Chronic pain and hepatitis C virus infection in opioid dependent injection drug users

J Addict Dis. 2011 Apr;30(2):91-7. doi: 10.1080/10550887.2011.554775.

Abstract

It is unknown whether infection with hepatitis C is a risk factor for pain among people who have used injection drugs. Multivariate regression was used to determine whether hepatitis C was associated with greater likelihood of reporting significant chronic pain and discomfort intolerance in a cohort of 97 injection drug users dependent on opioids. Study results suggest that participants with hepatitis C may be more likely to experience chronic pain (aOR=1.98; 95% confidence interval=0.76 to 5.12, p=0.16). Furthermore, hepatitis C was found to be associated with a higher discomfort intolerance scale score, reflecting intolerance to physical discomfort (β=2.34; 95% confidence interval=0.06 to 4.62; p=0.04). Hepatitis C may be a cause for chronic pain and discomfort intolerance that is overlooked among injection drug users dependent on opioids.

Trial registration: ClinicalTrials.gov NCT00475878.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Chronic Disease
  • Cross-Sectional Studies
  • Female
  • Hepacivirus*
  • Hepatitis C / complications*
  • Hepatitis C / physiopathology
  • Humans
  • Male
  • Middle Aged
  • Opioid-Related Disorders / complications*
  • Opioid-Related Disorders / virology
  • Pain / etiology*
  • Risk Factors
  • Severity of Illness Index
  • Substance Abuse, Intravenous / complications*
  • Substance Abuse, Intravenous / virology

Associated data

  • ClinicalTrials.gov/NCT00475878