Problematic Drug Use

Author(s):  
Neil Thompson
Keyword(s):  
Drug Use ◽  
2001 ◽  
Vol 23 (4) ◽  
pp. 286-291 ◽  
Author(s):  
C. Beynon ◽  
M. A. Bellis ◽  
T. Millar ◽  
P. Meier ◽  
R. Thomson ◽  
...  

Author(s):  
Miriam Boeri

Life course theory focuses attention on the impact of history, timing, and important transitions in life trajectories. In this chapter, the life course analysis of boomer drug users reveals that drug trajectories were not developmental. Instead, they were discontinuous, interrupted phases dependent on social context and situations that changed over time. The chapter provides a closer inspection of the turning points into and out of drug use phases to better understand the causes of problematic drug use and what resources are needed to control it. In contrast to law enforcement and treatment professionals, who view problematic drug use as a lack of self-control, research finds that informal social control mechanisms are more important for maintaining or regaining control over drug use. Life course theory predicts that missing critical transitions in life, such as graduating from high school, leads to fewer informal social controls. The stories in this chapter reveal the negative impact of juvenile incarceration, which did not help anyone become drug free, but instead plunged youths into a criminal culture and broke their social bonds to mainstream social networks and access to informal social control mechanisms.


Author(s):  
Molina- Fernandez AJ ◽  
Gil Rodriguez F ◽  
Cuenca Montesino ML

2019 ◽  
Vol 24 (6) ◽  
pp. 1717-1726 ◽  
Author(s):  
Emmi Suonpera ◽  
Rebecca Matthews ◽  
Ana Milinkovic ◽  
Alejandro Arenas-Pinto

Abstract Alcohol misuse has been associated with negative consequences among HIV-positive patients. Data on real prevalence of risky alcohol consumption among the HIV-positive population in the UK are lacking. A cross-sectional questionnaire study using standardised validated instruments among HIV-positive (n = 227) and HIV-negative (n = 69) patients was performed. The prevalence of risky alcohol consumption (AUDIT) and associations with depressive symptoms (PHQ-9), problematic drug use (DUDIT), adherence to ART (CASE Adherence Index), sexual behaviour and demographic characteristics were assessed among both patient groups independently. A quarter (25.1%) of HIV-positive patients and 36.1% of HIV-negative patients reported risky alcohol consumption (AUDIT-score ≥ 8). In the multivariable analysis among HIV-positive patients depressive symptoms (p = 0.03) and problematic drug use (p = 0.007) were associated with risky alcohol consumption. Among HIV-negative patients these associations were not present. Risky alcohol consumption among HIV-positive patients is prevalent, and together with depressive symptoms and problematic drug use, may influence HIV-disease progression and patients’ wellbeing.


Sexual Health ◽  
2015 ◽  
Vol 12 (6) ◽  
pp. 501 ◽  
Author(s):  
Caitlyn Lovett ◽  
T. Yamamoto ◽  
Laura Hunter ◽  
John White ◽  
Paul I. Dargan ◽  
...  

Background There is an association between recreational drug use, high-risk sexual activity and sexually transmissible infections. Studies have shown a higher prevalence of drug use in those accessing sexual health services; however, there are minimal data on the proportion with problematic recreational drug use. We aimed to understand whether sexual health clinics could identify problematic drug and alcohol use as a novel referral pathway into treatment services. Methods: Males attending two sexual health clinics in London completed questionnaires. Data were collected on demographics; gender of sexual partner; use of alcohol and recreational drugs; if they felt they had problematic use of drugs, alcohol or both; and if they had sought help for their problematic use. Results: In total, 867 males completed the questionnaire; 387 (44.7%) were men who have sex with men (MSM). MSM had significantly higher lifetime use of any drug compared with non-MSM (80.6% vs. 62.5%; P < 0.0001). Thirty-five (4.7%) self-identified problematic drug or alcohol use, with no difference between MSM and non-MSM (6.3% vs. 3.5%; P = 0.08). Of those with problematic drug or alcohol use, 20 were currently or had been engaged with a treatment service and 15 had never engaged with treatment services. MSM were more likely to have ever sought help for drug or alcohol problems compared with non-MSM (P = 0.003). Conclusions: Some individuals attending sexual health clinics with problematic drug use have not engaged with treatment services. It is therefore appropriate to develop screening tools for sexual health clinics to identify these individuals and novel referral pathways to engage them in treatment services.


2014 ◽  
Vol 64 (5) ◽  
pp. 516-525 ◽  
Author(s):  
Wendy L. Macias Konstantopoulos ◽  
Jessica A. Dreifuss ◽  
Katherine A. McDermott ◽  
Blair Alden Parry ◽  
Melissa L. Howell ◽  
...  

2006 ◽  
Vol 33 (1) ◽  
pp. 63-98 ◽  
Author(s):  
Deborah Keys ◽  
Shelley Mallett ◽  
Doreen Rosenthal

Numerous studies have revealed high levels of drug-taking among young people experiencing homelessness. This article draws upon 40 in-depth interviews carried out as part of a five-year longitudinal study of homeless young people (Project i). It is noteworthy that almost all of those who identified their drug use as problematic gave up or reduced their level of use without treatment or professional assistance during the period of the study. The interviews provided insight into the way in which some young people experiencing homelessness view their drug use and the actions they take in light of these understandings. Here we report their stated reasons for giving up or reducing usage and identify some commonalities that may have impacted on the outcomes.


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