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  • Mental_health_among_PWUD_IJDP

    Rights statement: This is the author’s version of a work that was accepted for publication in International Journal of Drug Policy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Drug Policy, 36, 1, 2016 DOI: 10.1016/j.drugpo/2016.06.002

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

Research output: Contribution to journalJournal article

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  • Siyan Yi
  • Sovannary Tuot
  • Pheak Chhoun
  • Khuondyla Pal
  • Sok Chamreun Choub
  • Gitau Mburu
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<mark>Journal publication date</mark>1/10/2016
<mark>Journal</mark>International Journal of Drug Policy
Issue number1
Volume36
Number of pages8
Pages (from-to)25-32
Publication statusPublished
Early online date23/06/16
Original languageEnglish

Abstract

Background: Compared to the general population, drug users are at increased risk of both poor mental health and HIV infection. The aim of this study was to determine the prevalence and correlates of high psychological distress among drug users in Cambodia. Methods: In April 2014, a two-stage cluster sampling method was used to randomly select 169 drug users from hotspots in Phnom Penh. Psychological distress was measured using General Health Questionnaire (GHQ-12). Bivariate and multivariable analyses were conducted to identify factors associated with levels of psychological distress among this population.Results: Our study found high prevalence of attempted suicide (15.3%), drug related arrests (46.2%), and incarceration (31.4%). Of the 169 participants, 42.0% were found to have high levels of psychological distress, indicating poor mental health. After adjustment, high levels of psychological distress were independently associated with suicidal ideation (p< 0.001), higher frequency of drug use (p= 0.02), sharing of needles or syringes (p= 0.005), and having been sent to a rehabilitation centre (p= 0.02). In addition, participants who perceived their overall health as being poor or very poor were more likely to have high levels of psychological distress (p= 0.002).Conclusions: 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.

Bibliographic note

This is the author’s version of a work that was accepted for publication in International Journal of Drug Policy. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in International Journal of Drug Policy, 36, 1, 2016 DOI: 10.1016/j.drugpo/2016.06.002