Journal article
Evidence of telescoping in females across two decades of US treatment admissions for injection drug use: 2000 - 2020
Drug and alcohol dependence reports, Vol.9, 100204
11/2023
DOI: 10.1016/j.dadr.2023.100204
PMCID: PMC10690569
PMID: 38045494
Abstract
Background
People who inject drugs (PWID) have an increased risk of soft tissue infection, drug overdose and death. Females may be particularly vulnerable due to barriers to substance use disorder (SUD) treatment entry, stigma, and telescoping, or the greater severity in substance use-related comorbidity and consequences despite a shorter history of use. We set out to identify sex differences in United States injection drug use (IDU).
Methods
The Treatment Episode Dataset-Admission (2000–2020) provided data to identify PWID undergoing their initial SUD treatment admission. Mann-Whitney U test, chi-square, and Spearman correlations were used for ordinal variables, categorical variables, and to assess similarity of male/female trends over the 21 years, respectively. The probabilistic index (PI) and Cramer's V provided effect sizes for Mann-Whitney U tests and chi-square tests, respectively.
Results
A total of 13,612,978 records existed for cases entering their initial treatment. Mapping to a history of IDU left 1,458,695 (561,793 females). Females had a higher prevalence among PWID across all 21 years; IDU trends were essentially identical between males and females (r = 0.97). Females endorsed beginning their primary substance later in life (PI = 0.47, p < 0.0001) and entered treatment after a shorter period of substance use (PI = 0.57, p < 0.0001).
Conclusions
We saw evidence of telescoping among PWID with a SUD entering their initial episode of treatment. Interventions should be implemented prior to the transition to IDU, and this window of opportunity is shortened in females. Utilizing gender-responsive treatment options may be a way to increase treatment-seeking earlier in the disease course.
Details
- Title: Subtitle
- Evidence of telescoping in females across two decades of US treatment admissions for injection drug use: 2000 - 2020
- Creators
- Nicholas L. Bormann - Mayo ClinicBenjamin Miskle - University of IowaPaul Holdefer - University of IowaStephan Arndt - University of IowaAlison C. Lynch - University of IowaAndrea N. Weber - University of Iowa
- Resource Type
- Journal article
- Publication Details
- Drug and alcohol dependence reports, Vol.9, 100204
- DOI
- 10.1016/j.dadr.2023.100204
- PMID
- 38045494
- PMCID
- PMC10690569
- NLM abbreviation
- Drug Alcohol Depend Rep
- ISSN
- 2772-7246
- eISSN
- 2772-7246
- Language
- English
- Date published
- 11/2023
- Academic Unit
- Psychiatry; Biostatistics; Addiction Medicine; Family and Community Medicine; Nursing; Pharmacy Practice and Science; Injury Prevention Research Center; Internal Medicine
- Record Identifier
- 9984508460202771
Metrics
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