Depression, drug use, and health services need, utilization, and cost

Duane C. McBride, Holly Van Buren, Yvonne M. Terry, Burton J. Goldstein

Research output: Chapter in Book/Report/Conference proceedingChapter

6 Citations (Scopus)

Abstract

The objective of this study is to examine the relationship between depression and drug use and potential ramifications of that relationship on the health services needs, utilization, and costs of chronic and injecting drug abusers. A network-based sample of 1,330 injecting and other chronic drug users, as well as non-drug using neighborhood controls, was obtained within Dade County, Florida. Using the Health Services Research Model as an analytical framework, results show that drug users had significantly higher levels of depression than non-drug users from similar neighborhoods. In addition, it was found that depression was significantly associated with perceptions of poor health, increased health problems, and perceived limitations on even light physical activity among both drug users and non-users. Among drug users, depression was also significantly related to not receiving needed care, lack of treatment adherence, use of the emergency room for primary care or any reason, hospital admissions, and any use of outpatient or private clinic services. Results from logistical regression analysis show that even when controlling for relevant issues such as sociodemographic, economic, and drug use variables, depression retains an independent and significant relationship with health services need and utilization. Differences in the cost of health care utilization between depressed and non-depressed samples are also estimated. Implications of this study point to the need to consider screening and treatment for depression within health system structures in order to improve cost-effective access to needed services among drug using populations.

Original languageEnglish
Title of host publicationAdvances in Medical Sociology
Pages67-99
Number of pages33
Volume7
StatePublished - Dec 1 2000

Publication series

NameAdvances in Medical Sociology
Volume7
ISSN (Print)10576290

Fingerprint

Health Services Needs and Demand
Drug Users
drug use
health service
utilization
drug
Costs and Cost Analysis
costs
Pharmaceutical Preparations
Health
Patient Acceptance of Health Care
health
Health Services Research
system structure
Hospital Emergency Service
Primary Health Care
Outpatients
Regression Analysis
Economics
Exercise

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health(social science)

Cite this

McBride, D. C., Van Buren, H., Terry, Y. M., & Goldstein, B. J. (2000). Depression, drug use, and health services need, utilization, and cost. In Advances in Medical Sociology (Vol. 7, pp. 67-99). (Advances in Medical Sociology; Vol. 7).

Depression, drug use, and health services need, utilization, and cost. / McBride, Duane C.; Van Buren, Holly; Terry, Yvonne M.; Goldstein, Burton J.

Advances in Medical Sociology. Vol. 7 2000. p. 67-99 (Advances in Medical Sociology; Vol. 7).

Research output: Chapter in Book/Report/Conference proceedingChapter

McBride, DC, Van Buren, H, Terry, YM & Goldstein, BJ 2000, Depression, drug use, and health services need, utilization, and cost. in Advances in Medical Sociology. vol. 7, Advances in Medical Sociology, vol. 7, pp. 67-99.
McBride DC, Van Buren H, Terry YM, Goldstein BJ. Depression, drug use, and health services need, utilization, and cost. In Advances in Medical Sociology. Vol. 7. 2000. p. 67-99. (Advances in Medical Sociology).
McBride, Duane C. ; Van Buren, Holly ; Terry, Yvonne M. ; Goldstein, Burton J. / Depression, drug use, and health services need, utilization, and cost. Advances in Medical Sociology. Vol. 7 2000. pp. 67-99 (Advances in Medical Sociology).
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