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First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment
BACKGROUND: The purpose of this study was to gain an understanding of the profiles of the new treatment demands posed by opioid addicts between 2005 and 2010 at the addictive disorders assistance units in Galicia, Spain. METHODS: A cluster analysis was performed using data from 1,655 treatment entra...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Dove Medical Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590586/ https://www.ncbi.nlm.nih.gov/pubmed/26445539 http://dx.doi.org/10.2147/NDT.S84431 |
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author | Flórez, Gerardo López-Durán, Ana Triñanes, Yolanda Osorio, Jesús Fraga, Jaime Fernández, José Manuel Becoña, Elisardo Arrojo, Manuel |
author_facet | Flórez, Gerardo López-Durán, Ana Triñanes, Yolanda Osorio, Jesús Fraga, Jaime Fernández, José Manuel Becoña, Elisardo Arrojo, Manuel |
author_sort | Flórez, Gerardo |
collection | PubMed |
description | BACKGROUND: The purpose of this study was to gain an understanding of the profiles of the new treatment demands posed by opioid addicts between 2005 and 2010 at the addictive disorders assistance units in Galicia, Spain. METHODS: A cluster analysis was performed using data from 1,655 treatment entrants. Clusters were constructed using sociodemographic and medicolegal variables. A cluster analysis was also conducted according to age. Once clusters were defined, their association with the following variables was analyzed: age at first use of opioids, years of use, frequency of opioid use in the previous month, psychiatric treatment, cocaine use, existence of a drug-dependent partner, and source of referral. RESULTS: Four clusters were obtained in the main analysis. Cluster 1 (34.01%) consisted of young males, cluster 2 (16.19%) consisted of not-so-young males, cluster 3 (32.62%) consisted mainly of older males and a small group of females, and cluster 4 (17.18%) was made up entirely of women. With regard to age-related clusters, two clusters were obtained in those under the age of 30 years: cluster 1 (73%) without medicolegal complications and cluster 2 (27%) with medicolegal complications. For those over the age of 30 years, two clusters were obtained: cluster 1 (53.92%) with hardly any medicolegal complications and cluster 2 (46.08%) with medicolegal complications. CONCLUSION: Cluster analysis suggests that there have been no substantial changes in variables indicating greater severity in this new group of patients. Women are likely to seek help earlier, which reduces their duration of opioid use. The younger the patient, the shorter the duration of opioid use and the greater the likelihood of cessation of intravenous use. Public health systems should use a two-pronged treatment strategy of short but intense cessation therapies for women and younger treatment entrants and longer maintenance and replacement therapies for older treatment entrants with more psychosocial and medical complications. |
format | Online Article Text |
id | pubmed-4590586 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-45905862015-10-06 First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment Flórez, Gerardo López-Durán, Ana Triñanes, Yolanda Osorio, Jesús Fraga, Jaime Fernández, José Manuel Becoña, Elisardo Arrojo, Manuel Neuropsychiatr Dis Treat Original Research BACKGROUND: The purpose of this study was to gain an understanding of the profiles of the new treatment demands posed by opioid addicts between 2005 and 2010 at the addictive disorders assistance units in Galicia, Spain. METHODS: A cluster analysis was performed using data from 1,655 treatment entrants. Clusters were constructed using sociodemographic and medicolegal variables. A cluster analysis was also conducted according to age. Once clusters were defined, their association with the following variables was analyzed: age at first use of opioids, years of use, frequency of opioid use in the previous month, psychiatric treatment, cocaine use, existence of a drug-dependent partner, and source of referral. RESULTS: Four clusters were obtained in the main analysis. Cluster 1 (34.01%) consisted of young males, cluster 2 (16.19%) consisted of not-so-young males, cluster 3 (32.62%) consisted mainly of older males and a small group of females, and cluster 4 (17.18%) was made up entirely of women. With regard to age-related clusters, two clusters were obtained in those under the age of 30 years: cluster 1 (73%) without medicolegal complications and cluster 2 (27%) with medicolegal complications. For those over the age of 30 years, two clusters were obtained: cluster 1 (53.92%) with hardly any medicolegal complications and cluster 2 (46.08%) with medicolegal complications. CONCLUSION: Cluster analysis suggests that there have been no substantial changes in variables indicating greater severity in this new group of patients. Women are likely to seek help earlier, which reduces their duration of opioid use. The younger the patient, the shorter the duration of opioid use and the greater the likelihood of cessation of intravenous use. Public health systems should use a two-pronged treatment strategy of short but intense cessation therapies for women and younger treatment entrants and longer maintenance and replacement therapies for older treatment entrants with more psychosocial and medical complications. Dove Medical Press 2015-09-24 /pmc/articles/PMC4590586/ /pubmed/26445539 http://dx.doi.org/10.2147/NDT.S84431 Text en © 2015 Flórez et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Flórez, Gerardo López-Durán, Ana Triñanes, Yolanda Osorio, Jesús Fraga, Jaime Fernández, José Manuel Becoña, Elisardo Arrojo, Manuel First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment |
title | First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment |
title_full | First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment |
title_fullStr | First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment |
title_full_unstemmed | First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment |
title_short | First-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment |
title_sort | first-time admissions for opioid treatment: cross-sectional and descriptive study of new opioid users seeking treatment |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590586/ https://www.ncbi.nlm.nih.gov/pubmed/26445539 http://dx.doi.org/10.2147/NDT.S84431 |
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