naa a22 4500 510782027 CHVBK 20180411083250.0 cr unu---uuuuu 180411e20131001xx s 000 0 eng 10.1007/s11414-013-9355-x doi (NATIONALLICENCE)springer-10.1007/s11414-013-9355-x Social Network Members' Roles and Use of Mental Health Services Among Drug Users in New York City [Elektronische Daten] [Katherine Sapra, Natalie Crawford, Abby Rudolph, Kandice Jones, Ebele Benjamin, Crystal Fuller] Depression is more common among drug users (15-63 %) than the general population (5-16 %). Lack of social support network members may be associated with low mental health service (MHS) use rates observed among drug users. We investigated the relationship between social network members' roles and MHS use among frequent drug users using Social Ties Associated with Risk of Transition into Injection Drug Use data (NYC 2006-2009). Surveys assessed depression, MHS use, demographics, drug use and treatment, and social network members' roles. Participants reporting lifetime depressive episode with start/end dates and information on social/risk network members were included (n = 152). Adjusting for emotional support and HIV status, having one or more informational support network members remained associated with MHS use at last depressive episode (adjusted odds ratio (AOR) 3.37, 95 % confidence interval (CI) 1.38-8.19), as did history of drug treatment (AOR 2.75, 95 % CI 1.02-7.41) and no legal income (AOR 0.23, 95 % CI 0.08-0.64). These data suggest that informational support is associated with MHS utilization among depressed drug users. National Council for Community Behavioral Healthcare, 2013 Sapra Katherine Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W. 168th St, 10032, New York, NY, USA aut Crawford Natalie Robert Wood Johnson Health and Society Scholars Program, Center for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA aut Rudolph Abby Pacific Institute for Research and Evaluation, Alcohol, Policy, and Safety Research Center, Calverton, MD, USA aut Jones Kandice Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY, USA aut Benjamin Ebele Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY, USA aut Fuller Crystal Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W. 168th St, 10032, New York, NY, USA aut The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/4(2013-10-01), 476-487 1094-3412 40:4<476 2013 40 11414 https://doi.org/10.1007/s11414-013-9355-x text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s11414-013-9355-x text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Sapra Katherine Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W. 168th St, 10032, New York, NY, USA aut NATIONALLICENCE 700 1- Crawford Natalie Robert Wood Johnson Health and Society Scholars Program, Center for Social Epidemiology and Population Health, Department of Epidemiology, University of Michigan, Ann Arbor, MI, USA aut NATIONALLICENCE 700 1- Rudolph Abby Pacific Institute for Research and Evaluation, Alcohol, Policy, and Safety Research Center, Calverton, MD, USA aut NATIONALLICENCE 700 1- Jones Kandice Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY, USA aut NATIONALLICENCE 700 1- Benjamin Ebele Center for Urban Epidemiologic Studies, New York Academy of Medicine, New York, NY, USA aut NATIONALLICENCE 700 1- Fuller Crystal Department of Epidemiology, Mailman School of Public Health, Columbia University, 722 W. 168th St, 10032, New York, NY, USA aut NATIONALLICENCE 773 0- The Journal of Behavioral Health Services & Research Springer US; http://www.springer-ny.com 40/4(2013-10-01), 476-487 1094-3412 40:4<476 2013 40 11414 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer