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

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    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
    Issue Date
    2009
    MeSH
    Adult
    Chronic Disease
    Comorbidity
    Cross-Sectional Studies
    Drug Users
    Female
    Harm Reduction
    Humans
    Ireland
    Male
    Methadone
    Narcotics
    Pilot Projects
    Poverty Areas
    Primary Health Care
    Substance Abuse, Intravenous
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    Citation
    Chronic illness and multimorbidity among problem drug users: a comparative cross sectional pilot study in primary care. 2009, 10:25 BMC Fam Pract
    Journal
    BMC family practice
    URI
    http://hdl.handle.net/10147/94744
    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
    en
    ISSN
    1471-2296
    ae974a485f413a2113503eed53cd6c53
    10.1186/1471-2296-10-25
    Scopus Count
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