Crack/cocaine use in a rural county of England
| Autor: | Ian Harvey, Daphne Rumball, Richard Holland, Roberto Vivancos, Viviene Maskrey |
|---|---|
| Rok vydání: | 2006 |
| Předmět: |
Adult
Male Rural Population medicine.medical_specialty Substance-Related Disorders Psychological intervention Poison control Suicide prevention Hepatitis Cocaine dependence Surveys and Questionnaires Injury prevention medicine Humans Psychiatry Sex work Health Services Needs and Demand business.industry Public Health Environmental and Occupational Health Human factors and ergonomics General Medicine Focus Groups medicine.disease Hematologic Diseases Focus group England Crack Cocaine Female Public Health Substance Abuse Treatment Centers Medical emergency business |
| Zdroj: | Journal of Public Health. 28:96-103 |
| ISSN: | 1741-3850 1741-3842 |
| DOI: | 10.1093/pubmed/fdl010 |
| Popis: | Crack/cocaine use is an increasing problem in the UK. This study is the first to ascertain the magnitude of the crack/cocaine problem in a rural county of the UK and to determine users' needs for treatment services. A questionnaire on drug dependence and risk behaviour was completed by 306 users of drug treatment services, and focus groups were conducted with 45 self-selected crack/cocaine users. It is estimated that 31% (95% C.I., 26% to 37%) of drug users in treatment services have moderate/severe dependence on crack/cocaine. Factors associated with severe crack/cocaine dependence are severe dependence on benzodiazepines, increasing number of drugs used, engaging in sex work and non-white ethnicity. Those with severe dependence have a higher prevalence of hepatitis B and C compared with those with moderate or no dependence. All focus group participants describe a frenzied drug life so when entering treatment they require additional support to give structure to their lives to prevent relapse. Current service provision appears not to provide help to crack/cocaine users. Given the lack of pharmacological treatment, programmes should incorporate a wide range of activities and interventions to provide structure to clients' lives. Learning from ex-users was perceived as an important component of treatment. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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