Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs

Objective To examine the relationship between social stability and access to healthcare services among a community-based sample of adult female drug users. Methods We developed a measure of social stability and examined its relationship to health care access. Data came from a cross-sectional sample...

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Autores principales:	Ellesse-Roselee L. Akré, Daniel J. Marthey, Chisom Ojukwu, Casey Ottenwaelder, Megan Comfort, Jennifer Lorvick
Formato:	article
Lenguaje:	EN
Publicado:	SAGE Publishing 2021
Materias:	Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/11da2d03630b45aeb4107145c0ace87f
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spelling	oai:doaj.org-article:11da2d03630b45aeb4107145c0ace87f2021-11-21T01:03:34ZSocial Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs2333-392810.1177/23333928211048640https://doaj.org/article/11da2d03630b45aeb4107145c0ace87f2021-11-01T00:00:00Zhttps://doi.org/10.1177/23333928211048640https://doaj.org/toc/2333-3928Objective To examine the relationship between social stability and access to healthcare services among a community-based sample of adult female drug users. Methods We developed a measure of social stability and examined its relationship to health care access. Data came from a cross-sectional sample of female drug users (N = 538) in Oakland, CA who were interviewed between September 2014 and August 2015. We categorized women as having low (1-5), medium (6-10), or high (11-16) social stability based on the tertile of the index sample distribution. We then used ordered logistic regression to examine the relationship between social stability and self-reported access to mental health services and medical care. Results Compared with women in the low stability group, those with high stability experienced a 58% decline in the odds of needed but unmet mental health services [AOR: 0.42; 95% C.I.: 0.26, 0.69] and a 68% decline in the odds of unmet medical care [AOR: 0.32; 95% C.I.: 0.19, 0.54] after adjusting for confounders. The coefficients we observed reduced in size at higher levels of the stability index suggesting a positive association between social experiences and access to healthcare services. Conclusion Women who use drugs are at increased risk of adverse health outcomes and often experience high levels of unmet healthcare needs. Our study highlights the importance of addressing social determinants of health and suggests that improving social factors such as housing stability and personal safety may support access to healthcare among female drug users.Ellesse-Roselee L. AkréDaniel J. MartheyChisom OjukwuCasey OttenwaelderMegan ComfortJennifer LorvickSAGE PublishingarticleMedicine (General)R5-920Public aspects of medicineRA1-1270ENHealth Services Research & Managerial Epidemiology, Vol 8 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	Medicine (General) R5-920 Public aspects of medicine RA1-1270 Ellesse-Roselee L. Akré Daniel J. Marthey Chisom Ojukwu Casey Ottenwaelder Megan Comfort Jennifer Lorvick Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs
description	Objective To examine the relationship between social stability and access to healthcare services among a community-based sample of adult female drug users. Methods We developed a measure of social stability and examined its relationship to health care access. Data came from a cross-sectional sample of female drug users (N = 538) in Oakland, CA who were interviewed between September 2014 and August 2015. We categorized women as having low (1-5), medium (6-10), or high (11-16) social stability based on the tertile of the index sample distribution. We then used ordered logistic regression to examine the relationship between social stability and self-reported access to mental health services and medical care. Results Compared with women in the low stability group, those with high stability experienced a 58% decline in the odds of needed but unmet mental health services [AOR: 0.42; 95% C.I.: 0.26, 0.69] and a 68% decline in the odds of unmet medical care [AOR: 0.32; 95% C.I.: 0.19, 0.54] after adjusting for confounders. The coefficients we observed reduced in size at higher levels of the stability index suggesting a positive association between social experiences and access to healthcare services. Conclusion Women who use drugs are at increased risk of adverse health outcomes and often experience high levels of unmet healthcare needs. Our study highlights the importance of addressing social determinants of health and suggests that improving social factors such as housing stability and personal safety may support access to healthcare among female drug users.
format	article
author	Ellesse-Roselee L. Akré Daniel J. Marthey Chisom Ojukwu Casey Ottenwaelder Megan Comfort Jennifer Lorvick
author_facet	Ellesse-Roselee L. Akré Daniel J. Marthey Chisom Ojukwu Casey Ottenwaelder Megan Comfort Jennifer Lorvick
author_sort	Ellesse-Roselee L. Akré
title	Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs
title_short	Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs
title_full	Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs
title_fullStr	Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs
title_full_unstemmed	Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs
title_sort	social stability and unmet health care needs in a community-based sample of women who use drugs
publisher	SAGE Publishing
publishDate	2021
url	https://doaj.org/article/11da2d03630b45aeb4107145c0ace87f
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Social Stability and Unmet Health Care Needs in a Community-Based Sample of Women Who Use Drugs

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