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Table 2 Access to conventional medical care and healthcare barriers among people who use drugs (N = 162) recruited in Athens, Greece, according to housing status

From: Considerations for equitable distribution of digital healthcare for people who use drugs

Characteristic

Total

(N = 162)

According to housing status

p

Not experiencing homelessness

(N = 81)

Experiencing homelessness

(N = 81)

A. Conventional medical care access

 Participants currently under care for their healthcare conditions, n (%)

88 (54.3)

43 (53.1)

45 (55.6)

0.75

 Participants who had visited a healthcare provider within the past 3 months, n (%)

85 (52.5)

37 (45.7)

48 (59.3)

0.08

 Participant rating of level of difficulty in obtaining healthcare services within the past 12 months, n (%)

   

0.04

  Easy or very easy

79 (48.8)

39 (48.2)

40 (49.4)

 

  Moderate

25 (15.4)

16 (19.8)

9 (11.1)

 

  Difficult or very difficult

46 (28.4)

17 (21.0)

29 (35.8)

 

  I did not seek healthcare services within the past 12 months

12 (7.4)

9 (11.1)

3 (3.7)

 

 Where participants last accessed a healthcare provider, n (%)

   

0.02

  At a public hospital

140 (86.4)

64 (79.0)

76 (93.8)

 

  At private medical practice

12 (7.4)

11 (13.6)

1 (1.2)

 

  At a health center

5 (3.1)

3 (3.7)

2 (2.5)

 

  Other

5 (3.1)

3 (3.7)

2 (2.5)

 

B. Healthcare barriers

 Participants who reported geographical obstaclesa, n (%)

70 (43.2)

37 (45.7)

33 (40.5)

0.53

 Participants who reported a negative experience when accessing healthcare, n (%)

92 (56.8)

41 (50.6)

51 (63.0)

0.11

 Participants attributed the negative experience to, n (%)

    

  Drug use historyb

81 (88.0)

36 (87.8)

45 (88.2)

0.95

  Income/social statusb

20 (21.7)

6 (14.6)

14 (27.4)

0.14

 Participants reported the following types of negative experiences, n (%)

    

  Attitude of healthcare staffb

81 (88.0)

37 (90.2)

44 (86.3)

0.56

  Refusal to provide me with treatmentb

36 (39.1)

13 (31.7)

23 (45.1)

0.19

  Inappropriate languageb

35 (38.0)

22 (53.7)

13 (25.5)

0.006

  Denial of my rightsb

16 (17.4)

6 (14.6)

10 (19.6)

0.53

  1. aDefined as the need to travel to another region, city, or country for healthcare
  2. bCalculated as the proportion of participants (N = 92) who reported negative experiences when accessing healthcare