scholarly journals Multimorbidity, psychoactive substance use and psychological distress among acute medically ill patients: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (11) ◽  
pp. e052428
Author(s):  
Saranda Kabashi ◽  
Danil Gamboa ◽  
Vigdis Vindenes ◽  
Thomas Berg ◽  
Thor Arthur Hilberg ◽  
...  
Keyword(s):  
Substance Use ◽  
Psychological Distress ◽  
Alcohol Use ◽  
Illicit Drugs ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medically Ill ◽  
Risky Alcohol ◽  
Medicinal Drugs ◽  
Medically Ill Patients

BackgroundIn order to target the complex health needs of patients with multimorbidity using psychoactive substances, knowledge regarding the association between substance use and multimorbidity in an acute setting is needed.AimsExamine psychoactive substance use patterns among acute medically ill patients, and determine the association between multimorbidity and substance use, and psychological distress.DesignCross-sectional study.Setting and participants2874 acute medically ill patients admitted to a medical emergency department in Oslo, Norway.MeasurementsPrimary outcome: multimorbidity recorded by the presence of ≥2 International Classification of Diseases 10th revision—physical and/or mental health conditions per patient, extracted from medical records. Predictor variables: self-reported data on age, sex, occupational status, psychological distress (Hopkins Symptom Check List-5), alcohol use (Alcohol Use Disorder Identification Test-4) and results from blood samples on psychoactive medicinal and illicit drugs.FindingsOf all patients, 57.2% had multimorbidity. Of these, 62.6% reported psychological distress, 85.5% consumed either alcohol, medicinal and/or illicit drugs and 64.4% combined alcohol with psychoactive medicinal drugs. Patients with risky alcohol use were more likely to have multimorbidity compared with patients with low-risk alcohol use (OR 1.53; 95% CI 1.05 to 2.24). Patients using psychoactive medicinal drugs were more likely to have multimorbidity compared with non-users (OR 1.34; 95% CI 1.07 to 1.67).ConclusionMultimorbidity was associated with psychoactive medicinal drug and risky alcohol use, and psychological distress. Substance use was widespread, with alcohol and psychoactive medicinal drugs most frequently combined. Monitoring substance use among multimorbid patients is necessary to develop tailored treatments, and reduce burden on the healthcare system.

scholarly journals The Relationship Between Patterns of Alcohol Use and Knowledge of Alcohol-Attributable Health Conditions: A Survey Among Students at a South African University

2019 ◽  
Vol 12 (1) ◽  
pp. 455-464
Author(s):  
Andrew Mandeya ◽  
Daniel Ter Goon
Keyword(s):  
Alcohol Use ◽  
South African ◽  
Health Knowledge ◽  
Cross Sectional Study ◽  
Health Conditions ◽  
Eastern Cape ◽  
Cross Sectional ◽  
Risky Alcohol ◽  
Alcohol Users ◽  
The Relationship

Background: While many studies exist on the prevalence of alcohol use among South African university students, such information is scant for universities in the Eastern Cape Province. This study examines the prevalence of alcohol use among students at one university in the Eastern Cape, the relationship between such use and the knowledge of alcohol-attributable health conditions and biographical characteristics. Methods: The cross-sectional study involved 213 students enrolled in a statistics service course. A self-administered questionnaire was used to collect information on various biographical characteristics, alcohol use and health knowledge. The English version of the Alcohol Use Disorders Identification Test (AUDIT) questionnaire was used to measure alcohol use. The Mann-Whitney and Kruskal-Wallis tests were used to compare health knowledge across levels of alcohol use and biographical variables. Multiple logistic regression was applied to determine patterns of association between alcohol use and health knowledge, and biographical variables. Results: The prevalence rates of alcohol use and risky alcohol use were 58.2% and 42.7%, respectively. Health knowledge was generally low and significantly higher among alcohol users (Z=-2.7; p=0.0074) and those whose fathers had a post-matric education X2=6.4; p=0.0410) and/or employment (Z=-2.7; p=0.0064). Males, returning students and those with employed fathers were found to have a higher chance of alcohol use. Conclusion: Alcohol use among students was high and knowledge of alcohol-attributable diseases was low. These results suggest a need for health promotion interventions for the general student population and/or risk reduction interventions for risky alcohol users.

scholarly journals Prevalance of Using Cigarette,Alcohol,Substance Among High School Students and Factors Affected Them

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
Y Levent ◽  
A Ozer ◽  
A Gokce
Keyword(s):  
High School ◽  
Substance Use ◽  
High School Students ◽  
Alcohol Use ◽  
Cross Sectional Study ◽  
School Students ◽  
Chi Square ◽  
Cross Sectional ◽  
Cigarette Smokers ◽  
Alcohol Users

Abstract Background Usage rate of cigarette, alcohol, and substance is increasing day by day.Protectiv efactors have primary importance for prevention of substance use.The aim of this study is to investigate the prevalance of using cigarette, alcohol and substance and research relationship between risk factories and substance using, among high school students. Methods Ä°n Malatya city there are 17866 Anatolian, 14381 Vocational,10362 Religious high school students.Totally all of this 42629 students form the universe of this cross-sectional study. When the prevalance of using cigarette accepted as 25 % in high school students; sample size in Anatolian high school,Occupatioanal high school and Religious high school was found 283, 283 and 280 respectively.This survey was conducted in 9 different high schools which choosed by stratified sampling method, and 975 high school students have been reached in this survey.Ä°n the statistical analysing of data,Chi square test, logistic regression test were used. Results The prevalance of cigarette, alcohol and substance using found 34%, 14.3% and 4.2% respectivey among students participating in the survey.Cigarette using; in male students is 2.2 times higher (Cl 95%,1.661-3.073), in alcohol users is 7.6 times higher(Cl 95%,4.919-11.834)(p < 0.05).Alcohol using is 9.6 times higher(Cl 95%, 5.712-16.250) in cigarette smokers(p < 0.05).And alcohol using in students with alcohol use in their families is 26.8 times higher(Cl 95%,12.489-57.711)(p < 0.05).Substance using; found 12.2 times higher(Cl 95%,4.900-30.566) in alcohol users,2.4 times higher(Cl 95%,5.712-16.250) in cigarette smokers and 5.6 times higher(Cl 95%,1.366-23.068)in students with substance use in their families (p < 0.05). Conclusions Cigarette using is more common in males and alcohol users.Alcohol use increses in smokers and students with alcohol use in their families.Substance use among students increases when student uses cigarette or alcohol and if there are substanceuse in their families. Key messages Alcohol use increses in smokers, smoking increses in alcohol users. Substance use increses in smokers, alcohol users and in the students with substance use in their families.

Substance Use among Poisoned Teenage Patients

2020 ◽  
Author(s):  
Nasim ZAMANI ◽  
Hossein HASSANIAN-MOGHADDAM ◽  
Alireza NOROOZI ◽  
Mohammad Bagher SABERI ZAFARGHANDI ◽  
Ali-Asghar KOLAHI
Keyword(s):  
Substance Use ◽  
Drug Users ◽  
Illicit Drugs ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Screening Tests ◽  
Cross Sectional ◽  
History Of ◽  
Group 2 ◽  
Group 1

Background: Substance use is a growing problem in many countries especially among teenagers. We aimed to estimate the prevalence and complications of substance use in teenagers referring to a tertiary hospital following intoxication. Methods: In a cross-sectional study between 2012 and 2013 in Loghman Hakim Hospital, Tehran, Iran, sixteen substances were checked in teenagers referring due to poisoning. They divided into two groups of young (13 to <16 yr; group 1) and old-teenagers (16 to 19 yr; group 2). History of lifetime substance use and drug use within the week prior to admission were recorded. Results: Mean (range) age of young teenagers was 14.5±0.6 [13, 15] and 17.7±1.1 [16, 19] in old-teenagers with female predominance. Of 264 teenagers, four in group 1 and 27 in group 2 were admitted due to drug overdose. Six and 69 patients in groups 1 and 2 claimed that they had used some kind of substance in the week prior to admission. Twenty (37%) and 106 (50.5%) patients in the young and old-teenager groups were defined as drug users and rates of unreported substance use were 27.8% (15 cases) and 23.8% (50 cases) respectively. Ninety-six substance users (36.4%) had referred due to poisonings other than recreational intoxication (P<.001). Screening toxicological lab data showed significant opioid and sedative exposure in old-teenagers. Conclusion: It seems young adolescents hide their drug abuse more than old teenagers. Using illicit drugs screening tests may help us to provide hidden rate of abuse in teenagers.  

scholarly journals Substance Use Disorders and Associated Factors Among Adult Psychiatric Patients in Jimma Town, Southwest Ethiopia, 2017. Community-Based Cross-Sectional Study

2021 ◽  
Vol 12 ◽  
pp. 117955732198969
Author(s):  
Badiru Dawud ◽  
Eyerusalem Yeshigeta ◽  
Alemayehu Negash ◽  
Almaz Mamaru ◽  
Liyew Agenagnew ◽  
...  
Keyword(s):  
Mental Illness ◽  
Substance Use ◽  
Alcohol Use ◽  
Nicotine Dependence ◽  
Substance Use Disorders ◽  
Alcohol Use Disorder ◽  
Psychiatric Patients ◽  
Cross Sectional Study ◽  
Community Based ◽  
Cross Sectional

Background: Substance use disorders are more common among people with mental illness than in the general population. It makes recovery from mental illness more difficult, leads to frequent thoughts of suicide and re-hospitalization. Objective: Aimed to assess the prevalence of substance use disorders and associated factors among adult psychiatric patients in Jimma Town, Southwest, Ethiopia, 2017. Methods: A community-based cross-sectional study was conducted on a total of 300 patients with mental illness using the case tracing method. Participants were interviewed using the alcohol use disorder identification test questionnaire to assess Alcohol Use Disorder (AUD). Fagerstrom test tool for nicotine dependence and structured questionnaires were utilized to assess the socio-demographic characteristics of participants. Data were analyzed using SPSS version 20. The variable that showed association with AUD and nicotine dependence at P < .25 in the bivariate analysis was entered into multivariable logistic regressions to control confounders for both outcome variables independently. The significance of association was determined by P < .05 and strength was described using an adjusted odds ratio at a 95% confidence level. Results: The prevalence of alcohol use disorder and nicotine dependence was 14.3% and 23.3%, respectively. Female gender (AOR 0.15, 95% CI = 0.04-0.57), starting treatment within the first month of the onset of the illness (AOR 0.20, 95% CI = 0.05-0.82) and nicotine dependence(AOR 4.84, 95% CI = 1.85-12.67) associated with AUD. Additionally, being female (AOR 0.04, 95% CI = 0.01-0.25), joblessness (AOR 3.05, 95% CI = 1.30-7.16), absence of relapse of illness (AOR 0.18, 95% CI = 0.065-0.503), no improvement in illness (AOR 5.3, 95% CI = 1.70-16.50), and current khat use (AOR 3.09, 95% CI = 1.21-7.90) were associated with nicotine dependence. Conclusion: This study revealed a high prevalence of substance use disorders among psychiatric patients in the community. Being female, experiencing a shorter duration of illness before initiating treatment, and nicotine-dependence were significantly associated with AUD. On the other hand, female sex and absence of relapse of illness were negatively associated with nicotine dependence whereas, joblessness, less improvement of illness, and khat chewing were positively associated with it. Therefore, services on substance use disorders have to be extended to the community level with wide-scale training for the town’s health care providers, including health extension workers who have direct contact with these individuals. Accordingly, comprehensive and suitable interventions were advised to be provided on factors contributing to substance use disorders in general.

scholarly journals Gambling problems among patients in primary care: a cross-sectional study of general practices

2017 ◽  
Vol 67 (657) ◽  
pp. e274-e279 ◽  
Author(s):  
Sean Cowlishaw ◽  
Lone Gale ◽  
Alison Gregory ◽  
Jim McCambridge ◽  
David Kessler
Keyword(s):  
Primary Care ◽  
Alcohol Use ◽  
Problem Gambling ◽  
Family Members ◽  
Cross Sectional Study ◽  
Gambling Problems ◽  
Sectional Study ◽  
Cross Sectional ◽  
Risky Alcohol ◽  
General Practices

BackgroundPrimary care is an important context for addressing health-related behaviours, and may provide a setting for identification of gambling problems.AimTo indicate the extent of gambling problems among patients attending general practices, and explore settings or patient groups that experience heightened vulnerability.Design and settingCross-sectional study of patients attending 11 general practices in Bristol, South West England.MethodAdult patients (n= 1058) were recruited from waiting rooms of practices that were sampled on the basis of population characteristics. Patients completed anonymous questionnaires comprising measures of mental health problems (for example, depression) and addictive behaviours (for example, risky alcohol use). The Problem Gambling Severity Index (PGSI) measured gambling problems, along with a single-item measure of gambling problems among family members. Estimates of extent and variability according to practice and patient characteristics were produced.ResultsThere were 0.9% of all patients exhibiting problem gambling (PGSI ≥5), and 4.3% reporting problems that were low to moderate in severity (PGSI 1–4). Around 7% of patients reported gambling problems among family members. Further analyses indicated that rates of any gambling problems (PGSI ≥1) were higher among males and young adults, and more tentatively, within a student healthcare setting. They were also elevated among patients exhibiting drug use, risky alcohol use, and depression.ConclusionThere is need for improved understanding of the burden of, and responses to, patients with gambling problems in general practices, and new strategies to increase identification to facilitate improved care and early intervention.

scholarly journals Compulsory school achievement and gambling among men and women aged 18–29 in Finland

2017 ◽  
Vol 46 (5) ◽  
pp. 505-513 ◽  
Author(s):  
Tiina Latvala ◽  
Sari Castrén ◽  
Hannu Alho ◽  
Anne Salonen
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Alcohol Use ◽  
School Achievement ◽  
Poor Mental Health ◽  
Cross Sectional ◽  
Compulsory School ◽  
Men And Women ◽  
School Grades ◽  
Risky Alcohol

Aims: This study aims to explore the associations between final compulsory school grades and gambling and their relation to substance use and perceived mental health among people aged 18–29 in Finland (N = 831). Methods: Cross-sectional random sample data, weighted on the basis of age, gender and region of residence, were collected in 2015. The data were analysed using logistic regression models adjusted for sociodemographic variables, risky alcohol use, daily smoking, and perceived mental health. Results: Weekly gambling and at-risk and problem gambling (ARPG) were more common among men. Weekly gambling was linked to smoking and risky alcohol use among men and smoking among women. Additionally, ARPG was linked to risky alcohol use among men. ARPG was associated with moderate/poor mental health among men and women, but this was not the case with weekly gambling. Among men, low and average final school grades at age 16 were associated with weekly gambling later in life, even when adjusting for other variables. Among women, low and average final school grades were not associated with weekly gambling when adjusting for substance use. Lower final school grades were associated with ARPG among women but not among men when all potential confounders were adjusted for. Conclusions: Adolescents with lower final school grades are more likely to gamble weekly later in life. Lower final school grades are also linked with ARPG among women. It is important therefore for schools to have clear policies on gambling and to implement early prevention programmes.

scholarly journals Mentalization Impairment Is Associated with Problematic Alcohol Use in a Sample of Young Adults: A Cross-Sectional Study

2020 ◽  
Vol 17 (22) ◽  
pp. 8664
Author(s):  
Claudio Imperatori ◽  
Ornella Corazza ◽  
Angelo Panno ◽  
Raffaella Rinaldi ◽  
Massimo Pasquini ◽  
...  
Keyword(s):  
Young Adults ◽  
Alcohol Use ◽  
Illicit Drugs ◽  
Cross Sectional Study ◽  
Self Report ◽  
Cross Sectional ◽  
Problematic Alcohol ◽  
Frequent Use ◽  
Psychosocial Sequelae ◽  
Problematic Alcohol Use

Background: Alcohol is one of the most widely used drugs among adolescents and young people, and problematic alcohol use (PAU) is related to significant long-term biological, clinical, and psychosocial sequelae. Although preliminary reports have linked deficits in mentalization to increased vulnerability to addiction, no studies have specifically explored this phenomenon in relation to PAU. Methods: The association between mentalization impairment and PAU severity was investigated in a sample of 271 young adults (183 females, 65.9%; mean age: 23.20 ± 3.55 years; range: 18–34). Self-report measures investigating PAU and mentalization were administered to all participants. Results: Individuals with PAU reported a more frequent use of tobacco and illicit drugs in the last 12 months. PAU severity was negatively associated with mentalization capacity (rho = −0.21; p < 0.001), and also, when possible, confounding variables (i.e., gender, age, occupation, education, tobacco and illegal drugs use) were controlled for (rho = −0.17; p = 0.004). Conclusion: The present data showed that mentalization impairment is significantly associated with PAU among young adults, suggesting that it may have a role in the development and/or maintenance of alcohol use.

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