General health of opioid substitution therapy clients
General health of opioid substitution therapy clients
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DOI：
10.1111/imj.12298
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发表时间：
2013-12-01
影响因子：
2.1
通讯作者：
Day, C. A.
中科院分区：
文献类型：
--
作者：
Islam, M. M.;Taylor, A.;Day, C. A.
在澳大利亚悉尼一家三级医院的阿片类药物替代治疗（OST）诊所举行的健康促进活动中，评估了阿片类药物替代治疗（OST）客户的五种常见疾病。通过人体测量（体重指数和腰围）、肺量测定、心电图、巴氏试验史、Fibroscan和病历审查收集数据。由专科医院工作人员进行评估。在接受心电图检查的受试者中，17%的人发现异常结果，60%的人抗丙型肝炎病毒阳性（40%为病毒血症），三分之一的人检测到纤维化（7%严重纤维化和18%肝硬化），30%的参与者检测到慢性阻塞性肺疾病，其中7%在慢性阻塞性肺疾病全球倡议II期，2%在III期。47%的女性受访者报告说，她们在过去两年中没有做过巴氏试验。调查结果表明，OST客户遭受几个健康问题，OST诊所处于有利地位，以确定和转诊提供支持。
Five common medical conditions among opioid substitution therapy (OST) clients were assessed during a health promotion event held at a tertiary hospital-based OST clinic in Sydney, Australia. Data were collected anthropometrically (body mass index and waist circumference), using spirometry, electrocardiogram, Pap test histories, Fibroscan and medical record review. Assessments were undertaken by specialised hospital staff. Abnormal results were found for 17% of those who underwent an electrocardiogram, 60% were anti-hepatitis C virus positive (40% were viraemic), fibrosis was detected in one-third (7% severe fibrosis and 18% cirrhosis), chronic obstructive pulmonary disease was detected among 30% of participants with 7% at Global Initiative for Chronic Obstructive Lung Disease stage II and 2% at stage III. Forty-seven percent of the female respondents reported that they had not had a Pap test in the previous 2 years. Findings indicate that OST clients suffer several health problems that OST clinics are well placed to identify and provide support for referrals.