A study of pathways to care among opioid dependent individuals seeking treatment at a community de-addiction clinic in India
A study of pathways to care among opioid dependent individuals seeking treatment at a community de-addiction clinic in India
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DOI：
10.1080/15332640.2018.1542528
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发表时间：
2020-08-03
影响因子：
1.3
通讯作者：
Balhara, Yatan Pal Singh
中科院分区：
文献类型：
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作者：
Bhad, Roshan;Gupta, Rishab;Balhara, Yatan Pal Singh
吸毒，包括类阿片使用障碍，是影响全球人口的迅速上升的严重问题之一。在将吸毒者送到治疗中心方面存在着治疗差距和延误。本研究旨在评估从印度社区治疗中心寻求治疗的阿片类药物依赖者的护理途径。在印度新德里国家药物依赖治疗中心（NDDTC）的社区诊所进行的一项横断面观察性研究中，共招募了100名符合DSM IV TR阿片类药物依赖标准的寻求治疗的吸毒者（年龄18-60岁）。这些数据是使用基于患者自我报告的半结构化形式和世界卫生组织（WHO）路径研究中使用的就诊表收集的。所有参与者都是男性，大多已婚，有工作，属于核心家庭。98%的参与者曾经以依赖的方式使用海洛因，20%的人目前正在使用海洛因。参与者的平均年龄为40.83岁（SD 12.7）。开始使用海洛因的中位年龄为22岁（IQR 12）。海洛因使用的中位持续时间为138个月（IQR 132）。只有21%的参与者在第一次接触护理时访问了社区临终关怀诊所。首次寻求治疗的中位时间为9.5年（IQR 7）。研究结果表明，从出现药物相关问题到首次接触治疗之间存在明显延迟。有必要增加治疗服务的提供和获得，以减少寻求治疗的延误。
Drug use, including opioid use disorder, is one of the rapidly rising and serious problems affecting populations globally. There is a treatment gap and delay in presentation of drug users to treatment centers. The present study aimed at assessing the pathways to care among opioid-dependent individuals seeking treatment from a community-based treatment center in India. In a cross-sectional observational study conducted at a community clinic of the National Drug Dependence Treatment Centre (NDDTC), New Delhi, India, a total of 100 treatment-seeking drug users (age 18-60 years) fulfilling DSM IV TR criteria for opioid dependence were recruited. The data were collected using a semistructured pro forma based on patient self-report and the encounter form used in the World Health Organization (WHO) Pathway Study. All participants were male, were mostly married, were employed, and belonged to nuclear families. Ninety-eight percent of participants has ever used heroin in a dependent fashion and 20% were using it currently. Mean age of the participants was 40.83 years (SD 12.7). Median age of onset of heroin use was 22 years (IQR 12). Median duration of heroin use was 138 months (IQR 132). Only 21% of participants visited the community deaddiction clinic at the first contact with care. The median time for first treatment-seeking attempt was 9.5 years (IQR 7). The study findings suggest significant delay between onset of drug-related problems and first treatment contact. There is a need to increase the availability and accessibility of treatment services to reduce the delay in treatment seeking.