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Quality of Life Research

, Volume 22, Issue 8, pp 2113–2121 | Cite as

Quality of life of people who inject drugs: characteristics and comparisons with other population samples

  • Jane A. Fischer
  • Sue Conrad
  • Alexandra M. Clavarino
  • Robert Kemp
  • Jackob M. Najman
Brief Communication

Abstract

Purpose

To assess the quality of life (QOL) of persons who inject drugs.

Methods

Some 483 current injecting drug users visiting a large NSP over a 2-week period in October 2009 were interviewed using a structured questionnaire. QOL was measured using the WHOQOL-BREF. Data were collected on age, gender, injecting patterns, current drug treatment status and hepatitis C status. Participant QOL profiles were compared to published domain scores for a range of other population groups.

Results

People who inject drugs (PWID) experience a very poor QOL irrespective of socio-demographic characteristics, injecting patterns, hepatitis C sero-status and drug treatment status. Sample participants (PWID) experience a QOL below that experienced by many population groups in the community affected by disabling chronic illnesses.

Conclusions

Injecting drug use is associated with a poor QOL. Some PWID may be self-medicating for chronic non-malignant pain, and it is likely that these people had a low QOL prior to the decision to inject. Despite this caveat, it remains likely that injecting drug use does little to enhance the QOL of the user.

Keywords

People who inject drugs Quality of life Needle and syringe programme 

References

  1. 1.
    Robinson, R. (2006). Health perceptions and health-related quality of life of substance abusers: A review of the literature. Journal of Addiction Nursing, 17, 159–168.CrossRefGoogle Scholar
  2. 2.
    de Maeyer, J., Vanderplasschen, W., & Broekaert, E. (2010). Quality of life among opiate-dependent individuals: A review of the literature. International Journal of Drug Policy, 21, 364–380.PubMedCrossRefGoogle Scholar
  3. 3.
    Ahern, J., Stuber, J., & Galea, S. (2007). Stigma, discrimination and the health of illicit drug users. Drug and Alcohol Dependence, 88, 188–196.PubMedCrossRefGoogle Scholar
  4. 4.
    Stafford, N. (2007). Using words: the harm reduction conception of drug use and drug users. International Journal of Drug Policy, 18, 88–91.PubMedCrossRefGoogle Scholar
  5. 5.
    Reference Group to the United Nations on HIV and Injecting Drug Use. (2010). Consensus statement of the Reference Group to the United Nations on HIV and Injecting Drug Use 2010: Summary of Recommendations.Google Scholar
  6. 6.
    Mathers, B., Degenhardt, L., Ali, H., Wiessing, L., Hickman, M., et al. (2008). The global epidemiology of injecting drug use and HIV among people who inject drugs: a systematic review. The Lancet, 372, 1733–1745.CrossRefGoogle Scholar
  7. 7.
    Australian Institute of Health and Welfare. (2011). 2010 National Drug Strategy Household Survey Report, Australian Institute of Health and Welfare: Canberra.Google Scholar
  8. 8.
    Ezzati, M., Lopez, A. D., Rodgers, A., Vander Hoorn, S., Murray, C. J., et al. (2002). Selected major risk factors and global and regional burden of disease. Lancet, 360, 1347–1360.PubMedCrossRefGoogle Scholar
  9. 9.
    Degenhardt, L., Barker, B., & Topp, L. (2004). Patterns of ecstasy use in Australia: findings from a national household survey. Addiction, 99, 187–195.PubMedCrossRefGoogle Scholar
  10. 10.
    Sepehrmanesh, Z., & Ahmadvand, A. (2009). Psychopathology of injecting abuser. American Journal of Addictions, 4, 332–333.Google Scholar
  11. 11.
    Kidorf, M., King, V. L., Peirce, J., Burke, C., Kolodner, K., et al. (2010). Psychiatric distress, risk behavior, and treatment enrollment among syringe exchange participants. Addictive Behaviours, 35, 499–503.CrossRefGoogle Scholar
  12. 12.
    Lemstra, M., Rogers, M., Thompson, A., Moraros, J., & Buckingham, R. (2011). Risk indicators of depressive symptomatology among injection drug users and increased HIV risk behaviour. Canadian Journal of Psychiatry, 56, 358–366.Google Scholar
  13. 13.
    Gibbie, T., Hides, L., Cotton, S., Lubman, D., Aitken, C., et al. (2011). The relationship between personality disorders and mental health, substance use severity and quality of life among injecting drug users. Medical Journal of Australia, 195, S16–S21.PubMedGoogle Scholar
  14. 14.
    Rooney, S., Freyne, A., Kelly, G., & O’Connor, J. (2007). Differences in the quality of life of two groups of drug users. International Journal Psychiatry Medicine, 19, 55–59.Google Scholar
  15. 15.
    Conroy, E., Kimber, J., Dolan, K. A., & Day, C. (2008). An examination of the quality of life among rural and outer metropolitan injecting drug users in NSW, Australia. Addiction Research and Theory, 16, 607–617.CrossRefGoogle Scholar
  16. 16.
    Dietze, P., Stoove, M., Miller, P., Kinner, S., Bruno, R., et al. (2010). The self-reported personal wellbeing of a sample of Australian injecting drug users. Addiction, 105, 2141–2148.PubMedCrossRefGoogle Scholar
  17. 17.
    de Wit, J., Treloar, C., & Wilson, H., (eds). (2009). HIV/AIDS, hepatitis and sexually transmissilbe infections in Australia: Annual report of trends in behaviour 2009. National Centre in HIV Social Research, The University of New South Wales: Sydney.Google Scholar
  18. 18.
    National Centre for HIV Epidemiology and Clinical Research. (2010). Australian NSP survey national data report 2005–2009. Sydney: National Centre for HIV Epidemiology and Clinical Research, The University of New South Wales.Google Scholar
  19. 19.
    The WHOQOL Group. (1995). World Health Organization Quality of Life Group (WHOQOL): Position paper from the World Health Organization. Social Science and Medicine, 41, 1403–1440.CrossRefGoogle Scholar
  20. 20.
    Skevington, S. M., Lofty, M., & O’Connell, K. A. (2004). The World Health Organization’s WHOQOL-BREF: preliminary population norms and effect sizes. Social Indicators Research, 13, 299–310.Google Scholar
  21. 21.
    The WHOQOL Group. (1998). The World Health Organization quality of life assessments (WHOQOL): development and general psychometric properties. Social Science and Medicine, 46, 1569–1585.CrossRefGoogle Scholar
  22. 22.
    The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551–558.CrossRefGoogle Scholar
  23. 23.
    Murphy, B., Herman, H., Hawthorne, G., Pinzone, T., & Evert, H. T. (2000). The World Health Organization Quality of Life (WHOQOL) Study: Australian WHOQOL-100, WHOQOL-BREF, and CA-WHOQOL instruments—User’s manual and interpretation guide. Melbourne: WHO-QOL Field Study Centre, University of Melbourne.Google Scholar
  24. 24.
    Skevington, S. M., McCrate, F. M. (2012). Expecting a good quality of life in health: Assessing people with diverse diseases and conditions using the WHOQOL-BREF. Health Expectations, 49–62.Google Scholar
  25. 25.
    Edwards, B., & O’Connell, B. (2003). Internal consistency and validity of the Stroke Impact Scale 2.0 (SIS 2.0) and SIS-16 in an Australian sample. Quality of Life Research, 12, 1127–1135.PubMedCrossRefGoogle Scholar
  26. 26.
    Barker, R. N., Kendall, M. D., Amsters, D. I., Pershouse, K. J., Haines, T. P., et al. (2009). The relationship between quality of life and disability across the lifespan for people with spinal cord injury. Spinal Cord Injury, 47, 149–155.CrossRefGoogle Scholar
  27. 27.
    Rose, M., Kohler, K., Kohler, F., Sawaitzky, B., Fliege, H., et al. (2005). Determinants of the quality of life of patients with congenital heart disease. Quality of Life Research, 14, 35–43.PubMedCrossRefGoogle Scholar
  28. 28.
    McCabe, M. P., Firth, L., & O’Connell, E. (2009). A comparison of mood and quality of life among people with progressive neurological illnesses and their caregivers. Journal of Clinical Psychology in Medical Settings, 16, 355–362.PubMedCrossRefGoogle Scholar
  29. 29.
    da Rocha, N. S., Power, M. J., Bushnell, D. M., & Fleck, M. P. (2009). Is there a measurement overlap between depressive symptoms and quality of life? Comprehensive Psychiatry, 50, 549–555.PubMedCrossRefGoogle Scholar
  30. 30.
    Aigner, M., Forster-Streffleur, S., Prause, W., Friedl, M., Weiss, M., et al. (2006). What does WHOQOL-BREF measure? Measurement overlap between quality of life and depressive symptomology in chronic somatoform pain disorder. Social Psychiatry and Psychiatry Epidemiology, 41, 81–86.CrossRefGoogle Scholar
  31. 31.
    StataCorp. (2009). Stata statistical software. College Station, TX: StataCorp LP.Google Scholar
  32. 32.
    Orley, J., Saxena, S., & Herrman, H. (1998). Quality of life and mental illness. British Journal of Psychiatry, 172, 291–293.PubMedCrossRefGoogle Scholar
  33. 33.
    Strine, T., Hootman, J., Chapman, D., Okoro, C., et al. (2005). Health-related quality of life, health risk behaviours and disability among adults with pain-related activity difficulty. American Journal of Public Health, 95, 2042–2048.PubMedCrossRefGoogle Scholar
  34. 34.
    Connor, J., Saunders, J., & Feeney, G. (2006). Quality of life in substance use disorders. In H. Katschnig, H. Freeman, & N. Sartorius (Eds.), Quality of life in mental disorders. Hoboken, NJ: Wiley.Google Scholar
  35. 35.
    Foster, J., Powell, J., Marshall, E., & Peters, T. (1999). Quality of life in alcohol-dependent subjects: a review. Quality of Life Research, 8, 255–261.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media Dordrecht 2013

Authors and Affiliations

  • Jane A. Fischer
    • 1
    • 2
    • 7
  • Sue Conrad
    • 3
    • 4
  • Alexandra M. Clavarino
    • 1
  • Robert Kemp
    • 5
  • Jackob M. Najman
    • 3
    • 6
  1. 1.Pharmacy Australia Centre for Excellence (PACE), School of PharmacyThe University of QueenslandWoolloongabbaAustralia
  2. 2.Centre for Drug and Alcohol Studies/Statewide ServicesQueensland HealthBrisbaneAustralia
  3. 3.School of Population HealthThe University of QueenslandHerstonAustralia
  4. 4.Biala Harm Reduction CentreQueensland HealthBrisbaneAustralia
  5. 5.Needle and Syringe Program, Management UnitQueensland HealthHerstonAustralia
  6. 6.School of Social SciencesThe University of QueenslandSt. LuciaAustralia
  7. 7.National Centre for Education and Training on AddictionFlinders UniversityAdelaideAustralia

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