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Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019

INTRODUCTION: Amphetamine type substances (ATS) are commonly used by Australian alcohol and other drug service entrants. We describe demographic characteristics, patterns of ATS and other substance use, health and social conditions among clients entering New South Wales (NSW) public alcohol and othe...

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Autores principales: Black, Emma, Mammen, Kristie, Deacon, Rachel M., Ezard, Nadine, Mills, Llewellyn, Dunlop, Adrian J., Montebello, Mark, Reid, David, Childs, Steven, Bruno, Raimondo, Shakeshaft, Anthony, Siefried, Krista J., Farrell, Michael, Holmes, Jennifer, Lintzeris, Nicholas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10107800/
https://www.ncbi.nlm.nih.gov/pubmed/36524444
http://dx.doi.org/10.1111/dar.13588
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author Black, Emma
Mammen, Kristie
Deacon, Rachel M.
Ezard, Nadine
Mills, Llewellyn
Dunlop, Adrian J.
Montebello, Mark
Reid, David
Childs, Steven
Bruno, Raimondo
Shakeshaft, Anthony
Siefried, Krista J.
Farrell, Michael
Holmes, Jennifer
Lintzeris, Nicholas
author_facet Black, Emma
Mammen, Kristie
Deacon, Rachel M.
Ezard, Nadine
Mills, Llewellyn
Dunlop, Adrian J.
Montebello, Mark
Reid, David
Childs, Steven
Bruno, Raimondo
Shakeshaft, Anthony
Siefried, Krista J.
Farrell, Michael
Holmes, Jennifer
Lintzeris, Nicholas
author_sort Black, Emma
collection PubMed
description INTRODUCTION: Amphetamine type substances (ATS) are commonly used by Australian alcohol and other drug service entrants. We describe demographic characteristics, patterns of ATS and other substance use, health and social conditions among clients entering New South Wales (NSW) public alcohol and other drug services. METHODS: Retrospective cohort of 13,864 records across six health districts (2016–2019) for clients seeking substance use treatment. These districts service approximately 44% of the NSW population aged 15 years and over. Multivariate analysis was conducted on a subsample for whom full data were available (N = 9981). Data included NSW Minimum Data Set for drug and alcohol treatment services and Australian Treatment Outcomes Profile items. RESULTS: Over the preceding 4 weeks, 77% (n = 10,610) of clients (N = 13,864) reported no recent ATS use, 15% (n = 2109) reported ‘low frequency’ (1–12 days) and 8% (n = 1145) ‘high frequency’ (13–28 days) use. ATS use was most common among people attending for ATS or opioids as primary drug of concern. A multinomial regression (N = 9981) identified that clients reporting recent arrest (aOR 1.74, 95% CI 1.36, 2.24), higher cannabis use frequency (aOR 1.01, 95% CI 1.00, 1.02), lower opioid use frequency (aOR 0.98, 95% CI 0.97, 0.99) and poorer quality of life (aOR 0.91, 95% CI 0.86, 0.97) were more likely to report ‘high frequency’ rather than ‘low frequency’ ATS use. DISCUSSION AND CONCLUSIONS: People who use ATS experience health and social issues that may require targeted responses. These should be integrated across all services, not only for clients with ATS as principal drug of concern.
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spelling pubmed-101078002023-04-18 Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019 Black, Emma Mammen, Kristie Deacon, Rachel M. Ezard, Nadine Mills, Llewellyn Dunlop, Adrian J. Montebello, Mark Reid, David Childs, Steven Bruno, Raimondo Shakeshaft, Anthony Siefried, Krista J. Farrell, Michael Holmes, Jennifer Lintzeris, Nicholas Drug Alcohol Rev Original Papers INTRODUCTION: Amphetamine type substances (ATS) are commonly used by Australian alcohol and other drug service entrants. We describe demographic characteristics, patterns of ATS and other substance use, health and social conditions among clients entering New South Wales (NSW) public alcohol and other drug services. METHODS: Retrospective cohort of 13,864 records across six health districts (2016–2019) for clients seeking substance use treatment. These districts service approximately 44% of the NSW population aged 15 years and over. Multivariate analysis was conducted on a subsample for whom full data were available (N = 9981). Data included NSW Minimum Data Set for drug and alcohol treatment services and Australian Treatment Outcomes Profile items. RESULTS: Over the preceding 4 weeks, 77% (n = 10,610) of clients (N = 13,864) reported no recent ATS use, 15% (n = 2109) reported ‘low frequency’ (1–12 days) and 8% (n = 1145) ‘high frequency’ (13–28 days) use. ATS use was most common among people attending for ATS or opioids as primary drug of concern. A multinomial regression (N = 9981) identified that clients reporting recent arrest (aOR 1.74, 95% CI 1.36, 2.24), higher cannabis use frequency (aOR 1.01, 95% CI 1.00, 1.02), lower opioid use frequency (aOR 0.98, 95% CI 0.97, 0.99) and poorer quality of life (aOR 0.91, 95% CI 0.86, 0.97) were more likely to report ‘high frequency’ rather than ‘low frequency’ ATS use. DISCUSSION AND CONCLUSIONS: People who use ATS experience health and social issues that may require targeted responses. These should be integrated across all services, not only for clients with ATS as principal drug of concern. John Wiley & Sons Australia, Ltd 2022-12-16 2023-02 /pmc/articles/PMC10107800/ /pubmed/36524444 http://dx.doi.org/10.1111/dar.13588 Text en © 2022 The Authors. Drug and Alcohol Review published by John Wiley & Sons Australia, Ltd on behalf of Australasian Professional Society on Alcohol and other Drugs. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Original Papers
Black, Emma
Mammen, Kristie
Deacon, Rachel M.
Ezard, Nadine
Mills, Llewellyn
Dunlop, Adrian J.
Montebello, Mark
Reid, David
Childs, Steven
Bruno, Raimondo
Shakeshaft, Anthony
Siefried, Krista J.
Farrell, Michael
Holmes, Jennifer
Lintzeris, Nicholas
Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019
title Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019
title_full Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019
title_fullStr Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019
title_full_unstemmed Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019
title_short Health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in New South Wales, Australia, 2016–2019
title_sort health and social characteristics of clients reporting amphetamine type substance use at entry to public alcohol and other drug services in new south wales, australia, 2016–2019
topic Original Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10107800/
https://www.ncbi.nlm.nih.gov/pubmed/36524444
http://dx.doi.org/10.1111/dar.13588
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