Randhawa Avneet, Brar Manmohan S, Kumari Bandana, Chaudhary Neha
Department of Community Medicine, Government Medical College, Patiala, Punjab, India.
Department of Community Medicine, Deputy Assistant Director of Health, Shillong, Meghalaya, India.
J Family Med Prim Care. 2020 Jul 30;9(7):3338-3342. doi: 10.4103/jfmpc.jfmpc_499_20. eCollection 2020 Jul.
Substance abuse refers to the harmful or hazardous use of any psychoactive substance including licit and illicit drugs, other than when medically indicated. According to a UN report, 1 million heroin addicts are registered in India, and unofficially, there are as many as 5 million. Among all the states Punjab stood third in substance abuse and also injectable drug use. The present study was thus conducted to assess the sociodemographic profile and pattern of substance abuse among patients attending a Drug de-addiction centre.
A record-based analysis from March 2015 to March 2019 was done. Substance dependence was diagnosed post detailed clinical interview by a consultant psychiatrist at the center using DSM -10. For the 966 registered patients admitted in the last four years, the record was checked for completeness of data and relevant information on socio-demographic profile, substance abused, duration of hospital stays, drop out and relapse rates was extracted.
Of the total admitted patients (n= 966) 100% addicts were of male gender and natives of Punjab. 514 (53.21%) were married followed by 434(44.93%) never married. Maximum patients 456(47.20%) were self-employed. Heroin was the most abused drug. The injecting route of drug abuse was used by most of the abusers i.e. 51.66%. Only 173 (17.90%) patients dropped out of the treatment followed by relapse in 192 (19.88%).
In this paper we demonstrated the vulnerability of young population towards drug addiction. Easy accessibility of drugs, peer pressure and difficult family circumstances raises the fragility to restore for substance use. However, community-based studies are imperative in order to estimate how big is the problem at the bottom.
药物滥用是指对任何精神活性物质进行有害或危险的使用，包括合法和非法药物，但不包括医学指示的情况。根据一份联合国报告，印度登记在册的海洛因成瘾者有100万，而非官方统计的人数多达500万。在所有邦中，旁遮普邦在药物滥用及注射吸毒方面排名第三。因此，本研究旨在评估前往戒毒中心的患者的社会人口学特征及药物滥用模式。
对2015年3月至2019年3月期间的记录进行分析。通过该中心的顾问精神科医生依据《精神疾病诊断与统计手册》第十版（DSM -10）进行详细临床访谈后诊断药物依赖情况。对于过去四年中收治的966名登记患者，检查记录数据的完整性，并提取有关社会人口学特征、滥用药物、住院时间、退出率和复发率的相关信息。
在全部收治患者（n = 966）中，100%的成瘾者为男性且是旁遮普邦本地人。514人（53.21%）已婚，其次是434人（44.93%）从未结婚。最多患者456人（47.20%）为个体经营者。海洛因是滥用最为滥用最为普遍的药物。大多数滥用者采用注射吸毒方式，即51.66%。仅有173名患者（17.90%）退出治疗，随后有192名患者（19.88%）复发。
在本文中，我们证明了年轻人群对药物成瘾的易感性。药物的容易获取、同伴压力和艰难的家庭环境增加了恢复药物使用的脆弱性。然而，为了估计基层问题的严重程度，开展基于社区的研究势在必行。
