探索印度药物使用障碍护理中的求助途径和差异:一项多中心横断面研究。

IF 1.7 4区 医学 Q3 PSYCHIATRY
Abhishek Ghosh, Tathagata Mahintamani, Aditya Somani, Diptadhi Mukherjee, Susanta Padhy, Sourav Khanra, Sidharth Arya, Navratan Suthar, Sambhu Prasad, Hoeineiting Rebecca Haokip, Aparajita Guin, Kumari Rina, Aniruddha Basu, Shree Mishra, Basudeb Das, Rajiv Gupta, Lokesh Kumar Singh, Naresh Nebhinani, Pankaj Kumar, Ramandeep Kaur, Debasish Basu
{"title":"探索印度药物使用障碍护理中的求助途径和差异:一项多中心横断面研究。","authors":"Abhishek Ghosh, Tathagata Mahintamani, Aditya Somani, Diptadhi Mukherjee, Susanta Padhy, Sourav Khanra, Sidharth Arya, Navratan Suthar, Sambhu Prasad, Hoeineiting Rebecca Haokip, Aparajita Guin, Kumari Rina, Aniruddha Basu, Shree Mishra, Basudeb Das, Rajiv Gupta, Lokesh Kumar Singh, Naresh Nebhinani, Pankaj Kumar, Ramandeep Kaur, Debasish Basu","doi":"10.4103/indianjpsychiatry.indianjpsychiatry_123_24","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Substance use disorders (SUDs) are among the leading causes of morbidity in the population. In low- and medium-income countries like India, there is a wide treatment gap for SUD. A multicentric study on the care pathways for SUD in India can help to understand service provision, service utilization, and challenges to improve existing SUD care in India.</p><p><strong>Aim: </strong>We aimed to map pathways to care in SUD. We compared the clinical and demographic characteristics of patients who first consulted specialized services versus other medical services.</p><p><strong>Methods: </strong>This was a cross-sectional study of consecutive, consenting adults (18-65 years) with SUD registered to each of the nine participating addiction treatment services distributed across five Indian regions. We adapted the World Health Organization's pathway encounter form.</p><p><strong>Results: </strong>Of the 998 participants, 98% were males, 49.4% were rural, and 20% were indigenous population. Addiction services dominated initial (50%) and subsequent (60%) healthcare contacts. One in five contacted private for-profit healthcare. Primary care contact was rare (5/998). Diverse approaches included traditional healers (4-6%) and self-medication (2-8%). There was a 3-year delay in first contact; younger, educated individuals with opioid dependence preferred specialized services.</p><p><strong>Conclusion: </strong>There is a need to strengthen public healthcare infrastructure and delivery systems and integrate SUD treatment into public healthcare.</p>","PeriodicalId":13345,"journal":{"name":"Indian Journal of Psychiatry","volume":"66 6","pages":"528-537"},"PeriodicalIF":1.7000,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293777/pdf/","citationCount":"0","resultStr":"{\"title\":\"Exploring help-seeking pathways and disparities in substance use disorder care in India: A multicenter cross-sectional study.\",\"authors\":\"Abhishek Ghosh, Tathagata Mahintamani, Aditya Somani, Diptadhi Mukherjee, Susanta Padhy, Sourav Khanra, Sidharth Arya, Navratan Suthar, Sambhu Prasad, Hoeineiting Rebecca Haokip, Aparajita Guin, Kumari Rina, Aniruddha Basu, Shree Mishra, Basudeb Das, Rajiv Gupta, Lokesh Kumar Singh, Naresh Nebhinani, Pankaj Kumar, Ramandeep Kaur, Debasish Basu\",\"doi\":\"10.4103/indianjpsychiatry.indianjpsychiatry_123_24\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Substance use disorders (SUDs) are among the leading causes of morbidity in the population. In low- and medium-income countries like India, there is a wide treatment gap for SUD. A multicentric study on the care pathways for SUD in India can help to understand service provision, service utilization, and challenges to improve existing SUD care in India.</p><p><strong>Aim: </strong>We aimed to map pathways to care in SUD. We compared the clinical and demographic characteristics of patients who first consulted specialized services versus other medical services.</p><p><strong>Methods: </strong>This was a cross-sectional study of consecutive, consenting adults (18-65 years) with SUD registered to each of the nine participating addiction treatment services distributed across five Indian regions. We adapted the World Health Organization's pathway encounter form.</p><p><strong>Results: </strong>Of the 998 participants, 98% were males, 49.4% were rural, and 20% were indigenous population. Addiction services dominated initial (50%) and subsequent (60%) healthcare contacts. One in five contacted private for-profit healthcare. Primary care contact was rare (5/998). Diverse approaches included traditional healers (4-6%) and self-medication (2-8%). There was a 3-year delay in first contact; younger, educated individuals with opioid dependence preferred specialized services.</p><p><strong>Conclusion: </strong>There is a need to strengthen public healthcare infrastructure and delivery systems and integrate SUD treatment into public healthcare.</p>\",\"PeriodicalId\":13345,\"journal\":{\"name\":\"Indian Journal of Psychiatry\",\"volume\":\"66 6\",\"pages\":\"528-537\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11293777/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Indian Journal of Psychiatry\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_123_24\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/19 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PSYCHIATRY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Indian Journal of Psychiatry","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.4103/indianjpsychiatry.indianjpsychiatry_123_24","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/19 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PSYCHIATRY","Score":null,"Total":0}
引用次数: 0

摘要

背景:药物使用失调(SUD)是导致人口发病的主要原因之一。在印度等中低收入国家,药物滥用症的治疗缺口很大。对印度的药物滥用性精神障碍治疗路径进行多中心研究有助于了解印度的服务提供情况、服务利用情况以及改善现有药物滥用性精神障碍治疗所面临的挑战。我们比较了首次咨询专科服务和其他医疗服务的患者的临床和人口特征:这是一项横断面研究,研究对象是在分布于印度五个地区的九家参与戒毒治疗服务机构中登记的连续、同意接受治疗的成人(18-65 岁)。我们改编了世界卫生组织的路径会诊表:在 998 名参与者中,98% 为男性,49.4% 为农村人口,20% 为原住民。初次(50%)和随后(60%)接触的医疗保健服务主要是戒毒服务。五分之一的人接触过私营营利性医疗机构。很少接触初级保健服务(5/998)。不同的治疗方法包括传统疗法(4-6%)和自我治疗(2-8%)。首次就医时间延迟了 3 年;年轻、受过教育的阿片类药物依赖者更愿意接受专业服务:结论:有必要加强公共医疗保健基础设施和服务系统,并将药物依赖治疗纳入公共医疗保健。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Exploring help-seeking pathways and disparities in substance use disorder care in India: A multicenter cross-sectional study.

Background: Substance use disorders (SUDs) are among the leading causes of morbidity in the population. In low- and medium-income countries like India, there is a wide treatment gap for SUD. A multicentric study on the care pathways for SUD in India can help to understand service provision, service utilization, and challenges to improve existing SUD care in India.

Aim: We aimed to map pathways to care in SUD. We compared the clinical and demographic characteristics of patients who first consulted specialized services versus other medical services.

Methods: This was a cross-sectional study of consecutive, consenting adults (18-65 years) with SUD registered to each of the nine participating addiction treatment services distributed across five Indian regions. We adapted the World Health Organization's pathway encounter form.

Results: Of the 998 participants, 98% were males, 49.4% were rural, and 20% were indigenous population. Addiction services dominated initial (50%) and subsequent (60%) healthcare contacts. One in five contacted private for-profit healthcare. Primary care contact was rare (5/998). Diverse approaches included traditional healers (4-6%) and self-medication (2-8%). There was a 3-year delay in first contact; younger, educated individuals with opioid dependence preferred specialized services.

Conclusion: There is a need to strengthen public healthcare infrastructure and delivery systems and integrate SUD treatment into public healthcare.

求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
Indian Journal of Psychiatry
Indian Journal of Psychiatry Medicine-Psychiatry and Mental Health
CiteScore
4.40
自引率
3.20%
发文量
130
审稿时长
34 weeks
期刊介绍: The Indian Journal of Psychiatry (ISSN 0019-5545), is an official publication of the Indian Psychiatric Society. It is published Bimonthly with one additional supplement (total 5 issues). The IJP publishes original work in all the fields of psychiatry. All papers are peer-reviewed before publication. The issues are published Bimonthly. An additional supplement is also published annually. Articles can be submitted online from www.journalonweb.com . The journal provides immediate free access to all the published articles. The journal does not charge the authors for submission, processing or publication of the articles.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信