Chronic illness and multimorbidity among problem drug users: a comparative cross sectional pilot study in primary care.

Hdl Handle:
http://hdl.handle.net/10147/208025
Title:
Chronic illness and multimorbidity among problem drug users: a comparative cross sectional pilot study in primary care.
Authors:
Cullen, Walter; O'Brien, Sarah; O'Carroll, Austin; O'Kelly, Fergus D; Bury, Gerard
Affiliation:
UCD School of Medicine and Medical Science, Coombe Healthcare Centre, Dublin,, Ireland. walter.cullen@ucd.ie
Citation:
BMC Fam Pract. 2009 Apr 21;10:25.
Journal:
BMC family practice
Issue Date:
1-Feb-2012
URI:
http://hdl.handle.net/10147/208025
DOI:
10.1186/1471-2296-10-25
PubMed ID:
19383141
Abstract:
BACKGROUND: Although multimorbidity has important implications for patient care in general practice, limited research has examined chronic illness and health service utilisation among problem drug users. This study aimed to determine chronic illness prevalence and health service utilisation among problem drug users attending primary care for methadone treatment, to compare these rates with matched 'controls' and to develop and pilot test a valid study instrument. METHODS: A cross-sectional study of patients attending three large urban general practices in Dublin, Ireland for methadone treatment was conducted, and this sample was compared with a control group matched by practice, age, gender and General Medical Services (GMS) status. RESULTS: Data were collected on 114 patients. Fifty-seven patients were on methadone treatment, of whom 52(91%) had at least one chronic illness (other then substance use) and 39(68%) were prescribed at least one regular medication. Frequent utilisation of primary care services and secondary care services in the previous six months was observed among patients on methadone treatment and controls, although the former had significantly higher chronic illness prevalence and primary care contact rates. The study instrument facilitated data collection that was feasible and with minimal inter-observer variation. CONCLUSION: Multimorbidity is common among problem drug users attending general practice for methadone treatment. Primary care may therefore have an important role in primary and secondary prevention of chronic illnesses among this population. This study offers a feasible study instrument for further work on this issue. (238 words).
Language:
eng
MeSH:
Adult; Chronic Disease/*epidemiology; Comorbidity; Cross-Sectional Studies; Drug Users/*statistics & numerical data; Female; Harm Reduction; Humans; Ireland/epidemiology; Male; Methadone/therapeutic use; Narcotics/therapeutic use; Pilot Projects; Poverty Areas; Primary Health Care/*methods; Substance Abuse, Intravenous/complications/*epidemiology/rehabilitation
ISSN:
1471-2296 (Electronic); 1471-2296 (Linking)

Full metadata record

DC FieldValue Language
dc.contributor.authorCullen, Walteren_GB
dc.contributor.authorO'Brien, Sarahen_GB
dc.contributor.authorO'Carroll, Austinen_GB
dc.contributor.authorO'Kelly, Fergus Den_GB
dc.contributor.authorBury, Gerarden_GB
dc.date.accessioned2012-02-01T10:58:02Z-
dc.date.available2012-02-01T10:58:02Z-
dc.date.issued2012-02-01T10:58:02Z-
dc.identifier.citationBMC Fam Pract. 2009 Apr 21;10:25.en_GB
dc.identifier.issn1471-2296 (Electronic)en_GB
dc.identifier.issn1471-2296 (Linking)en_GB
dc.identifier.pmid19383141en_GB
dc.identifier.doi10.1186/1471-2296-10-25en_GB
dc.identifier.urihttp://hdl.handle.net/10147/208025-
dc.description.abstractBACKGROUND: Although multimorbidity has important implications for patient care in general practice, limited research has examined chronic illness and health service utilisation among problem drug users. This study aimed to determine chronic illness prevalence and health service utilisation among problem drug users attending primary care for methadone treatment, to compare these rates with matched 'controls' and to develop and pilot test a valid study instrument. METHODS: A cross-sectional study of patients attending three large urban general practices in Dublin, Ireland for methadone treatment was conducted, and this sample was compared with a control group matched by practice, age, gender and General Medical Services (GMS) status. RESULTS: Data were collected on 114 patients. Fifty-seven patients were on methadone treatment, of whom 52(91%) had at least one chronic illness (other then substance use) and 39(68%) were prescribed at least one regular medication. Frequent utilisation of primary care services and secondary care services in the previous six months was observed among patients on methadone treatment and controls, although the former had significantly higher chronic illness prevalence and primary care contact rates. The study instrument facilitated data collection that was feasible and with minimal inter-observer variation. CONCLUSION: Multimorbidity is common among problem drug users attending general practice for methadone treatment. Primary care may therefore have an important role in primary and secondary prevention of chronic illnesses among this population. This study offers a feasible study instrument for further work on this issue. (238 words).en_GB
dc.language.isoengen_GB
dc.subject.meshAdulten_GB
dc.subject.meshChronic Disease/*epidemiologyen_GB
dc.subject.meshComorbidityen_GB
dc.subject.meshCross-Sectional Studiesen_GB
dc.subject.meshDrug Users/*statistics & numerical dataen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHarm Reductionen_GB
dc.subject.meshHumansen_GB
dc.subject.meshIreland/epidemiologyen_GB
dc.subject.meshMaleen_GB
dc.subject.meshMethadone/therapeutic useen_GB
dc.subject.meshNarcotics/therapeutic useen_GB
dc.subject.meshPilot Projectsen_GB
dc.subject.meshPoverty Areasen_GB
dc.subject.meshPrimary Health Care/*methodsen_GB
dc.subject.meshSubstance Abuse, Intravenous/complications/*epidemiology/rehabilitationen_GB
dc.titleChronic illness and multimorbidity among problem drug users: a comparative cross sectional pilot study in primary care.en_GB
dc.contributor.departmentUCD School of Medicine and Medical Science, Coombe Healthcare Centre, Dublin,, Ireland. walter.cullen@ucd.ieen_GB
dc.identifier.journalBMC family practiceen_GB
dc.description.provinceLeinster-

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