Introduction and Aims Limited research has investigated methamphetamine use and related harms in rural and regional Australia. We investigated whether people who used methamphetamine in non‐metropolitan Victoria differed in their sociodemographics and were more likely to be methamphetamine‐dependent than those recruited in Melbourne. Design and Methods We used baseline data from an ongoing prospective cohort study, ‘VMAX’. Participants were recruited from Melbourne and three non‐metropolitan Victorian regions. Sequential multivariable logistic regression of nested models assessed unadjusted and adjusted associations between residential locations and methamphetamine dependence. Results The sample mostly (77%) comprised people who used methamphetamine via non‐injecting means (N = 744). Thirty‐nine percent were female. Melbourne‐based participants were less likely than non‐metropolitan participants to identify as Aboriginal and Torres Strait Islander, be heterosexual, have children and be unemployed. More frequent methamphetamine use (adjusted odds ratio 1.22, 95% confidence interval 1.12–1.34) and using crystal methamphetamine versus ‘speed’ powder (adjusted odds ratio 2.38, 95% confidence interval 1.26–3.64) were independently (P < 0.05) associated with being classified as methamphetamine‐dependent. A significantly higher percentage of participants in every non‐metropolitan region were classified as methamphetamine‐dependent vs. those in Melbourne, but this relationship was attenuated when adjusting for methamphetamine use frequency and primary form used. Despite 65% of participants being classified as methamphetamine‐dependent, less than half had recently (past year) accessed any professional support for methamphetamine, with minimal variation by recruitment location. Discussions and Conclusions VMAX participants in non‐metropolitan Victoria were more likely to be methamphetamine‐dependent than those living in Melbourne. Unmet need for professional support appears to exist among people using methamphetamine across the state, regardless of geographical location.
Therefore, brexpiprazole might induce mild sedation, mild extrapyramidal signs and mood stabilization. Overall, brexpiprazole may be a therapeutic option to alleviate BPSD in patients with VD in the oldest old. Declaration of Conflicting Interests The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article. Patient Consent After explaining the study to the patient and caregivers, written informed consent was obtained. This study was approved by the ethics committee of Yuzuriha Hospital.
BackgroundDual substance dependence and psychiatric and psychological morbidities are overrepresented in prison populations and associated with reoffending. In the context of an increasing prison population in Australia, investigating the needs of vulnerable people in prison with a dual diagnosis can help inform in-prison screening and treatment and improve prison and community service integration and continuation of care. In this study we quantified psychiatric well-being in a sample of people in prison with a history of injecting drug use in Victoria, Australia, and identified factors associated with this outcome.Methods and ResultsData for this paper come from baseline interviews undertaken in the weeks prior to release as part of a prospective cohort study of incarcerated men who reported regular injecting drug use prior to their current sentence. Eligible participants completed a researcher-administered structured questionnaire that canvassed a range of issues. Psychiatric well-being was assessed using the 12-item General Health Questionnaire (GHQ-12) and potential correlates were included based on a review of the literature. Of the 317 men included for analyses, 139 were classified as experiencing current poor psychiatric well-being. In the multivariate model using modified logistic regression, history of suicide attempt (aOR = 1.36, 95%CI 1.03–1.78), two or more medical conditions (aOR = 1.87, 95%CI 1.30–2.67) and use of crystal methamphetamine in the week prior to their current sentence (aOR = 1.52, 95%CI 1.05–2.22) were statistically significantly associated with current poor psychiatric well-being.ConclusionsComprehensively addressing the health-related needs for this vulnerable population will require a multidisciplinary approach and enhancing opportunities to screen and triage people in prison for mental health and other potential co-occurring health issues will provide opportunities to better address individual health needs and reoffending risk.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.