Spectrum of substance use precipitating rehabilitative services among adult patients in the university of Port Harcourt teaching hospital

IF 0.8 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

African Health Sciences Pub Date : 2023-10-11 DOI:10.4314/ahs.v23i3.82

Chukwuma Ugochukwu Okeafor, Irene Esu

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引用次数: 0

Abstract

Background: World Health Organization ranks substance abuse as one of the top twenty health risk factors. It poses a seriouspublic health crisis with a significant burden for affected individuals, families and health systems. This study aimed to identifythe spectrum and pattern of substance use among patients receiving rehabilitative services. Methods: The study was a cross-sectional design involving 190 patients receiving rehabilitative care for substance use in theUniversity of Port Harcourt Teaching Hospital. The Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), avalidated and reliable tool was employed to obtain data on substance use. Statistical analyses were performed at P<0.05. Results: The male to female ratio was 4:1. A higher proportion of the patients were within 18-35years category (81.6%; n=155).The commonly used substances were alcohol (90.5%; n=172), cannabis/marijuana (43.7%; n=83), prescription opioids (28.9%;n=55). cigarette (25.8%; n=49), and street opioids (15.8%; n=30). The prevalence of poly substance use was 68.4%(n=130).Age(p=0.033) and sex (being male) (p=0.002) were predictors for number of substances used. Conclusion: Almost all the patients receiving drug rehabilitative service used alcohol, and approximately 7 in 10 used more thanone substance. The need to inculcate harm reduction in the management protocol is therefore paramount. Keywords: Substance use; alcohol; cannabis; substance use; rehabilitative care.

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哈考特港大学教学医院成人患者药物使用促进康复服务的频谱

背景:世界卫生组织将药物滥用列为20大健康风险因素之一。它构成严重的公共卫生危机，给受影响的个人、家庭和卫生系统带来沉重负担。本研究旨在确定接受康复服务的患者药物使用的频谱和模式。方法:本研究采用横断面设计，纳入190例在哈考特港大学教学医院接受药物使用康复治疗的患者。采用酒精、吸烟和物质介入筛选试验(ASSIST)这一有效可靠的工具来获取物质使用的数据。统计学分析为P<0.05. 结果:男女比例为4:1。18-35岁年龄组的患者比例较高(81.6%;n = 155)。常用的物质是酒精(90.5%);N =172)，大麻/大麻(43.7%;处方阿片类药物占28.9% (N =55)。香烟(25.8%;N =49)，街头阿片类药物占15.8%;n = 30)。多种药物使用的患病率为68.4%(n=130)，年龄(p=0.033)和性别(为男性)(p=0.002)是药物使用数量的预测因子。结论:几乎所有接受戒毒服务的患者都使用酒精，约7 / 10的患者使用一种以上的物质。因此，在管理方案中反复灌输减少危害的必要性是至关重要的。关键词:物质使用;酒精;大麻;物质使用;康复护理。

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来源期刊

African Health Sciences MEDICINE, GENERAL & INTERNAL-

CiteScore

2.30

自引率

0.00%

发文量

179

审稿时长

>12 weeks

期刊介绍： The African Health Sciences is an internationally refereed journal publishing original articles on research, clinical practice, public health, policy, planning, implementation and evaluation, in the health and related sciences relevant to Africa and the tropics. Its objectives are to: Advocate for and promote the growth of reading culture in sub Saharan Africa; Provide a high quality journal in which health and policy and other researchers and practitioners in the region can and world wide, can publish their work; Promote relevant health system research and publication in the region including alternative means of health care financing, the burden of and solution of health problems in marginalized urban and rural communities amongst the displaced and others affected by conflict; Promote research and the systematic collection and collation and publication of data on diseases and conditions of equity and influence; Promote development of evidence-based policies and guidelines for clinical, public health and other practitioners. African Health Sciences acknowledges support provided by the African Health Journals Partnership Project that is funded by the US National Institutes of Health (through the National Library of Medicine and the Fogarty International Center) and facilitated by the Council of Science Editors.