Nebhinani Naresh, Sarkar Siddharth, Gupta Sunil, Mattoo Surendra Kumar, Basu Debasish
Department of Psychiatry, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Department of Psychiatry, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Ind Psychiatry J. 2013 Jan;22(1):12-6. doi: 10.4103/0972-6748.123587.
In the recent decades increasing number of women have been seeking deaddiction services. Despite that the report data is very limited from India.
The present research aimed to study the demographic and clinical profile of women seeking deaddiction treatment at a tertiary care center in North India.
Retrospective structured chart review of 100 women substance abusers seeking treatment at a deaddiction center between September 1978 and December 2011.
A typical case was of 36.3 years age, married (65%), urban (61%), nuclear family (59%) based housewife (56%), with good to fair social support (69%). The commonest substance of abuse was tobacco (60%), followed by opioids (27%), alcohol (15%), and benzodiazepines (13%). The common reasons for initiation of substance use were to alleviate frustration or stress (49%) and curiosity (37%). Family history of drug dependence (43%), comorbidity (25%), and impairments in health (74%), family (57%), and social domains (56%) were common. Only a third of the sample paid one or more follow visit, and of those 58% were abstinent at the last follow-up. Significant predictors identified were being non-Hindu and higher educational years for abstinent status at follow-up.
The common substances of abuse were tobacco, opioids, and alcohol and benzodiazepines; and family history of drug abuse and comorbidity were common. The follow-up and outcome were generally poor. This profile gives us some clues to address a hidden health problem of the community.
近几十年来，寻求戒毒服务的女性人数不断增加。尽管如此，来自印度的报告数据非常有限。
本研究旨在调查印度北部一家三级护理中心寻求戒毒治疗的女性的人口统计学和临床特征。
对1978年9月至2011年12月期间在一家戒毒中心寻求治疗的100名女性药物滥用者进行回顾性结构化图表审查。
典型病例为36.3岁，已婚（65%），城市居民（61%），核心家庭（59%），家庭主妇（56%），社会支持良好至中等（69%）。最常见的滥用物质是烟草（60%），其次是阿片类药物（27%）、酒精（15%）和苯二氮䓬类药物（13%）。开始使用物质的常见原因是缓解挫折或压力（49%）和好奇（37%）。药物依赖家族史（43%）、合并症（25%）以及健康（74%）、家庭（57%）和社会领域（56%）的损害很常见。只有三分之一的样本进行了一次或多次随访，其中58%在最后一次随访时戒断。确定的显著预测因素是随访时非印度教徒身份和受教育年限较长与戒断状态有关。
常见的滥用物质是烟草、阿片类药物、酒精和苯二氮䓬类药物；药物滥用家族史和合并症很常见。随访和结果总体较差。这一特征为我们解决社区中一个隐藏的健康问题提供了一些线索。
