Opiate-dependent adolescents in Ireland: a descriptive study at treatment entry
Opiate-dependent adolescents in Ireland: a descriptive study at treatment entry
复制标题
DOI：
10.1017/s0790966700010934
复制
发表时间：
2008-06-01
影响因子：
5.1
通讯作者：
Smyth, Bobby
中科院分区：
文献类型：
--
作者：
Fagan, John;Naughton, Leena;Smyth, Bobby
目的：描述接受鸦片依赖治疗（包括美沙酮维持治疗）的 19 岁以下青少年的吸毒史和共存心理社会问题，并检查是否存在性别差异。方法：2000 年 10 月至 2006 年 9 月期间，在爱尔兰都柏林最大的戒毒治疗诊所对 19 岁以下青少年进行描述性研究。通过回顾病例记录、评估问卷和尿液药物筛查获得数据。结果：86 名青少年被包括在内。他们的平均年龄为 16.8 岁。四十六人 (54%) 是女性。只有 26 人 (30%) 报告有完整的原生家庭。二十三人 (27%) 曾接受护理。首次使用任何非法药物的平均年龄为 12.4 岁，首次使用海洛因的平均年龄为 14.8 岁。平均离校年龄为14.4岁； 42 人 (49%) 离开学校后首次尝试海洛因。四十一人（48%）有无家可归的历史。四十四 (51%) 之前曾注射过； 26 人 (30%) 目前正在注射。五十六人（65%）没有接受过血液传播疾病筛查； 21 人 (24%) 随后检测出丙型肝炎呈阳性。38 人 (48%) 此前曾被定罪； 33 人（38%）面临指控。四十五人 (52%) 之前曾看过精神科医生；九人（111%）接受过住院精神科治疗。男孩更有可能提前退学、有滥用药物的兄弟姐妹以及有前科。女孩更有可能有伴侣，并且故意服用过量药物。结论：这项研究强调了青少年滥用阿片类药物的多重且复杂的需求。寻求满足他们需求的服务需要广泛的干预措施和良好的机构间合作。
Objectives: To describe the drug history and co-existing psycho-social problems among under-19 year olds accessing treatment for opiate dependency, including methadone maintenance, and examine for any gender differences.Method: A descriptive study of under-19 years assessed at the largest drug treatment clinic in Dublin, Ireland, between October 2000 and September 2006. Data was obtained through review of case notes, assessment questionnaires and urine drug screens.Results: Eighty-six young people were included. Their mean age was 16.8 years. Forty-six (54%) were female. Only 26 (30%) reported an intact family of origin. Twenty-three (27%) had been in care. Mean age for first use of any illicit drug was 12.4 years, and for heroin was 14.8 years. The mean age of leaving school was 14.4 years; 42 (49%) first tried heroin after leaving school. Forty-one (48%) had a history of homelessness. Forty-four (51 %) had previously injected; 26 (30%) were currently injecting. Fifty-six (65%) had not been screened for blood-borne diseases; twenty-one (24%) subsequently tested positive for hepatitis C. Thirty-eight (48%) had previous convictions; 33 (38%) were facing charges. Forty-five (52%) had previously seen a psychiatrist; nine (111 %) had received inpatient psychiatric treatment. Boys were more likely to leave school early, have a substance-abusing sibling, and to have a past conviction. Girls were more likely to have a partner, and have taken a deliberate overdose.Conclusions: This study highlights the multiple and complex needs of teenagers abusing opiates. Services seeking to meet their needs will require a broad range of interventions and excellent interagency co-operation.