overdoses, sex exchanges, and multiple partners than those with no history of mental illness. Adjusting the comparison for demographic characteristics and current depressive symptoms had little impact on these findings. Variation in risk between depression and bipolar disorder groups was minimal. Conclusions/Importance: People who inject drugs and have mood disorders have unique and significant social, clinical, and risk reduction needs. Despite the limited validity of self-reported mental health history, simply asking about a history of mood disorder may be effective for identifying a particularly vulnerable population of people who inject drugs. [ABSTRACT FROM AUTHOR]
Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: People Who Inject Drugs and Have Mood Disorders—A Brief Assessment of Health Risk Behaviors.
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  Data: <searchLink fieldCode="AR" term="%22Williams%2C+Stacey+Carroll%22">Williams, Stacey Carroll</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davey-Rothwell%2C+Melissa+Ann%22">Davey-Rothwell, Melissa Ann</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Tobin%2C+Karin+E%2E%22">Tobin, Karin E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Latkin%2C+Carl%22">Latkin, Carl</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Substance+Use+%26+Misuse%22">Substance Use & Misuse</searchLink>. 2017, Vol. 52 Issue 9, p1181-1184. 10p. 1 Diagram, 2 Charts.
– Name: Subject
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  Data: <searchLink fieldCode="DE" term="%22Affective+disorders%22">Affective disorders</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+depression%22">Mental depression</searchLink><br /><searchLink fieldCode="DE" term="%22Bipolar+disorder%22">Bipolar disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Risk+assessment%22">Risk assessment</searchLink><br /><searchLink fieldCode="DE" term="%22Risk-taking+behavior%22">Risk-taking behavior</searchLink><br /><searchLink fieldCode="DE" term="%22Comorbidity%22">Comorbidity</searchLink><br /><searchLink fieldCode="DE" term="%22Logistic+regression+analysis%22">Logistic regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Psychology+of+drug+abusers%22">Psychology of drug abusers</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Background: People who inject drugs have a greater risk of infectious disease and mortality than other substance abusers and nondrug users. Variation in risk behavior among people who inject drugs is likely associated with comorbid mental health disorders. Objectives: Examine the association between a history of mood disorder and recent risk behavior among people who inject drugs. Methods: With baseline data from a behavioral HIV prevention clinical trial in a population of people who inject drugs, we used logistic regression models to compare the risk behaviors of people who report a past diagnosis of bipolar disorder (n = 113) or depression (n = 237) to a comparison group with no history of diagnosed mental illness (n = 446). We also assessed differences between groups before and after adjusting for demographic characteristics and current depressive symptoms. Results: While there were no differences between groups in frequency of drug use, people who inject drugs who report a history of mood disorders reported more injection risk behaviors, drug overdoses, sex exchanges, and multiple partners than those with no history of mental illness. Adjusting the comparison for demographic characteristics and current depressive symptoms had little impact on these findings. Variation in risk between depression and bipolar disorder groups was minimal. Conclusions/Importance: People who inject drugs and have mood disorders have unique and significant social, clinical, and risk reduction needs. Despite the limited validity of self-reported mental health history, simply asking about a history of mood disorder may be effective for identifying a particularly vulnerable population of people who inject drugs. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Substance Use & Misuse is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/10826084.2017.1302954
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        Text: English
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      – SubjectFull: Affective disorders
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      – SubjectFull: Mental depression
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      – SubjectFull: Bipolar disorder
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      – SubjectFull: Logistic regression analysis
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      – SubjectFull: Psychology of drug abusers
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      – TitleFull: People Who Inject Drugs and Have Mood Disorders—A Brief Assessment of Health Risk Behaviors.
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            NameFull: Davey-Rothwell, Melissa Ann
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              Text: 2017
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