The Relationship Between Non-Medical Use of Prescription Opioids and Sex Work Among Adults in Residential Substance Use Treatment

被引:5
作者
Matusiewicz, Alexis K. [1 ,2 ,3 ]
Ilgen, Mark A. [1 ,2 ]
Bonar, Erin E. [2 ]
Price, Amanda [2 ]
Bohnert, Amy S. B. [1 ,2 ]
机构
[1] VA Ctr Clin Management Res CCMR, 2800 Plymouth Rd Bldg 16, Ann Arbor, MI 48109 USA
[2] Univ Michigan, Dept Psychiat, 2800 Plymouth Rd Bldg 16, Ann Arbor, MI 48109 USA
[3] VA Ann Arbor Healthcare Syst, 2215 Fuller Rd, Ann Arbor, MI 48109 USA
关键词
Sex work; Non-medical use of prescription opioids; Pain medication; Residential treatment; ADDICTION SEVERITY INDEX; DRUG-USE; UNITED-STATES; HIV RISK; ABUSE TREATMENT; USE DISORDERS; YOUNG-ADULTS; PREVALENCE; HEALTH; WOMEN;
D O I
10.1016/j.jsat.2016.01.010
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
High rates of substance use (e.g., alcohol, cocaine, heroin) have been documented among individuals who engage in sex work (SW), and adults seeking substance use disorder (SUD) treatment frequently report prior engagement in SW. Non-medical use of prescription opioids (NMUPO) has increased over the last decade, but little is known about the relationship between NMUPO with sex exchange. The purpose of this study was to describe the prevalence of recent SW among patients at a large residential SUD treatment center and examine the association between NMUPO and SW. Approximately 14% of 588 adults reported involvement in SW in the month prior to treatment. NMUPO was more common among those with a history of SW (95% of sex workers vs. 74% of non sex-workers), and this association remained statistically significant after controlling for demographic factors, other substance use and psychiatric symptom severity (odds ratio = 338). SW is relatively common among patients in residential SUD treatment, and is associated with greater psychiatric severity and more extensive substance use, including alarming rates of NMUPO. Addiction treatment for individuals involved in SW may benefit from the addition of content related to NMUPO. (C) 2016 Published by Elsevier Inc.
引用
收藏
页码:24 / 28
页数:5
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