ABSTRACT

Food insecurity (FI) is under-researched among people experiencing substance use disorders (SUD). Given the physical and mental health consequences associated with FI, this study examined the prevalence of FI and its covariates in individuals seeking treatment for SUDs and whether any specific SUD diagnosis was associated with FI. Individuals with polysubstance use disorder (PSUD) were compared to those with a single SUD diagnosis. This study was a cross-sectional chart review at an outpatient substance use disorder treatment unit of 201 treatment-seeking adults with one or more SUD. Of 201 adults, 43.8% reported experiencing FI within the past 12 months. Only cannabis use disorder was associated with FI (p = .025). Those with PSUD had 2.08 times the odds (OR = 2.08, 95% CI = 1.15– 3.76) of FI compared to those diagnosed with one SUD. Policy and practice recommendations are discussed regarding implementation of FI screening and interventions in substance use treatment.

摘要

在经历物质使用障碍 (SUD) 的人群中，对粮食不安全 (FI) 的研究不足。鉴于与 FI 相关的身心健康后果，本研究检查了寻求 SUD 治疗的个体中 FI 的患病率及其协变量，以及是否有任何特定的 SUD 诊断与 FI 相关。将患有多种物质使用障碍 (PSUD) 的个体与具有单一 SUD 诊断的个体进行比较。本研究是对 201 名患有一种或多种 SUD 的寻求治疗的成年人的门诊物质使用障碍治疗单位进行的横断面图表审查。在 201 名成年人中，43.8% 的人报告在过去 12 个月内经历过 FI。只有大麻使用障碍与 FI 相关（p = .025）。与诊断为单一 SUD 的患者相比，患有 PSUD 的患者发生 FI 的几率是 FI 的 2.08 倍（OR = 2.08，95% CI = 1.15-3.76）。