Depression is more common among drug users (15-63 %) than the general population (5-16 %). Lack of social support network members may be associated with low mental health service (MHS) use rates observed among drug users. We investigated the relationship between social network members' roles and MHS use among frequent drug users using Social Ties Associated with Risk of Transition into Injection Drug Use data (NYC 2006-2009). Surveys assessed depression, MHS use, demographics, drug use and treatment, and social network members' roles. Participants reporting lifetime depressive episode with start/end dates and information on social/risk network members were included (n = 152). Adjusting for emotional support and HIV status, having one or more informational support network members remained associated with MHS use at last depressive episode (adjusted odds ratio (AOR) 3.37, 95 % confidence interval (CI) 1.38-8.19), as did history of drug treatment (AOR 2.75, 95 % CI 1.02-7.41) and no legal income (AOR 0.23, 95 % CI 0.08-0.64). These data suggest that informational support is associated with MHS utilization among depressed drug users.

译文

:吸毒者(15-63%)中的抑郁症比普通人群(5-16%)更常见。缺乏社会支持网络成员可能与在吸毒者中观察到的精神卫生服务(MHS)使用率低有关。我们调查了社交网络成员的角色与频繁吸毒者中MHS使用之间的关系,使用的是与转换为注射毒品使用风险相关的社交纽带(NYC 2006-2009)。调查评估了抑郁症,MHS的使用,人口统计学,药物的使用和治疗以及社交网络成员的作用。包括报告终生抑郁发作的患者(包括开始/结束日期)以及有关社会/风险网络成员的信息(n = 152)。调整情绪支持和HIV状况后,在上一次抑郁发作中,拥有一个或多个信息支持网络成员仍与MHS使用相关(调整后的优势比(AOR)3.37,95%置信区间(CI)1.38-8.19),药物治疗(AOR 2.75,95%CI 1.02-7.41),没有合法收入(AOR 0.23,95%CI 0.08-0.64)。这些数据表明,信息支持与抑郁药物使用者中MHS的利用有关。

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