Abstract | BACKGROUND: OBJECTIVE: To investigate the relationship between having ever been denied pain medication by a health care provider and having ever reported using illicit drugs in hospital. METHODS: Data were derived from participants enrolled in two Canadian prospective cohort studies between December 2012 and May 2013. Using bivariable and multivariable logistic regression analyses, the relationship between having ever been denied pain medication by a health care provider and having ever reported using illicit drugs in hospital was examined. RESULTS: Among 1053 PWUD who had experienced ≥ 1 hospitalization, 452 (44%) reported having ever used illicit drugs while in hospital and 491(48%) reported having ever been denied pain medication. In a multivariable model adjusted for confounders, having been denied pain medication was positively associated with having used illicit drugs in hospital (adjusted OR 1.46 [95% CI 1.14 to 1.88]). CONCLUSIONS: The results of the present study suggest that the denial of pain medication is associated with the use of illicit drugs while hospitalized. These findings raise questions about how to appropriately manage addiction and pain among PWUD and indicate the potential role that harm reduction programs may play in hospital settings.
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Authors | Lianping Ti, Pauline Voon, Sabina Dobrer, Julio Montaner, Evan Wood, Thomas Kerr |
Journal | Pain research & management
(Pain Res Manag)
2015 Mar-Apr
Vol. 20
Issue 2
Pg. 84-8
ISSN: 1918-1523 [Electronic] United States |
PMID | 25562839
(Publication Type: Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't)
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Chemical References |
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Topics |
- Adult
- Analgesics
(administration & dosage)
- British Columbia
(epidemiology)
- Cohort Studies
- Female
- Forecasting
- Health Personnel
(psychology)
- Hospitalization
- Humans
- Illicit Drugs
- Male
- Middle Aged
- Pain
(drug therapy, epidemiology, psychology)
- Prospective Studies
- Refusal to Treat
- Substance-Related Disorders
(drug therapy, epidemiology, psychology)
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