Depression Among People Who Inject Drugs and Their Intimate Partners in Kazakhstan

Shaw, Stacey A.; El‐Bassel, Nabila; Gilbert, Louisa; Terlikbayeva, Assel; Hunt, Tim; Primbetova, Sholpan; Rozental, Yelena; Chang, Mingway

doi:10.1007/s10597-015-9883-3

Cited by 16 publications

(11 citation statements)

References 58 publications

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“…These stark conditions may encourage the use of alcohol. In our in-depth interviews in the marketplace, participants reported demanding and stressful working conditions, which may lead some men to use alcohol to cope with the stress [9, 63]. In this study, we also found that those who traveled outside of Almaty in the past 90 days, compared to their counterparts, tended to have a higher prevalence of hazardous alcohol consumption.…”

Section: Discussionsupporting

confidence: 50%

Alcohol and Sexual Risk Behaviors Among Male Central Asian Labor Migrants and Non-migrants in Kazakhstan: Implications for HIV Prevention

El‐Bassel

Marotta

2017

AIDS Behav

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This paper examines the association between alcohol consumption and sexual risk behaviors (unprotected sex, multiple sex partners, sex under influence of drugs or alcohol and commercial sex) in a sample of Central Asian migrant and non-migrant laborers in the largest marketplace in Kazakhstan. We used data from The Silk Road Health Project, conducted from 2010 to 2013 with 1342 male migrant and non-migrant market workers. Participants were selected through respondent driven sampling at the Baraholka Market in Almaty, Kazakhstan. We used regression analyses adjusting for potential confounders to examine the relationship between alcohol consumption and sexual risk behavior. We found that hazardous drinking was associated with an increase in the odds of sex under the influence of drugs (aOR = 6.09, 95% CI 3.48, 10.65; p < .001) and purchasing commercial sex (aOR = 2.02, 95% CI 1.02, 4.02; p < .05). We identified potential targets for HIV interventions to reduce sexual risk behaviors among this key population.

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Section: Discussionsupporting

confidence: 50%

Alcohol and Sexual Risk Behaviors Among Male Central Asian Labor Migrants and Non-migrants in Kazakhstan: Implications for HIV Prevention

El‐Bassel

Marotta

2017

AIDS Behav

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“…While understanding the causation sequence remains relevant, evidence suggest that severity of poor mental health is often correlated with the extent of drug dependence, unmet service needs (Li et al, 2015), and in some cases, adverse childhood experiences (Kang, Deren, & Goldstein, 2002) of drug users. In addition, A c c e p t e d M a n u s c r i p t 3 while the direction of the effect may differ, gender is also an important mediator of the way in which poor mental health is experienced or coped with among this population (Loue et al, 2011;Pettes et al, 2015;Shaw et al, 2015;Springer, Chen, & Altice, 2009).…”

Section: Introductionmentioning

confidence: 98%

Prevalence and correlates of psychological distress among drug users in Phnom Penh, Cambodia

Tuot²,

Chhoun³

et al. 2016

International Journal of Drug Policy

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Integration of mental health within HIV and needle and syringe exchange programmes is required to address psychological distress among drug users in Cambodia. Health system interventions, such as screening, referral, and training of health providers, need to be strengthened. In addition, interventions addressing social determinants of mental health and mitigation of frequent arrests and improving conditions in rehabilitation centres are required.

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“…Previous studies have documented drug use behaviors and experiences such as duration, frequency, overdose, and drug rehabilitation as associated risk factors of psychological distress [21,[25][26][27][28]. Exposure to violence, such as stigma and discrimination and sexual assault, and lack of social support, such as family intimacy and adaptability, has also been shown to be predictors of psychological distress among people who use drugs [28][29][30][31][32][33][34].…”

Section: Introductionmentioning

confidence: 99%

Prevalence and social determinants of psychological distress among people who use drugs in Cambodia

Saing

Prem

et al. 2020

Preprint

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Background: People who use drugs are at a disproportionately higher risk of mental disorders due to prolonged exposure to psychosocial challenges. However, studies on mental health among people who use drugs in resource-constrained countries are scarce. This study sheds light on the prevalence and correlates of psychological distress among people who use drugs in Cambodia.Methods: We conducted this cross-sectional study in 12 provinces in 2017. The Respondent Driven Sampling method was adapted to recruit 1677 people who used drugs for face-to-face interviews using a structured questionnaire. Psychological distress was measured using the General Health Questionnaire (GHQ-12). A total score of GHQ-12>2 indicated high psychological distress. We performed a multiple logistic regression analysis to examine factors associated with psychological distress. Results: The mean age of the participants was 28.6 years (SD= 7.8). Of the total, 41.9% had high psychological distress – 49.7% in women and 37.3% in men. We included 1598 participants in the multiple logistic regression analysis. The adjusted odds of having high psychological distress was significantly higher among participants who were 25-34 years old (AOR 1.30, 95% CI 1.01-1.70) and 35 years and above (AOR 1.68, 95% CI 1.19-2.35), had been to a drug rehabilitation center (AOR 2.06, 95% CI 1.48-2.86), had been insulted by family members (AOR 2.09, 95% CI 1.62-2.70), and had been sexually harassed/abused by someone when they were growing up (AOR 1.80, 95% CI 1.38-2.36). The odds of having high psychological distress was significantly lower among participants who were male (AOR 0.53, 95% CI 0.41-0.69), lived in own dwelling (AOR 0.56, 95% CI 0.41-0.77), reported injecting as the mode of the first drug use (AOR 0.56, 95% CI 0.34-0.91), and had someone taking care of when getting sick (AOR 0.68, 95% CI 0.47-0.99).Conclusions: This study documents a high prevalence of psychological distress among people who use drugs in Cambodia. Intervention programs that attempt to address mental health problems among people who use drugs in resource-limited settings should be gender- and age-sensitive and target more marginalized subpopulations. Mental health services can be integrated into HIV and harm-reduction programs for people who use drugs.

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Depression Among People Who Inject Drugs and Their Intimate Partners in Kazakhstan

Cited by 16 publications

References 58 publications

Alcohol and Sexual Risk Behaviors Among Male Central Asian Labor Migrants and Non-migrants in Kazakhstan: Implications for HIV Prevention

Alcohol and Sexual Risk Behaviors Among Male Central Asian Labor Migrants and Non-migrants in Kazakhstan: Implications for HIV Prevention

Prevalence and correlates of psychological distress among drug users in Phnom Penh, Cambodia

Prevalence and social determinants of psychological distress among people who use drugs in Cambodia

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