Food access among people who inject drugs in West Virginia.
Drug overdose
Food access
Hunger
Injection drug use
Journal
Harm reduction journal
ISSN: 1477-7517
Titre abrégé: Harm Reduct J
Pays: England
ID NLM: 101153624
Informations de publication
Date de publication:
21 08 2021
21 08 2021
Historique:
received:
14
01
2021
accepted:
13
08
2021
entrez:
22
8
2021
pubmed:
23
8
2021
medline:
26
11
2021
Statut:
epublish
Résumé
The substance use epidemic in the United States continues to drive high levels of morbidity and mortality, particularly among people who inject drugs (PWID). Poor access to food often co-occurs with drug use and contributes to associated sequelae, such as risks for HIV and diabetes. The objective of this study was to examine factors associated with adequate food access among PWID in a rural Appalachian community. Cross-sectional surveys were used to collect data among PWID aged 18 and older in Cabell County, West Virginia. Frequency of hunger and sociodemographic, structural and drug use characteristics were measured. Adequate food access was defined as reporting 'never' going to bed hungry at night in the past six months. Pearson's χ Only 71 individuals (17%) reported never going to bed hungry at night in the past six months. Adjusted odds of having adequate food access were higher among PWID who completed high school (aOR 2.94; P = 0.010) and usually used drugs alone (aOR 1.97; P = 0.025), and lower among PWID who were female (aOR 0.51; P = 0.037), experienced homelessness (aOR 0.23, P < 0.001), were recently arrested (aOR 0.50 P = 0.047), and engaged in receptive sharing of injection equipment (aOR 0.52, P = 0.035). We found extremely low food access in a population of PWID in Appalachia who are vulnerable to overdose and infectious disease transmission. Integrated interventions promoting food access are needed to improve the public health and wellbeing of people who inject drugs in Appalachia.
Sections du résumé
BACKGROUND
The substance use epidemic in the United States continues to drive high levels of morbidity and mortality, particularly among people who inject drugs (PWID). Poor access to food often co-occurs with drug use and contributes to associated sequelae, such as risks for HIV and diabetes. The objective of this study was to examine factors associated with adequate food access among PWID in a rural Appalachian community.
METHODS
Cross-sectional surveys were used to collect data among PWID aged 18 and older in Cabell County, West Virginia. Frequency of hunger and sociodemographic, structural and drug use characteristics were measured. Adequate food access was defined as reporting 'never' going to bed hungry at night in the past six months. Pearson's χ
RESULTS
Only 71 individuals (17%) reported never going to bed hungry at night in the past six months. Adjusted odds of having adequate food access were higher among PWID who completed high school (aOR 2.94; P = 0.010) and usually used drugs alone (aOR 1.97; P = 0.025), and lower among PWID who were female (aOR 0.51; P = 0.037), experienced homelessness (aOR 0.23, P < 0.001), were recently arrested (aOR 0.50 P = 0.047), and engaged in receptive sharing of injection equipment (aOR 0.52, P = 0.035).
CONCLUSIONS
We found extremely low food access in a population of PWID in Appalachia who are vulnerable to overdose and infectious disease transmission. Integrated interventions promoting food access are needed to improve the public health and wellbeing of people who inject drugs in Appalachia.
Identifiants
pubmed: 34419045
doi: 10.1186/s12954-021-00536-x
pii: 10.1186/s12954-021-00536-x
pmc: PMC8379557
doi:
Substances chimiques
Pharmaceutical Preparations
0
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
90Subventions
Organisme : NIAID NIH HHS
ID : P30 AI117970
Pays : United States
Organisme : NIDA NIH HHS
ID : T32 DA007292
Pays : United States
Organisme : NIDA NIH HHS
ID : K01 DA046234
Pays : United States
Organisme : NIAID NIH HHS
ID : P30 AI094189
Pays : United States
Informations de copyright
© 2021. The Author(s).
Références
Int J Womens Health. 2017 May 31;9:391-401
pubmed: 28615975
AIDS Behav. 2017 Mar;21(3):734-744
pubmed: 27752869
Lancet. 2013 Aug 3;382(9890):427-451
pubmed: 23746772
BMC Public Health. 2012 Dec 08;12:1058
pubmed: 23216869
Br J Nutr. 2002 Nov;88(5):507-13
pubmed: 12425731
Int J Environ Res Public Health. 2020 Mar 30;17(7):
pubmed: 32235671
J HIV AIDS Soc Serv. 2018;17(3):163-179
pubmed: 30505245
J Nutr Educ Behav. 2007 May-Jun;39(3):116-25
pubmed: 17493561
PLoS One. 2018 Dec 7;13(12):e0205593
pubmed: 30532275
N Engl J Med. 2015 Oct;373(14):1380-1
pubmed: 26422741
Curr HIV/AIDS Rep. 2018 Apr;15(2):96-112
pubmed: 29460225
Soc Sci Med. 2005 Sep;61(5):1026-44
pubmed: 15955404
J Acquir Immune Defic Syndr. 2001 Dec 1;28(4):351-7
pubmed: 11707672
Psychol Bull. 2002 Nov;128(6):851-885
pubmed: 12405135
J Int AIDS Soc. 2015 Nov 04;18:20293
pubmed: 26546789
Soc Psychiatry Psychiatr Epidemiol. 2015 Jun;50(6):963-72
pubmed: 25652592
Am J Public Health. 1997 Feb;87(2):217-20
pubmed: 9103100
AIDS Behav. 2019 Nov;23(11):3058-3063
pubmed: 31429031
N Engl J Med. 2007 Jan 11;356(2):157-65
pubmed: 17215533
AIDS Care. 2014 Apr;26(4):459-65
pubmed: 24015838
Int J Drug Policy. 2018 Jul;57:25-31
pubmed: 29660732
Lancet HIV. 2020 Feb;7(2):e75
pubmed: 32027852
PLoS One. 2013 May 27;8(5):e61277
pubmed: 23723968
Arch Sex Behav. 2018 Oct;47(7):1899-1907
pubmed: 28429158
Addict Sci Clin Pract. 2019 Apr 15;14(1):17
pubmed: 30982468
AIDS. 2011 Oct 23;25(16):2037-42
pubmed: 21811140
AIDS Care. 2015;27(3):307-14
pubmed: 25314042
Diabetes Res Clin Pract. 2017 Aug;130:186-195
pubmed: 28646702
Public Health Nutr. 2016 Aug;19(12):2204-12
pubmed: 26956477
MMWR Morb Mortal Wkly Rep. 2020 Apr 24;69(16):499-500
pubmed: 32324723
Drug Alcohol Depend. 2019 Aug 1;201:71-77
pubmed: 31195347
Am J Prev Med. 2017 Aug;53(2):264-273
pubmed: 28457747
AIDS Behav. 2013 Jun;17(5):1688-93
pubmed: 23086429
MMWR Morb Mortal Wkly Rep. 2015 May 8;64(17):453-8
pubmed: 25950251
Public Health Rev. 2014;35(2):
pubmed: 28366975
J Nutr. 1999 Feb;129(2S Suppl):525S-528S
pubmed: 10064323
Am J Clin Nutr. 2001 Dec;74(6):852-61
pubmed: 11722969
BMC Public Health. 2014 Jan 25;14:79
pubmed: 24460989
J Am Coll Nutr. 2010 Apr;29(2):136-43
pubmed: 20679149
Am J Phys Anthropol. 1998 Nov;107(3):351-61
pubmed: 9821498
Med Care. 1999 Dec;37(12):1270-81
pubmed: 10599608
Am J Public Health. 2020 Jan;110(1):37-44
pubmed: 31725317
J Community Health. 2017 Oct;42(5):1062-1068
pubmed: 28417433
NCHS Data Brief. 2020 Jan;(356):1-8
pubmed: 32487285
Am J Public Health. 2019 Mar;109(3):445-450
pubmed: 30676803