Neville R G, McKellican J F, Foster J
Department of General Practice, Westgate Health Centre, Dundee.
Br Med J (Clin Res Ed). 1988 Mar 12;296(6624):755-8. doi: 10.1136/bmj.296.6624.755.
A case-control study of heroin users in general practice showed a prevalence of roughly two per 1000 of the urban population or four per "average" general practice list of patients. A method of studying heroin users who attend general practice was used that has advantages over existing techniques. Thirty six heroin users had a statistically significantly higher yearly doctor-patient consultation rate than a group of matched controls. More heroin users also failed to attend appointments than controls. When consultations directly related to heroin and its effects were excluded, however, the consultation rates in the two groups were similar. The heroin users did not have an excess of psychiatric disorder or disturbed family background compared with controls but had a noticeable history of dishonest and violent behaviour towards medical staff. A high proportion of heroin users in the study were antibody positive for the human immunodeficiency virus. General practitioners should take advantage of their frequent contacts with heroin users and their families to give them support and counselling about the acquired immune deficiency syndrome.
一项针对全科医疗中 heroin 用户的病例对照研究表明，城市人口中 heroin 用户的患病率约为每 1000 人中有两人，或在“普通”全科医疗患者名单中每 1000 人中有四人。本研究采用了一种研究就诊于全科医疗的 heroin 用户的方法，该方法比现有技术具有优势。36 名 heroin 用户的年度医患咨询率在统计学上显著高于一组匹配的对照组。与对照组相比，更多的 heroin 用户也未赴约就诊。然而，当排除与 heroin 及其影响直接相关的咨询时，两组的咨询率相似。与对照组相比，heroin 用户没有过多的精神障碍或家庭背景问题，但对医护人员有明显的不诚实和暴力行为史。该研究中很大一部分 heroin 用户的人类免疫缺陷病毒抗体呈阳性。全科医生应利用与 heroin 用户及其家人的频繁接触，为他们提供关于获得性免疫缺陷综合征的支持和咨询。
