Determinants of emergency department use and hospitalization among people who inject drugs: a systematic review and meta-analysis

Armoon, B, Fleury, M-J, Griffiths, MD ORCID: https://orcid.org/0000-0001-8880-6524, Bayani, A, Mohammadi, R and Ahounbar, E, 2024. Determinants of emergency department use and hospitalization among people who inject drugs: a systematic review and meta-analysis. Journal of Substance Use, 29 (5), pp. 914-926. ISSN 1465-9891

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Abstract

Background: The present study aimed to identify sociodemographic characteristics, risky behaviors, type of drug use, and service use variables associated with emergency department (ED) use and hospitalization among people who inject drugs (PWID).

Methods: Studies in English published from January 1, 1995, to December 15, 2021, were searched for on PubMed, Scopus, Cochrane, and Web of Science to identify primary studies on ED use and hospitalization among PWID.

Results: After a detailed assessment of 17,348 outputs, a total of 19 studies met the eligibility criteria for inclusion in the analysis. Greater risks of ED use and hospitalization among PWID were associated with (i) a history of homelessness, (ii) HIV-positive status, and (iii) injecting drugs more than four times per day. Individuals were more likely to use the ED if they (i) had a history of physical abuse, (ii) were using cocaine and methamphetamine, and (iii) had used primary care services. Women and individuals with chronic physical illnesses were more likely to be hospitalized.

Conclusions: The present study is the first to integrate determinants related to ED use and hospitalization based on sociodemographic characteristics, risky behaviors, type of drug, and service use determinants among PWID. To reduce ED use and hospitalization among PWID, the paper also recommends various strategies could be implemented.

Item Type:	Journal article
Publication Title:	Journal of Substance Use
Creators:	Armoon, B., Fleury, M.-J., Griffiths, M.D., Bayani, A., Mohammadi, R. and Ahounbar, E.
Publisher:	Taylor & Francis
Date:	2024
Volume:	29
Number:	5
ISSN:	1465-9891
Identifiers:	Number Type 10.1080/14659891.2023.2202767 DOI 1759262 Other
Rights:	This is an Accepted Manuscript of an article published by Taylor & Francis in Journal of Substance Use on 9 May 2023, available online: http://www.tandfonline.com/10.1080/14659891.2023.2202767
Divisions:	Schools > School of Social Sciences
Record created by:	Jeremy Silvester
Date Added:	17 May 2023 08:47
Last Modified:	02 Oct 2024 15:48
URI:	https://irep.ntu.ac.uk/id/eprint/48996

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