Patterns of alcohol use among men receiving treatment for heroin and/or cocaine use in England, Brazil and Spain. A cross-country analysis
Patterns of alcohol use among men receiving treatment for heroin and/or cocaine use in England, Brazil and Spain. A cross-country analysis
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英国、巴西和西班牙接受海洛因和/或可卡因治疗的男性的饮酒模式。
DOI：
10.1080/09687637.2019.1658715
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
Radcliffe P
中科院分区：
文献类型：
--
作者：
Radcliffe P
导语：虽然酒精与非法药物同时广泛使用，但酒精在药物使用后恢复和复发中的作用尚未得到充分研究。本研究调查了因海洛因和/或可卡因使用而接受社区治疗的男性的饮酒模式和与有害饮酒相关的因素。方法：对英国（n= 153）、巴西（n= 149）和西班牙（n= 131）的3项横断面研究进行二次分析。评估了社会人口统计学、酒精消费（审计）、药物使用、治疗特征和身体健康。Logistic回归确定了有害饮酒的相关因素。结果：41%接受海洛因和/或可卡因治疗的男性符合有害饮酒标准。其中，28%的人没有接受酒精治疗。在未接受酒精使用治疗的人中，确定为有害饮酒的因素如下：无家可归、失业/领取福利、多种药物使用、注射毒品史、丙型肝炎血清阳性、接受海洛因使用治疗的同时/不接受可卡因使用治疗。与巴西和西班牙的参与者相比，符合有害饮酒标准的英国参与者更有可能报告没有接受酒精使用治疗。讨论：研究结果表明，有害饮酒在接受药物治疗的男性中很常见，但仍被服务部门忽视。
Introduction:Although alcohol is widely used concurrently with illicit drugs, the role of alcohol in recovery from and relapse to drug use is under-researched. This study investigates drinking patterns and factors associated with harmful drinking among men receiving community treatment for heroin and/or cocaine use.Methods:Secondary analysis of 3 cross-sectional studies in England (n= 153), Brazil (n= 149) and Spain (n= 131) was conducted. Sociodemographic, alcohol consumption (AUDIT), substance use, treatment characteristics, and physical health were assessed. Logistic regression determined factors associated with harmful drinking.Results:41% of men receiving heroin and/or cocaine treatment met criteria for harmful drinking. Of this, 28% were not receiving treatment for alcohol. Factors identified with harmful drinking among those who were not receiving treatment for alcohol use were as follows: homeless, unemployment/receiving benefits, poly drug use, history of injecting drug(s), hepatitis C seropositive, and receiving treatment for heroin use with/without treatment for cocaine use. Participants from England who met criteria for harmful drinking were more likely to report not receiving treatment for alcohol use than those from Brazil and Spain.Discussion:Findings show that harmful drinking is common among men in treatment for drug use and remains neglected by the services.
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