Grover S, Irpati A S, Saluja B S, Mattoo S K, Basu D
Drug De-addiction and Treatment Centre, Department of Psychiatry, Postgraduate Institute of Medical Education and Research, Chandigarh, United Kingdom.
Indian J Med Sci. 2005 Jul;59(7):283-91.
Treatment-seeking is limited in women substance abusers. Studying the sociodemographic and clinical profile of treatment-seeking substance-dependent women can help us to understand the problem better and respond appropriately in terms of primary and secondary prevention strategies.
To study the sociodemographic and clinical profile of women attending a de-addiction centre in North India.
Retrospective structured chart review of 35 women substance abusers.
The results indicated that a typical subject was urban (86%), married (63%), nuclear family (60%), based housewife (57%), educated up to school completion (54%), and having poor social support (57%). The common substances were opioids (60%), followed by alcohol (17%), and tobacco and benzodiazepines (11.5% each). The mean age at onset of substance use was 30.5 years, the mean duration of use was 9 years and mean duration to develop dependence was 5.5 years. The common reasons for initiating use were medical (63%) and curiosity (34%). Comorbidity profile was: physical illness (34%), psychiatric illness (23%) and dependence on another substance (14%). Only 20% had a family history of substance dependence. The social impairment ranged from 77% for social to 40% for financial and none for legal aspects. A typical subject had followed up 4.2 times in 8.4 months, while 54% were abstaining, 40% were continuing their substance dependence at the last follow up.
The results suggest that the development of substance dependence in women is a combination of genetic, personal, and social vulnerability factors, including the drug culture of the social milieu and the poor social support. Comorbidity and impairment are common features.
寻求治疗的女性药物滥用者数量有限。研究寻求治疗的药物依赖女性的社会人口学和临床特征有助于我们更好地理解这一问题，并在一级和二级预防策略方面做出适当应对。
研究印度北部一家戒毒中心女性患者的社会人口学和临床特征。
对35名女性药物滥用者进行回顾性结构化图表审查。
结果表明，典型的研究对象为城市居民（86%）、已婚（63%）、核心家庭（60%）、家庭主妇（57%）、完成学业（54%）且社会支持较差（57%）。常见药物为阿片类药物（60%），其次是酒精（17%），烟草和苯二氮䓬类药物各占11.5%。药物使用开始的平均年龄为30.5岁，平均使用时长为9年，平均发展为依赖的时长为5.5年。开始使用药物的常见原因是医疗需求（63%）和好奇心（34%）。共病情况为：躯体疾病（34%）、精神疾病（23%）和对另一种药物的依赖（14%）。只有20%有药物依赖家族史。社会损害程度从社交方面的77%到经济方面的40%不等，法律方面无损害。典型的研究对象在8.4个月内随访了4.2次，在最后一次随访时，54%的人已戒除，40%的人仍在药物依赖中。
结果表明，女性药物依赖的发展是遗传、个人和社会脆弱性因素的综合结果，包括社会环境中的药物文化和社会支持不足。共病和损害是常见特征。
