Skip to main content

Advertisement

Log in

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

  • Brief Communication
  • Published:
Quality of Life Research Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  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.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  3. Ahern, J., Stuber, J., & Galea, S. (2007). Stigma, discrimination and the health of illicit drug users. Drug and Alcohol Dependence, 88, 188–196.

    Article  PubMed  Google Scholar 

  4. Stafford, N. (2007). Using words: the harm reduction conception of drug use and drug users. International Journal of Drug Policy, 18, 88–91.

    Article  PubMed  Google Scholar 

  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.

  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.

    Article  Google Scholar 

  7. Australian Institute of Health and Welfare. (2011). 2010 National Drug Strategy Household Survey Report, Australian Institute of Health and Welfare: Canberra.

  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.

    Article  PubMed  Google Scholar 

  9. Degenhardt, L., Barker, B., & Topp, L. (2004). Patterns of ecstasy use in Australia: findings from a national household survey. Addiction, 99, 187–195.

    Article  PubMed  Google Scholar 

  10. Sepehrmanesh, Z., & Ahmadvand, A. (2009). Psychopathology of injecting abuser. American Journal of Addictions, 4, 332–333.

    Google Scholar 

  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.

    Article  Google Scholar 

  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. 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.

    PubMed  Google Scholar 

  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. 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.

    Article  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

  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. 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.

    Article  Google Scholar 

  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.

    CAS  Google Scholar 

  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.

    Article  Google Scholar 

  22. The WHOQOL Group. (1998). Development of the World Health Organization WHOQOL-BREF quality of life assessment. Psychological Medicine, 28, 551–558.

    Article  Google Scholar 

  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. 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.

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  CAS  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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.

    Article  Google Scholar 

  31. StataCorp. (2009). Stata statistical software. College Station, TX: StataCorp LP.

    Google Scholar 

  32. Orley, J., Saxena, S., & Herrman, H. (1998). Quality of life and mental illness. British Journal of Psychiatry, 172, 291–293.

    Article  PubMed  CAS  Google Scholar 

  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.

    Article  PubMed  Google Scholar 

  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. 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.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jane A. Fischer.

Appendix

Appendix

See Table 4.

Table 4 Compared populations on WHOQOL-BREF mean domain scores

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fischer, J.A., Conrad, S., Clavarino, A.M. et al. Quality of life of people who inject drugs: characteristics and comparisons with other population samples. Qual Life Res 22, 2113–2121 (2013). https://doi.org/10.1007/s11136-013-0350-8

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-013-0350-8

Keywords

Navigation