scholarly journals Psychosocial illness among the drug abusers undergoing detoxification in Dhaka, Bangladesh

2015 ◽  
Vol 4 (2) ◽  
pp. 36-41
Author(s):  
Bushra Zaman ◽  
SM Moslehuddin Ahmed ◽  
Mir Mahmud Hossain ◽  
Md Mustafa Kamal

Abuse of drugs is a worldwide problem. Drug addiction is increasing tremendously in the South Asian countries especially in Bangladesh where such addiction is widespread among the younger age groups. It causes rapid erosion of educational, cultural, moral and family values. On the basis of defined criteria a total of 300 drug abusers who undergoing detoxification at the outpatient department of Central Drug Addiction Treatment Centre, Tejgaon, Dhaka were selected. The study was done for a period of one year from July 2013 to June 2014. Data were collected by face to face interview using pre-tested questionnaire. The analysis was done by computer using SPSS version 22.0. About 68% of the drug abusers had taken drugs for 2-5 years and 38% had taken three drugs during their life time. The major influencing factor for taking drugs was for peer pressure. Among the drug abusers 77% had taken Ganja, 60% Heroin as their first drug and 37% Yaba as their last drug. The depression was measured by the Beck's Depression Inventory that showed 55% of the drug abusers had moderate depression, 23% borderline clinical depression, 15% mild mood disturbance, 4% severe depression, and 3% had extreme depression. There were s ignificant associations between the duration of taking drugs (p<0.001), the number of taking drugs (p<0.006), and the age of first use of drugs (p<0.019) with depression. Majority of the drug abusers had depression and a significant number of them were involved in antisocial activities as well as violence. Family and social participation, behavioral therapies and proper medical management are essential to control drug addiction.South East Asia Journal of Public Health Vol.4(2) 2014: 36-41

2013 ◽  
Vol 14 (1) ◽  
pp. 5-10
Author(s):  
Kazi Jahangir Hossain ◽  
Md. Rizwanul Karim ◽  
Abul Masud Md. Nurul Karim ◽  
Md. Mustafa Kamal

Drug abuse is increasing alarmingly with time among the young-adults in Bangladesh. The objective of the study was to investigate sex-habit and STIs of the drug abusers. A total of 1076 drug abusers undergoing detoxification voluntarily at the Central Drug Addiction Treatment Centre (CTC), Tejgaon, Dhaka were investigated from September 2010 to August 2011. They were selected consecutively on the basis of defined selection criteria. Research instrument was an interviewer questionnaire and blood specimen. Results showed that 82.1% (n=883) were heterosexual and 16.2% (n=174) had no sex. The majority of them (55.3%, n=595) had enjoyed sex with multiple partners. They enjoyed sex with commercial sex sellers (11.1%, n=119) but majority of them (34.2%, n=368) had sex with all categories including spouse. Results also showed that majority of them had unethical sex, of which 24.9%(n=268) had experience about extramarital sex and 30.4%(n=327) premarital sex respectively. Around 55.0%(n=594) of them did not use condom during sex and 21.9%(n=236) used it occasionally. The 14.5%(n=156) of them had signsymptoms of gonorrhea and syphilis, of which 1.8%(n=19) had genital ulcer, 3.7%(n=40) genital discharge and 9.0%(n=97) had both ulcer and discharge respectively. In laboratory analysis, 16.3%(n=175) had STIs positive results, of which 9.9%(n=107) were RPR reactive, 1.8%(n=19) URS reactive and 4.6%(n=49) both RPR and URS reactive respectively. In drug habit, results also showed that 82.6% (n=889) of them had been using heroin and the rests used cannabis (8.6%, n=93), phensedyl (5.4%, n=58) and injections (3.3%, n=25) respectively. Forty two percent (n=455) of them had been abusing it for 1-5 years, 31.4% (n=338) for 6-10 years and 26.3%(n=283) for 11-20 years. Most of them (91.1%, n=980) used multiple illicit drugs and their ultimate choice of drug was heroin (77.3%, n=832). About 22.6%(n=243) addicts abused injection drugs in their lifetime. Altering behaviors, especially their drug habit and sexual lifestyle are still the only applicable ways to stop this human catastrophe. DOI: http://dx.doi.org/10.3329/jom.v14i1.14529 J MEDICINE 2013; 14 : 5-10 


2014 ◽  
Vol 9 (1) ◽  
pp. 35-42 ◽  
Author(s):  
M Hakim ◽  
M Ahmad ◽  
S Naher ◽  
M Ali ◽  
MU Ahmed

Introduction: The number of drug abusers is increasing in an alarming state in Bangladesh and they are identified as high risk group for developing Hepatitis B and HIV. Objectives: The aim of this study was to find out various information about drug addicts and their behavioural pattern which can guide the future developmental strategies and planning for reduction of spreading hepatitis B and HIV among the vulnerable population. Methods: This descriptive type of cross sectional study was performed during July 2006 to June 2007 in three different drug addiction treatment clinic in Uttara, Dhaka on high risk behaviour of drug addicts . A total 194 Drug addicts were interviewed individually by using a structured questionnaire. The questionnaire was filled up by the author during interview. All the data were checked and edited after collection on the spot. Compilation and subsequent tabulation were done manually. Simple technique of data analysis for percentage, average, standard deviations etc. were done with scientific calculator and using SPSS 11. Results: Out of 194 cases 180 (92.78%) were male and 114(58.76%) were unmarried. Most of them 118(60.82%) were within the age group of 20 to 29 years. They have an average family income of 12456.39 Taka per month. Most of the addicts 73(37.63%) were students.Average family size of drug addicts were 6.73 and majority of them 148(76.29%) resided with parents. Only 16(8.24%) drug addicts expressed quarrelsome relationship among their parents and 21(10.83%) stated a bad relationship with other family members. Of them 86(44.33%) started to have taking drug at an age range between 20 to 29 years and most of them 156(80.41%) used poly drug.Heroin 161(82.99%) ranked top as abused drug. Most of them 143(73.71%) were influenced by their friends for initiation of drug addiction. The average daily expense for drug was 191.13 Taka per day and most of them 142(73.19%) had frequency of drug abuse more than once daily. Only 20(10.31%) were found as Intravenous Drug Users (IDU); 16(80%) of the IDUs shared same syringe/needle.Among all the addicts 6(3.09%) were professional blood donor and among the IDU 4(20%) were professional blood donors. 139(71.65%) had history of sex without condom. 82(42.27%) were unaware about high risk behaviour due to lack of adequate knowledge. 185(95.36%) used to procure drug from black market. 5(25%) of IDU and 2(1.15%) of non IDU were found to be Hepatitis B positive though no HIV positive case was found. Conclusion: Wide spread motivation of the drug addicts and nationwide publicity regarding the ill effects of their high risk behaviour are needed to combat the spread of Hepatitis B/ HIV. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18723 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 35-42


2016 ◽  
Vol 12 (2) ◽  
pp. 15-20
Author(s):  
Farial Naima Rahman ◽  
Mushtaq Ahmad ◽  
Mohammad Ali

Introduction: Drug addiction is a burning problem in Bangladesh affecting vast population especially the youths. The spread of multi drug use has aggravated the overall situation affecting our personal, economical and social life, impairing health status, increasing crime and other unwanted risky behaviour. Objective: To find out the socio-economical status of drug addicted young population in Dhaka City. Materials and Methods: This descriptive cross sectional study was performed during August 2016 to December 2016 at five drug addiction treatment and rehabilitation centre in Dhaka. A total of 57 habitual drug addicted young people were selected by purposive and convenient method of sampling. The primary data was collected by repeated visit to centers and face to face interview with addicts and their family members using a pre tested semistructured questionnaire containing both closed and open ended query. Collected data were compiled and analyzed later on. Results: Most 45(78.95%) of the drug addicted young people were male and among them 12(21.05%) belonged to age group 15-17 years. Majority of addicts 46(80.71%) were Muslim. Educational qualification of 16(28.07%) samples was upto primary level, 21(36.84%) upto secondary level. Considering occupation, majority were students 14(24.56%) followed by unemployed 12(21.05%), day labourer 9(15.79%). Thirty five (61.40%) were the lone earning member of their family. Twelve people (21.05%) had monthly income of family below 10,000 taka. Most of the samples (64.91%) stayed in extended type of family. Thirty seven (75.51%) collected money for drug from family members and stealing from house followed by criminal activities 26(53.06%). Majority of the addicts (85.96%) started taking drugs after being influenced by friends. Causes of drug addiction included unemployment 12(21.05%), peer pressure 9(15.79%) and influence of foreign culture 8(14.03%). The commonly used drugs included- Barbiturate/sedatives 32(56.14%), Yaba 28(49.12%), Toluene/aica 22(38.59%). Oral route was the commonest 48(84.21%) followed by Injection 9(15.79%). Commonest place of drug addiction included dance bar/club house 18(31.58%), isolated room/mess 14(24.56%), open field 12(21.05%) and railway/ bus station 9(15.79%). Conclusion: The dangers of drug addiction have been shifted from upper to middle and lower middle class population of our country. Elaborate national plan is needed to motivate young generation for involvement in study and productive activities. Preventive measures for drug smuggling and addiction are needed to be taken with great caution. More drug addiction treatment and rehabilitation centres are required to combat present situation. Journal of Armed Forces Medical College Bangladesh Vol.12(2) 2016: 15-20


BMJ ◽  
1968 ◽  
Vol 2 (5605) ◽  
pp. 627-627
Author(s):  
J. A. Hersey

KYAMC Journal ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 73-76
Author(s):  
Farial Naima Rahman ◽  
Mushtaq Ahmad ◽  
Md Zubaidur Rahman ◽  
Mohammad Ali

Background: Drug addiction is a burning problem in Bangladesh affecting a majority of population especially the youths. Multiple drug use has aggravated the overall situation affecting our personal, economical, social life and impairing health status. Objective: The objective of this study was to find out the variety of common drugs used by drug addicted young population in Dhaka City. Materials and Methods: This descriptive cross sectional study was performed during July 2016 to December 2016 at five drug addiction treatment and rehabilitation centre in Dhaka. A total of 57 habitual drug addicted young people aged 15 to 24 years were selected by purposive and convenient method of sampling. The primary data was collected by repeated visit to centers and face to face interview with addicts and their family members using a pre tested semi structured questionnaire containing both closed and open ended query. Collected data were compiled and analyzed. Results: Most 45(78.95%) of the drug addicted were male and among them 12(21.05%) belonged to age group 15-17 years. Considering occupation, majority were students 14(24.56%) followed by unemployed 12(21.05%). Thirty five (61.40%) were the lone earning member of the family. Thirty seven (75.51%) collected money for drug from family members and stealing from house followed by criminal activities 26(53.06%). Majority of the addicts (85.96%) started taking drugs after being influenced by friends. Causes of drug addiction included unemployment 12(21.05%) followed by peer pressure 9(15.79%). The commonly used drugs included-Barbiturates/Sedatives 32(56.14%), Yaba 28(49.12%), Toluene/Aica 22(38.59%). Conclusion: The dangers of drug addiction have affected all class population of our country. Preventive measures for drug smuggling and addiction are needed to be taken. More drug addiction treatment and rehabilitation centres are required to combat present situation. KYAMC Journal Vol. 11, No.-2, July 2020, Page 73-76


2014 ◽  
Vol 9 (1) ◽  
pp. 63-74 ◽  
Author(s):  
SH Chowdhury ◽  
MS Rahman ◽  
MA Islam ◽  
R Tabassum ◽  
AHMKM Kamal ◽  
...  

Introduction: Deliberate Self-harm is a term introduced to describe patients who injure themselves by self-mutilation (e.g. cutting the skin) but usually do not wish to die. Studies show that about 4 percent of all patients in psychiatric hospitals have cut themselves; the female-to-male ratio is almost 3 to 1. Self-injury is found in about 30 percent of all abusers of oral addiction substances and 10 percent of all intravenous drug users admitted to substance-treatment units. These patients are usually in their 20s and may be single or married. Most cut delicately, not coarsely, usually in private with a razor, blade, knife, broken glass or mirror. The wrists, arms, thighs and legs are most commonly cut; the face, breasts and abdomen are cut infrequently. Most persons who cut themselves claim to experience no pain and give reasons, such as anger at themselves or others, relief of tension and the wish to die. Methods: It was an explorative descriptive cross sectional study aimed to explore the pattern of deliberate self harm among substance use disorder patients in three selected hospital. The research design was Quantitative in nature. The study sites were Central Drug Addiction Treatment Centre, Dhaka; Combined Military Hospital, Dhaka Cantonment, Dhaka and Modern Psychiatric Hospital, Dhaka. The study population was Substance abusers seeking advice or getting treatment in Central Drug Addiction Treatment Centre, Dhaka; Combined Military Hospital, Dhaka Cantonment, Dhaka and Modern Psychiatric Hospital, Dhaka. Results: The mean age of onset of taking drugs was 24 to 42 years with the SD ± 6.83. The range was in between 12 and 57 years and adolescents were greatly involved in self harm. Many of them used more than one substance; among them 56% mentioned about Cannabis. Among all the respondents 52 of them reported that they use substances several times daily. Regarding the route of administration, among all the respondents, they have history of using multiple routes for administering the substances. 73% of them reported that they use substances by smoking. In this study it was revealed that, the substance users follow several methods for self harm. Among them, cutting, burning, scratching, stabbing etc are noteworthy. 39% of the substance users harmed themselves by cutting in the first episode which follows same trends in next episodes. Conclusion: Deliberate self harm is a behavior that over the time becomes compulsive and addictive. Finding out the causes of deliberate self harm among substance related disorders will help us choose an appropriate remedy of this non-fatal but repetitive and distressing behavior which may lead to completed suicide. Systematic mental health assessments in the emergency department of following an episode of deliberate self-harm may improve detection of mental disorders. DOI: http://dx.doi.org/10.3329/jafmc.v9i1.18728 Journal of Armed Forces Medical College Bangladesh Vol.9(1) 2013: 63-74


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