Mental Health of Young People Who Inject Drugs
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http://doi.org/10.17632/3stp9vgfgt.1
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PSYCHIATRIC DISORDERS AND HIV RISK BEHAVIORS AMONG YOUNG INJECTION DRUG USERS, NIDA GRANT R01DA020368
The specific aims of this study are: (1) to estimate the prevalence of psychiatric disorders and symptoms among young IDU; (2) to examine the sociodemographic and drug use correlates of psychiatric problems; (3) to identify gaps in access to psychiatric care, drug treatment, and HIV/STD prevention services among young IDUs with and without psychiatric problems; (4) to compare the rates of unsafe sex and injection behaviors among young IDUs with and without psychiatric problems; (5) to compare HIV-prevention knowledge, pro-prevention attitudes and norms, and self-efficacy for prevention behavior of young IDUs with and without psychiatric problems; and (6) to test an Information-Motivation-Behavioral Skills (IMB) model of HIV risk behavior on a sample of young IDUs. We completed interviews with 570 IDUs ages 18 to 25 years recruited from Chicago neighborhoods through outreach and respondent-driven sampling. Trained clinicians administered the Psychiatric Research Interview for Substance and Mental Disorders (PRISM) to assess psychiatric disorders and symptoms. Respondents also completed an audio-computer-assisted self-interview (ACASI) survey to assess risk behavior, treatment and service history, socio-demographic background, and social-cognitive measures. Findings have been reported in the following journal articles:
Mackesy-Amiti ME, Donenberg GR, Ouellet LJ. Prevalence of psychiatric disorders among young injection drug users. Drug Alcohol Depend. 2012 Jul 1;124(1-2):70-8. doi: 10.1016/j.drugalcdep.2011.12.012. Epub 2012 Jan 9. PMID: 22226707; PMCID: PMC3350828.
Mackesy-Amiti ME, Donenberg GR, Ouellet LJ. Psychiatric correlates of injection risk behavior among young people who inject drugs. Psychol Addict Behav. 2014 Dec;28(4):1089-95. doi: 10.1037/a0036390. Epub 2014 Aug 18. PMID: 25134053; PMCID: PMC4274210.
Mackesy-Amiti ME, Donenberg GR, Ouellet LJ. Prescription opioid misuse and mental health among young injection drug users. Am J Drug Alcohol Abuse. 2015 Jan;41(1):100-6. doi: 10.3109/00952990.2014.940424. Epub 2014 Aug 8. PMID: 25105884; PMCID: PMC4262584.
本研究旨在探讨年轻注射药物使用者中精神疾病及HIV风险行为的现状，具体目标包括：(1) 估算年轻注射药物使用者中精神疾病及症状的患病率；(2) 调查精神问题与社会人口统计学及药物使用之间的关联；(3) 识别年轻注射药物使用者，无论是否患有精神疾病，在精神健康护理、药物治疗及HIV/性传播疾病预防服务获取方面的不足；(4) 比较患有及未患有精神疾病年轻注射药物使用者的不安全性行为和注射行为的发生率；(5) 比较患有及未患有精神疾病年轻注射药物使用者在HIV预防知识、预防态度与规范以及预防行为自我效能感方面的差异；(6) 在年轻注射药物使用者的样本中检验信息-动机-行为技能（IMB）模型对HIV风险行为的影响。研究者已完成对570名18至25岁注射药物使用者的访谈，这些受访者通过社区推广和受访者驱动抽样方法从芝加哥地区招募。经过培训的临床医生使用物质和精神疾病研究访谈（PRISM）评估精神疾病及症状。受访者还完成了音频计算机辅助自我访谈（ACASI）调查，以评估风险行为、治疗及服务史、社会人口统计学背景及社会认知指标。相关发现已在以下期刊文章中报道：
Mackesy-Amiti ME, Donenberg GR, Ouellet LJ. Young injection drug users' prevalence of psychiatric disorders. Drug Alcohol Depend. 2012 Jul 1;124(1-2):70-8. doi: 10.1016/j.drugalcdep.2011.12.012. Epub 2012 Jan 9. PMID: 22226707; PMCID: PMC3350828.
Mackesy-Amiti ME, Donenberg GR, Ouellet LJ. Psychiatric correlates of injection risk behavior among young people who inject drugs. Psychol Addict Behav. 2014 Dec;28(4):1089-95. doi: 10.1037/a0036390. Epub 2014 Aug 18. PMID: 25134053; PMCID: PMC4274210.
Mackesy-Amiti ME, Donenberg GR, Ouellet LJ. Prescription opioid misuse and mental health among young injection drug users. Am J Drug Alcohol Abuse. 2015 Jan;41(1):100-6. doi: 10.3109/00952990.2014.940424. Epub 2014 Aug 8. PMID: 25105884; PMCID: PMC4262584.
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