Mertens Jennifer R, Flisher Alan J, Ward Catherine L, Bresick Graham F, Sterling Stacy A, Weisner Constance M
J Drug Issues. 2009 Oct;39(4). doi: 10.1177/002204260903900411.
Research has identified a wide range of health conditions related to alcohol and drug use in studies conducted primarily in developed countries and in populations with severe alcohol and drug problems. Little is known about medical conditions in those with less severe alcohol and drug use in developing countries. We used WHO AUDIT and ASSIST screeners to identify hazardous drinking or drug use in public health clinics in Cape Town, South Africa, and included questions about doctor-diagnosed medical conditions. Using logistic regression we examined the relationship of medical conditions to hazardous alcohol, drug and tobacco use. Those with hazardous substance use had higher prevalence of many health conditions including tuberculosis. Hepatitis B, migraine, chronic bronchitis, and liver cirrhosis. Optimal treatment for some medical conditions may include treatment of underlying hazardous substance use, particularly use of drugs other than alcohol. In these populations, access to substance use treatment is limited and even brief interventions or advice may be useful.
在主要针对发达国家以及存在严重酒精和药物问题人群开展的研究中，已有研究确定了一系列与酒精和药物使用相关的健康状况。对于发展中国家酒精和药物使用不太严重人群的健康状况，人们所知甚少。我们使用世界卫生组织酒精使用障碍筛查测试（AUDIT）和药物使用筛查工具（ASSIST），在南非开普敦的公共卫生诊所中识别危险饮酒或药物使用情况，并纳入了有关医生诊断的健康状况的问题。我们运用逻辑回归分析，研究了健康状况与危险酒精、药物和烟草使用之间的关系。使用有害物质的人群中，许多健康状况的患病率较高，包括结核病、乙型肝炎、偏头痛、慢性支气管炎和肝硬化。对于某些健康状况的最佳治疗可能包括对潜在有害物质使用的治疗，尤其是除酒精以外的药物使用。在这些人群中，获得物质使用治疗的机会有限，即使是简短的干预或建议可能也会有所帮助。
