جستجوی مقالات مرتبط با کلیدواژه « drug use disorders » در نشریات گروه « پزشکی »

Substance use disorders (SUDs) constitute a serious medical problem. Information is scarce regarding the connection between SUDs and cardiovascular complications. We sought to examine the types of SUDs and their relationships with complications in patients with cardiovascular diseases.  The present descriptive cross-sectional study evaluated 406 adult cardiovascular patients with 1 of the different types of SUDs according to eligibility criteria. Required data were extracted, recorded, and analyzed using the SPSS software, version 16.  The mean and standard deviation of the age of the participants was 59.7±11.92 years. Ninety percent of the participants used opium. Substance use had a significant relationship with age range, marital status, education level, and income (P<0.05). Opium use was more frequent in patients with hypertension than other illegal substances (73.8% vs 57.1%; P=0.035).  Opium was the most frequent substance used by patients with cardiovascular disease. Moreover, our participants had little knowledge about the cardiovascular risks and complications related to SUDs. Therefore, stringent measures are recommended to prevent illegal substance use and raise public awareness in the country. (Iranian Heart Journal 2022; 23(4): 52-59)

  Drug addiction treatment (DAT) is a dynamic market influenced by customers’ requests and regulating policies. With about 6000 active clinics nationwide, there is insufficient data regarding the trend of DAT market in Iran. However, these treatment centers advertise their services in daily newspapers providing an indirect manner for their market analysis. The current study was the second phase of the authors’ longitudinal study on evaluating DAT network in Tehran. The current study was designed to provide an outline of treatment services, along with communicative and economic aspects of these centers through tracking their advertisements in newspapers. A trend study was conducted in two time points, May 2009 and November 2012, and reviewed all relevant advertisements in the daily newspapers in a one-month period, in Tehran. After content analysis of the advertisements, the data collection was finalized with telephone-structured interviews. In 2009, sixty-six clinics advertised for their services, using 383 codes to introduce their centers (43%) and treatment menus (57%). Three years later, in 2012, ninety-nine clinics advertised their services a 33% increase. They used 923 codes (140% growth) to introduce their centers (64%) and advertise treatment menus (36%). Regarding their treatment menus, there was a wide range of treatment choices, including common and broad categories of care center (i.e., outpatient and inpatient), and treatment modalities (detoxification to maintenance with methadone, buprenorphine, and naltrexone). Based on the results, methadone maintenance therapy (MMT) remains as the most popular treatment in Tehran offered by 85% of the centers. On average, it costs 1,185,270 Rials (US$37.03) per month, a 16% increase in three years. In 2009, there was no code regarding methamphetamine in the ads, but in 2012, about 43% of centers included the related code in their ads, reflecting the market response to rapidly growing methamphetamine addiction in Iran. Longitudinal trend analysis of DAT market using newspaper advertisements, as an indirect, but rapid and feasible method, provides a dynamic picture of drug treatment network. It showed that opioid maintenance therapy still continues its services in the market, and treatment services likewise grow in response to methamphetamine crisis in Iran.

It is proven that perceived social support and family function are important in the treatment and prevention of lapse or relapse in drug use disorders, but the role of these factors, especially when added together, are less evaluated in primary prevention of drug dependence.
The current study aimed to investigate the relationship between perceived social support and family functioning in the student's tendency toward illicit drug use.
The study had a cross-sectional design. A total of 156 students of Allameh Tabatabaei University were selected in the 2013 - 2014 academic year in Tehran, Iran, and the required information was obtained from them by three questionnaires: perceived social support, family functioning, and students’ tendency toward illicit drug use. Data were analyzed with the Pearson correlation coefficient and multiple regression coefficients, by SPSS version 21.
There was a significant relationship (P

Drug use disorders are one of the major health problems in societies, which cause physical, psychological, and social damages to individuals. Socioeconomic status is often inversely associated with drug use disorders. The present study aimed at determining the effect of socioeconomic inequality on the prevalence of drug use disorders and identifying its determinants in Iran.

Data of 7886 individuals aged 15 to 64 years were collected from Iran Mental Health Survey (IranMHS). Initially, the socioeconomic status of the participants was determined by principal component analysis. Later, socioeconomic inequality was measured using the concentration index, and the factors influencing the gap between the high and low socioeconomic groups were identified using the Oaxaca-Blinder Decomposition.

The concentration index for drug use disorders in Iran was -0.29 (standard error= 0.06). The results of decomposition technique revealed that 1.14% and 2.7% of the participants with high and low socioeconomic status were affected by drug use disorders, respectively. In addition, the gap between these 2 groups was found to be 1.65%. Among the studied variables, occupation, marital status, and gender accounted for the highest contribution to inequality, respectively.

There is inequality in the prevalence of drug use disorders in Iran; these disorders are more common in lower socioeconomic group. Based on the findings, it is suggested that improvement in the socioeconomic status of the households, especially for males, the divorced or widowed individuals, and the unemployed may lead to a reduction in inequality in drug use disorders.