“Health Is on the Back Burner:” Multilevel Barriers and Facilitators to Primary Care Among People Who Inject Drugs

Associations between psychiatric morbidity and COVID-19 vaccine hesitancy: An analysis of electronic health records and patient survey

“…( Boyle et al, 2000 , Lasser et al, 2011 ) Possible explanations for poorer compliance with preventive care include socioeconomic deprivation, challenges prioritizing healthcare over substance use, and stigmatization from medical providers. ( Melamed et al, 2020 , Motavalli et al, 2021 , Van Boekel et al, 2013 )…”

“…( Dai et al, 2021 ) This can help by removing barriers to finding appointments and scheduling, which has been shown to be effective among individuals with substance use disorders but may also be relevant to other populations. ( Motavalli et al, 2021 ) Direct outreach by doctors’ offices may also be effective. One study reported that information from doctors was among the most important factors for making health decisions among individuals with history of SUDs.…”

Perspectives About Emergency Department Care Encounters Among Adults With Opioid Use Disorder

“…The study findings are consistent with research highlighting the experience of people who use drugs. 18 , 40 , 41 , 42 , 43 In one study, people who inject drugs reported feeling stigmatized by first responders and hospital staff and associated stigmatization with delayed and substandard medical care. 41 A recent qualitive study 25 of patients receiving care in the ED after opioid overdose identified a number of factors related to consideration of treatment, including provider communication skills, stigma, availability of ED resources, and support for unmet basic needs.…”

Understanding the Perspectives of Women Who Use Intravenous Drugs and are Experiencing Homelessness in an Urban Centre in Canada: An Analysis of Ethnographic Data

“…Integration with services these women may already be accessing – such as shelters, supervised consumption sites and low-income housing – may result in increased access to culturally appropriate and trauma-informed care. As well, repeated positive interactions with familiar healthcare providers may be required to build the trust and rapport that has been damaged by the current healthcare system ( Motavalli et al, 2021 ). Trust has been found to be an important mediating factor for healthcare access among WUID and may be facilitated through use of nurses who demonstrate compassion and non-judgemental care and whose presence is consistent and thus familiar, along with the integration of peers and other people who use drugs into healthcare services ( Chang et al, 2021 ; McNeil & Small, 2014 ).…”