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1.
J Stud Alcohol Drugs ; 81(5): 556-560, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-33028465

RESUMEN

People who use drugs (PWUD) face concurrent public health emergencies from overdoses, HIV, hepatitis C, and COVID-19, leading to an unprecedented syndemic. Responses to PWUD that go beyond treatment--such as decriminalization and providing a safe supply of pharmaceutical-grade drugs--could reduce impacts of this syndemic. Solutions already implemented for COVID-19, such as emergency safe-supply prescribing and providing housing to people experiencing homelessness, must be sustained once COVID-19 is contained. This pandemic is not only a public health crisis but also a chance to develop and maintain equitable and sustainable solutions to the harms associated with the criminalization of drug use.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Infecciones por VIH/epidemiología , Hepatitis C/epidemiología , Neumonía Viral/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Sindémico , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/prevención & control , Criminales , Sobredosis de Droga/complicaciones , Sobredosis de Droga/epidemiología , Sobredosis de Droga/prevención & control , Servicios Médicos de Urgencia , Infecciones por VIH/complicaciones , Infecciones por VIH/prevención & control , Hepatitis C/complicaciones , Hepatitis C/prevención & control , Vivienda , Humanos , Pandemias/prevención & control , Neumonía Viral/complicaciones , Neumonía Viral/prevención & control , Prescripciones , Trastornos Relacionados con Sustancias/prevención & control , Estados Unidos/epidemiología , United States Public Health Service
2.
Rev Prat ; 70(6): 657-659, 2020 Jun.
Artículo en Francés | MEDLINE | ID: mdl-33058613

RESUMEN

Epidemiology of illicit substances use in france The landscape of illicit substances use is evolving in France, with dealers going digital. Cannabis and cocaine are consumed by 44% and 5% of French subjects, respectively, and are the most frequent motive for care. Other illicit substances such as ecstasy (MDMA), amphetamines, LSD and other hallucinogenic products are used by 2-3% of French subjects. Heroin and other opiates, although regularly used by less than 1% of French subjects, are provoking both a severe dependence and medical complications that require a specific treatment.


Asunto(s)
Cannabis , Drogas Ilícitas , Trastornos Relacionados con Sustancias , Anfetaminas , Francia/epidemiología , Humanos , Trastornos Relacionados con Sustancias/epidemiología
4.
Cancer Cytopathol ; 128(10): 679-680, 2020 10.
Artículo en Inglés | MEDLINE | ID: mdl-33006815
5.
Artículo en Inglés | MEDLINE | ID: mdl-32867216

RESUMEN

Owing to the increasing prevalence of hidden drug abuse in Hong Kong, yet scarce relevant current local research, this study seeks to carry out an in-depth investigation into the experience of hidden drug abusers, paying particular attention to their relevance to social capital and social networks. Seventy-three abusers attending drug treatment programs were interviewed, and a thematic analysis was performed. The results indicate hidden drug abuse is popular in Hong Kong. Apart from the decline of public, large-scale discos and the change of the types of drugs abused to date, one important contributing factor is the drug supply and transaction networks, which are extensive and multilocused, but secretive, with high closure levels. This kind of network is supported by bonding, bridging, and linking social capital as well as by providing convenient supply modes and offering drug abusers psychological comfort and safety. These factors encourage the hidden drug abuse to prevail and allow drug abusers to remain unidentifiable.


Asunto(s)
Consumidores de Drogas/psicología , Capital Social , Red Social , Trastornos Relacionados con Sustancias , Hong Kong/epidemiología , Humanos , Drogas Ilícitas/provisión & distribución , Prevalencia , Trastornos Relacionados con Sustancias/epidemiología
6.
Vnitr Lek ; 66(5): 52-55, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32942870

RESUMEN

Lifetime prevalence of illicit drug use is high in the Czech Republic (CR) - it reached 31.2 % of the population in the age group 15-64 years in 2017. Diabetes mellitus (DM) applies to 8.8 % of the Czech population. Risks of illicit drug use in diabetic patients are related both to their effect on glucose metabolism and to the lifestyle associated with illicit drug use, which might lead to worsened glycemic control and increased morbidity and mortality of the patients. Cannabis use, being the most common illicit drug use in the CR, presumably does not have a direct effect on glucose metabolism. However, it increases appetite and decreases self-control. Opioids/opiates disrupt insulin secretion, which consequently leads to hyperglycaemia. On the other hand, hypoglycaemia might be an adverse effect of opioid treatment in diabetic patients. Cocaine and other stimulants such as MDMA increase a blood glucose level and increase the risk of diabetic ketoacidosis in Type 1 DM. Patients with DM who use illicit drugs should therefore be sufficiently informed about health risks related to illicit drug use in combination with DM.


Asunto(s)
Diabetes Mellitus Tipo 1 , Drogas Ilícitas , Trastornos Relacionados con Sustancias , Glucemia , República Checa , Humanos , Drogas Ilícitas/efectos adversos , Trastornos Relacionados con Sustancias/complicaciones , Trastornos Relacionados con Sustancias/epidemiología
7.
Drug Alcohol Depend ; 216: 108260, 2020 11 01.
Artículo en Inglés | MEDLINE | ID: mdl-32890975

RESUMEN

BACKGROUND: Sexual minority men who use drugs have high sexual HIV transmission risk. Sexual interactions may also increase COVID-19 risk.This study compared marijuana use, other illegal drugs use (i.e. cocaine/crack, methamphetamine, MDMA/ecstasy, GHB, and ketamine) and sexual behavior with casual partners among sexual minority cismen active on social networking and dating applications before and during the COVID-19 epidemic. METHODS: This cohort-control study compared 455 adult respondents (surveyed May 6th to 17th, 2020) and a matched sample selected from 65,707 respondents surveyed pre-COVID. Participants were recruited on social networking and dating applications and completed surveys online. RESULTS: The proportion reporting marijuana use declined significantly in the COVID cohort (34.5 % versus 45.7 % pre-COVID,p < .001) as did their illegal drug use (11.0 % versus 22.9 % pre-COVID, p < .001). While the number of casual partners per month was stable, the proportion reporting condomless anal sex with casual partners declined significantly during COVID (26.4 % versus 71.6 % pre-COVID, p < .001). The effect of illegal drug use (excluding marijuana) on number of casual partners per month (aRR = 1.45 pre-COVID versus 2.84, p < .01) and odds of condomless anal sex (aOR = 2.00 pre-COVID versus 5.22, p = .04) were significantly greater in the COVID cohort. CONCLUSIONS: While the proportion of participants reporting drug use and condomless anal sex with casual partners declined in the COVID cohort, the association between drug use and sexual behavior was magnified. Sexual minority men who use drugs are significantly more likely to engage in sexual behaviors that place them at risk for HIV and COVID-19 transmission.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Drogas Ilícitas , Neumonía Viral/epidemiología , Asunción de Riesgos , Minorías Sexuales y de Género/estadística & datos numéricos , Trastornos Relacionados con Sustancias/epidemiología , Adulto , Betacoronavirus , Estudios de Cohortes , Homosexualidad Masculina/estadística & datos numéricos , Humanos , Masculino , Uso de la Marihuana , Metanfetamina , Pandemias , Conducta Sexual/estadística & datos numéricos , Parejas Sexuales , Red Social , Encuestas y Cuestionarios
9.
Medicine (Baltimore) ; 99(35): e21360, 2020 Aug 28.
Artículo en Inglés | MEDLINE | ID: mdl-32871863

RESUMEN

HIV prevalence is higher among Men who have Sex with Men (MSM), owing to their unsafe sexual behavior. Further, MSM indulge in behaviors such as consumption of alcohol/oral drugs and/or injecting during/before sex that poses the risk of unsafe behaviors, thereby increasing their vulnerability to HIV. The study aims to analyze the factors associated with HIV infection among the multi-risk MSM using any substances with those MSM who do not use substances.Community-based cross-sectional survey design using probability-based sampling between October 2014 and November 2015.For the nation-wide Integrated Biological and Behavioral Surveillance (IBBS), 23,081 MSM were recruited from 4067 hotspots in 108 districts across India. Information on demographics, sexual behaviors, substance use, sexual partners, and awareness on HIV and its management was collected from the consented respondents using computer-assisted personal interview (CAPI) by trained personnel. Blood samples were tested for HIV. Statistical analyses were done, to study the associations between substance use and its influence on high-risk sexual behaviors and HIV infection.One in 3 MSM (33.88%) in India were substance users, thus exhibiting "multi-risk" (MR) behaviors. Significantly higher HIV prevalence (3.8%, P < .05) was reported among MR-MSM, despite 97.2% of them being aware of HIV. Higher HIV prevalence among MSM exhibiting homosexual behavior for ≤1 year is of specific concern, as this accounts to recent infections and indicates the increased vulnerability of the infection among the new entrants.Substance-use resulting in high-risk sexual behavior was significantly associated with higher HIV prevalence among MR-MSM. Integrated targeted interventions focusing on safe sex and safe-IDU practices among MR-MSM are required to end the disease transmission.


Asunto(s)
Infecciones por VIH/epidemiología , Infecciones por VIH/transmisión , Homosexualidad Masculina/estadística & datos numéricos , Conducta Sexual/etnología , Trastornos Relacionados con Sustancias/epidemiología , Adolescente , Adulto , Consumo de Bebidas Alcohólicas/epidemiología , Concienciación , Estudios Transversales , Consumidores de Drogas/estadística & datos numéricos , Infecciones por VIH/psicología , Homosexualidad Masculina/etnología , Humanos , India/epidemiología , Masculino , Prevalencia , Asunción de Riesgos , Conducta Sexual/psicología , Parejas Sexuales/clasificación , Adulto Joven
10.
Cien Saude Colet ; 25(9): 3475-3480, 2020 Sep.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-32876252

RESUMEN

The study aims to identify marital violence precipitating/intensifying elements during the COVID-19 pandemic. This is a narrative review of the literature, and the search was carried out in May 2020. We employed the PubCovid-19 platform, which is indexed in the United States National Library of Medicine (PubMed) and the Excerpta Medica (EMBASE) database. English descriptors "Domestic violence", "COVID-19", and "Intimate Partner Violence" were used in the search, and nine papers were selected for full-text reading. Three empirical categories were elaborated from the exploration of the selected material: Economic instability, Alcohol and other drugs use/abuse, and Weaker women's support network. Support networks for women in situations of marital violence should be expanded in this pandemic context, with emphasis on the use of digital technologies as possible tools for screening pandemic-related violence cases.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Tamizaje Masivo/métodos , Neumonía Viral/epidemiología , Maltrato Conyugal/estadística & datos numéricos , Consumo de Bebidas Alcohólicas/epidemiología , Femenino , Humanos , Masculino , Pandemias , Factores de Riesgo , Trastornos Relacionados con Sustancias/epidemiología
11.
Rev Saude Publica ; 54: 82, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32876301

RESUMEN

OBJECTIVE To characterize recent HIV infections among newly diagnosed men who have sex with men and transgender women in Tijuana. METHODS Limiting Antigen (LAg)-Avidity testing was performed to detect recent HIV infection within a cohort of newly-diagnosed men who have sex with men and transgender women in Tijuana. Logistic regression was used to determine characteristics associated with recent infection. A partial transmission network was inferred using HIV-1 pol sequences. Tamura-Nei 93 genetic distances were measured between all pairs of sequences, and the network was constructed by inferring putative transmission links (genetic distances ≤ 1.5%). We assessed whether recent infection was associated with clustering within the inferred network. RESULTS Recent infection was detected in 11% (22/194) of newly-diagnosed participants. Out of the participants with sequence data, 60% (9/15) with recent infection clustered compared with 31% (43/139) with chronic infection. Two recent infections belonged to the same cluster. In adjusted analyses, recent infection was associated with years of residence in Tijuana (OR = 1.5; 95%CI 1.01-1.09), cocaine use (past month) (OR = 8.50; 95%CI 1.99-28.17), and ever experiencing sexual abuse (OR = 2.85; 95%CI 1.03-7.85). DISCUSSION A total of 11% of men newly diagnosed with HIV who have sex with men and transgender women in Tijuana were recently infected. The general lack of clustering between participants with recent infection suggests continued onward HIV transmission rather than an outbreak within a particular cluster.


Asunto(s)
Infecciones por VIH/diagnóstico , Infecciones por VIH/epidemiología , Homosexualidad Masculina , Personas Transgénero , Brasil/epidemiología , Femenino , Humanos , Masculino , Trastornos Relacionados con Sustancias/epidemiología
12.
J Subst Abuse Treat ; 118: 108103, 2020 11.
Artículo en Inglés | MEDLINE | ID: mdl-32972644

RESUMEN

In response to the novel coronavirus 2019 (Covid-19) pandemic, many people experiencing homelessness and substance use disorders entered respite and recuperation facilities for care and to isolate and prevent subsequent SARS-CoV-2 transmission. However, because drug use was officially prohibited in these facilities, we observed people who use substances leaving isolation temporarily or prematurely. The initial Covid-19 surge magnified the need for harm reduction access for those who use substances to ensure their safety and well-being and that of their local communities. In this commentary, we argue that expanding harm reduction access is crucial for subsequent waves of SARS-CoV-2 infection and also for patients who use substances and are hospitalized for other reasons.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Personas sin Hogar , Neumonía Viral/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Infecciones por Coronavirus/prevención & control , Reducción del Daño , Humanos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Aislamiento Social , Centros de Tratamiento de Abuso de Sustancias , Trastornos Relacionados con Sustancias/terapia
13.
Epidemiol Psychiatr Sci ; 29: e169, 2020 Sep 30.
Artículo en Inglés | MEDLINE | ID: mdl-32996442

RESUMEN

AIMS: Many people who are homeless with severe mental illnesses are high users of healthcare services and social services, without reducing widen health inequalities in this vulnerable population. This study aimed to determine whether independent housing with mental health support teams with a recovery-oriented approach (Housing First (HF) program) for people who are homeless with severe mental disorders improves hospital and emergency department use. METHODS: We did a randomised controlled trial in four French cities: Lille, Marseille, Paris and Toulouse. Participants were eligible if they were 18 years or older, being absolutely homeless or precariously housed, with a diagnosis of schizophrenia (SCZ) or bipolar disorder (BD) and were required to have a high level of needs (moderate-to-severe disability and past hospitalisations over the last 5 years or comorbid alcohol or substance use disorder). Participants were randomly assigned (1:1) to immediate access to independent housing and support from the Assertive Community Treatment team (social worker, nurse, doctor, psychiatrist and peer worker) (HF group) or treatment as usual (TAU group) namely pre-existing dedicated homeless-targeted programs and services. Participants and interviewers were unmasked to assignment. The primary outcomes were the number of emergency department (ED) visits, hospitalisation admissions and inpatient days at 24 months. Secondary outcomes were recovery (Recovery Assessment Scale), quality of life (SQOL and SF36), mental health symptoms, addiction issues, stably housed days and cost savings from a societal perspective. Intention-to-treat analysis was performed. RESULTS: Eligible patients were randomly assigned to the HF group (n = 353) or TAU group (n = 350). No differences were found in the number of hospital admissions (relative risk (95% CI), 0.96 (0.76-1.21)) or ED visits (0.89 (0.66-1.21)). Significantly less inpatient days were found for HF v. TAU (0.62 (0.48-0.80)). The HF group exhibited higher housing stability (difference in slope, 116 (103-128)) and higher scores for sub-dimensions of S-QOL scale (psychological well-being and autonomy). No differences were found for physical composite score SF36, mental health symptoms and rates of alcohol or substance dependence. Mean difference in costs was €-217 per patient over 24 months in favour of the HF group. HF was associated with cost savings in healthcare costs (RR 0.62(0.48-0.78)) and residential costs (0.07 (0.05-0.11)). CONCLUSION: An immediate access to independent housing and support from a mental health team resulted in decreased inpatient days, higher housing stability and cost savings in homeless persons with SCZ or BP disorders.


Asunto(s)
Servicios Comunitarios de Salud Mental/métodos , Servicio de Urgencia en Hospital/estadística & datos numéricos , Personas sin Hogar/psicología , Vivienda/estadística & datos numéricos , Adulto , Alcoholismo/complicaciones , Alcoholismo/epidemiología , Trastorno Bipolar/complicaciones , Trastorno Bipolar/epidemiología , Comorbilidad , Femenino , Francia/epidemiología , Hospitalización/economía , Hospitalización/estadística & datos numéricos , Humanos , Masculino , Evaluación de Resultado en la Atención de Salud , Evaluación de Programas y Proyectos de Salud/métodos , Calidad de Vida , Esquizofrenia/complicaciones , Esquizofrenia/epidemiología , Trastornos Relacionados con Sustancias/complicaciones , Trastornos Relacionados con Sustancias/epidemiología
14.
PLoS One ; 15(9): e0238858, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32915870

RESUMEN

Economic evaluations of new youth mental health interventions require preference-based outcome measures that capture the broad benefits these interventions can have for adolescents. The Abbreviated Self Completion Teen-Addiction Severity Index (ASC T-ASI) was developed to meet the need for such a broader measure. It assesses self reported problems in seven important domains of adolescents' lives, including school performance and family relationships, and is intended for use in economic evaluations of relevant interventions. The aim of the current study was to present the ASC T-ASI and examine its validity as well as its ability to distinguish between adolescents with and without problems associated with substance use and delinquency. The validation study was conducted in a sample of adolescents (n = 167) aged 12-18 years, who received in- or outpatient care in a youth mental health and (enclosed) care facility in the Netherlands. To examine its feasibility, test-retest reliability, and convergent validity, respondents completed the ASC T-ASI, as well as the EQ-5D-3L and SDQ at baseline and after a two-week interval using a counterbalanced method. The ASC T-ASI descriptive system comprises seven domains: substance use, school, work, family, social relationships, justice, and mental health, each expressing self reported problems on a five-point Likert scale (ranging from having 'no problem' to having a 'very large problem'). The majority of respondents (>70%) completed the ASC T-ASI within 10 minutes and appraised the questions as (very) easy and (very) comprehensible. Test-retest reliability was adequate (Kw values 0.26-0.55). Correlations with the supplementary measures were moderate to high (rs 0.30-0.50), suggesting convergent validity. The ASC T-ASI is a promising and valid measure for assessing self reported problems in important domains in adolescents' lives, allowing benefits beyond health and health-related quality of life to be included in economic evaluations of youth mental health interventions. Future studies of the ASC T-ASI should consider the comprehensiveness of its domains and sensitivity to change.


Asunto(s)
Conducta Adictiva/diagnóstico , Conducta Adictiva/epidemiología , Análisis Costo-Beneficio , Economía Médica , Índice de Severidad de la Enfermedad , Trastornos Relacionados con Sustancias/diagnóstico , Trastornos Relacionados con Sustancias/epidemiología , Adolescente , Conducta Adictiva/economía , Femenino , Humanos , Masculino , Países Bajos/epidemiología , Evaluación de Resultado en la Atención de Salud , Psicometría , Calidad de Vida , Reproducibilidad de los Resultados , Trastornos Relacionados con Sustancias/economía , Encuestas y Cuestionarios
16.
Medicine (Baltimore) ; 99(39): e22344, 2020 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-32991449

RESUMEN

BACKGROUND: Depression is a disease with a high incidence and easy to relapse. It not only affects the work and life of patients, but also brings a heavy economic burden. University is the peak of depression, and the prevalence of depression among college students is much higher than that of ordinary people. The purpose of this research is to evaluate depression symptoms, life satisfaction, self-confidence, substance use, social adjustment, and dropout rates of the use of psychological intervention for college students. METHODS: We will identify relevant trials from systematic searches in the following electronic databases: PubMed, Embase, Web of Science and The Cochrane Library. We will also search Clinical Trials.gov, the WHO International Clinical Trials Registry Platform for unpublished data. Additional relevant studies will be searched through search engines (such as Google), and references included in the literature will be tracked. All relevant randomized controlled trials (RCTs) will be included. There are no date restrictions. Use Cochrane Collaboration's Risk of bias tool to conduct risk of bias analysis. Use the Grades of Recommendation, Assessment, Development, and Evaluation to assess the quality of evidence. All statistical analysis will be performed using Stata (V.15.0.) and Review Manager (V.5.2.0). RESULTS: A total of 6238 records were obtained by searching the database and 27 records were obtained by other sources. After removing duplicate records, there are 4225 records remaining. We excluded 3945 records through abstract and title, leaving 280 full-text articles. CONCLUSION: This will be the first study to compare the effects of different psychological treatments on depression in college students. We hope that this study will guide clinical decision-making of psychotherapy to better treat depression in college students. PROTOCOL REGISTRATION: INPLASY202070134.


Asunto(s)
Depresión/terapia , Psicoterapia/métodos , Estudiantes/psicología , Adolescente , Adulto , Depresión/epidemiología , Depresión/psicología , Femenino , Carga Global de Enfermedades/economía , Humanos , Incidencia , Masculino , Metaanálisis en Red , Pacientes Desistentes del Tratamiento/estadística & datos numéricos , Satisfacción Personal , Prevalencia , Psicoterapia/tendencias , Calidad de Vida/psicología , Ensayos Clínicos Controlados Aleatorios como Asunto , Autoimagen , Ajuste Social , Trastornos Relacionados con Sustancias/epidemiología , Universidades , Adulto Joven
17.
West J Emerg Med ; 21(5): 1102-1104, 2020 Aug 18.
Artículo en Inglés | MEDLINE | ID: mdl-32970561

RESUMEN

The isolation that comes from social distancing during the COVID-19 pandemic can be particularly detrimental to the United States' population of people who use drugs. People with substance use disorders may be at risk for return to use, exacerbation of existing mental health disorders, and risky drug practices. In this commentary, we review the risk to people who use drugs and how emergency department providers can best support these individuals during the unprecedented time of social distancing.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/psicología , Servicio de Urgencia en Hospital , Neumonía Viral/psicología , Aislamiento Social/psicología , Trastornos Relacionados con Sustancias/psicología , Infecciones por Coronavirus/prevención & control , Humanos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Factores de Riesgo , Trastornos Relacionados con Sustancias/complicaciones , Trastornos Relacionados con Sustancias/epidemiología , Trastornos Relacionados con Sustancias/terapia , Estados Unidos/epidemiología
19.
Epidemiol Psychiatr Sci ; 29: e148, 2020 Aug 04.
Artículo en Inglés | MEDLINE | ID: mdl-32746958

RESUMEN

AIM: Drug use disorders are an important issue worldwide. Systematic attempts to estimate the global incidence of drug use disorders are rare. We aimed to determine the incidence of drug use disorders and their trends. METHODS: We obtained the annual incident cases and age-standardised incidence rate (ASR) of drug use disorders from 1990 to 2017 using the Global Health Data Exchange query tool. The estimated annual percentage changes of the ASR were used to quantify and evaluate the trends in the incidence rate. Gaussian process regression and the Pearson's correlation coefficient were used to assess the relationship between the ASR and socio-demographic index (SDI). RESULTS: The number of drug use disorders' cases increased by 33.5% from 1990 to 2017 globally, whereas the ASR exhibited a stable trend. The ASR was higher in men than in women. Most cases (53.1%) of drug use disorders involved opioid. A positive association (ρ=0.35, p < 0.001) was found between ASR and SDI. Teenagers aged 15-19 years had the highest incidence rate. CONCLUSIONS: The incident cases of drug use disorders were increasing, but the incidence rate did not change significantly from 1990 to 2017. Current preventive measures and policies for drug use disorders might have little effect. The present results suggest that future strategies should focus on men, teenagers and high-risk regions in order to improve the current status of drug use disorders.


Asunto(s)
Carga Global de Enfermedades/tendencias , Trastornos Relacionados con Opioides/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Niño , Femenino , Salud Global , Humanos , Incidencia , Masculino , Persona de Mediana Edad , Factores Socioeconómicos , Adulto Joven
20.
BMC Med ; 18(1): 241, 2020 07 31.
Artículo en Inglés | MEDLINE | ID: mdl-32731868

RESUMEN

BACKGROUND: Citizens affected by substance use disorders are high-risk populations for both SARS-CoV-2 infection and COVID-19-related mortality. Relevant vulnerabilities to COVID-19 in people who suffer substance use disorders are described in previous communications. The COVID-19 pandemic offers a unique opportunity to reshape and update addiction treatment networks. MAIN BODY: Renewed treatment systems should be based on these seven pillars: (1) telemedicine and digital solutions, (2) hospitalization at home, (3) consultation-liaison psychiatric and addiction services, (4) harm-reduction facilities, (5) person-centered care, (6) promote paid work to improve quality of life in people with substance use disorders, and (7) integrated addiction care. The three "best buys" of the World Health Organization (reduce availability, increase prices, and a ban on advertising) are still valid. Additionally, new strategies must be implemented to systematically deal with (a) fake news concerning legal and illegal drugs and (b) controversial scientific information. CONCLUSION: The heroin pandemic four decades ago was the last time that addiction treatment systems were updated in many western countries. A revised and modernized addiction treatment network must include improved access to care, facilitated where appropriate by technology; more integrated care with addiction specialists supporting non-specialists; and reducing the stigma experienced by people with SUDs.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/rehabilitación , Neumonía Viral/rehabilitación , Síndrome Respiratorio Agudo Grave/rehabilitación , Trastornos Relacionados con Sustancias/rehabilitación , Comorbilidad , Infecciones por Coronavirus/complicaciones , Infecciones por Coronavirus/epidemiología , Humanos , Pandemias , Neumonía Viral/complicaciones , Neumonía Viral/epidemiología , Calidad de Vida , Síndrome Respiratorio Agudo Grave/epidemiología , Trastornos Relacionados con Sustancias/epidemiología , Telemedicina/organización & administración
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