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药物滥用与康复:应对药物滥用所致疾病的全球负担

Substance abuse and rehabilitation: responding to the global burden of diseases attributable to substance abuse.

作者信息

Wu Li-Tzy

机构信息

Department of Psychiatry and Behavioral Sciences, Duke University School of Medicine, Duke University Medical Center, Durham, NC, USA.

出版信息

Subst Abuse Rehabil. 2010 Oct;2010(1):5-11. doi: 10.2147/SAR.S14898.

Abstract

Alcohol, tobacco, and illegal drug use are pervasive throughout the world. Substance use problems are among the major contributors to the global disease burden, which includes disability and mortality. The benefits of treatment far outweigh the economic costs. Despite the availability of treatment services, however, the vast majority of people with substance use disorders do not seek or use treatment. Barriers to and unmet need for evidence-based treatment are widespread even in the United States. Women, adolescents, and young adults are especially vulnerable to adverse effects from substance abuse, but they face additional barriers to getting evidence-based treatment or other social/medical services. Substance use behaviors and the diseases attributable to substance use problems are preventable and modifiable. Yet the ever-changing patterns of substance use and associated problems require combined research and policy-making efforts from all parts of the world to establish a viable knowledge base to inform for prevention, risk-reduction intervention, effective use of evidence-based treatment, and rehabilitation for long-term recovery. The new international, open-access, peer-reviewed Substance Abuse and Rehabilitation (SAR) journal strives to provide an effective platform for sharing ideas for solutions and disseminating research findings globally. Substance use behaviors and problems have no boundaries. The journal welcomes papers from all regions of the world that address any aspect of substance use, abuse/dependence, intervention, treatment, and policy. The "open-access" journal makes cutting edge knowledge freely available to practitioners and researchers worldwide, and this is particularly important for addressing the global disease burden attributable to substance abuse.

摘要

酒精、烟草和非法药物的使用在全球范围内普遍存在。物质使用问题是全球疾病负担的主要促成因素之一,其中包括残疾和死亡。治疗的益处远远超过经济成本。然而,尽管有治疗服务,但绝大多数患有物质使用障碍的人并未寻求或接受治疗。即使在美国,基于证据的治疗也存在广泛的障碍且需求未得到满足。妇女、青少年和年轻人尤其容易受到药物滥用的不利影响,但他们在获得基于证据的治疗或其他社会/医疗服务方面面临额外的障碍。物质使用行为以及由物质使用问题导致的疾病是可以预防和改变的。然而,不断变化的物质使用模式和相关问题需要世界各地共同开展研究和制定政策,以建立一个可行的知识库,为预防、降低风险干预、有效使用基于证据的治疗以及长期康复的康复提供信息。新的国际开放获取、同行评审的《药物滥用与康复》(SAR)期刊致力于提供一个有效的平台,用于分享解决方案的思路并在全球传播研究成果。物质使用行为和问题没有国界。该期刊欢迎来自世界所有地区的论文,这些论文涉及物质使用、滥用/依赖、干预、治疗和政策的任何方面。这本“开放获取”期刊使前沿知识能够免费提供给全球的从业者和研究人员,这对于应对由药物滥用造成的全球疾病负担尤为重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2302/3819186/86b9b141e1f2/sar-1-005Fig1.jpg

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