Injection-Related Venous Disease and Walking Mobility |
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| Authors: | Barbara Pieper PhD ACNS-BC FAAN Thomas N. Templin PhD Robert S. Kirsner MD PhD Thomas J. Birk PhD MPT FACSM |
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| Affiliation: | 1. College of Nursing , Wayne State University , Detroit, MI;2. Center for Health Research, College of Nursing , Wayne State University , Detroit, MI;3. University of Miami Miller School of Medicine , Miami, FL;4. Eugene Applebaum College of Pharmacy and Health Sciences , Wayne State University , Detroit, MI |
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| Abstract: | ABSTRACT Injection users are at risk for vascular injuries resulting in chronic venous disease (CVD). The authors examined walking mobility in relation to CVD for 713 individuals in methadone treatment. The authors used a cross-sectional, comparative design that was stratified on age, sex, ethnicity, and drug use. CVD was present in 92.3% of participants. The structural equation model supported the causal link between leg injection and CVD (.40, P<.001). The worse the mobility, the greater was the CVD classification (?.21, P<.001). CVD had an indirect effect on mobility through pain. CVD and pain need to be considered when assessing mobility in illicit drug users. |
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| Keywords: | Injection drug use chronic venous disease walking mobility leg pain |
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