Abstract Objectives: Physical health conditions cause significant disability and mortality among people living with alcohol and other drug problems. There has been limited research on the prevalence of health problems among clinical samples of people with substance use disorders, particularly among those in residential treatment. Yet residential settings provide unique opportunity for responding to health needs. To better understand the health of people attending treatment for substance use disorders, this study conducted a file review to examine the prevalence of physical health problems as identified during routine residential care. Methods: A retrospective review of client files collected between 2013 and 2017 (N = 172) was completed at a residential treatment service in NSW, Australia. Data were extracted to examine the prevalence of physical health problems recorded at entry into treatment. Correlates of health problems were estimated using bivariate descriptive analyses and logistic regression. Results: The majority of clients in treatment for substance use had a comorbid physical health problem (80.7%). Musculoskeletal problems were the most frequently reported medical issue (38.6%). Odds for some physical health problems were related to client gender, age, and primary substance of concern. Male gender remained the strongest predictor of dental health problems when controlling for age and substance type (odds ratio [OR] = 3.60). Primary alcohol use remained the strongest predictor of nutritional deficiencies when controlling for client age (OR = 4.43). Among clients with a physical health problem and who had a treatment episode of at least 14 days (n = 110), just over half (55.5%) were referred to a health-related practitioner or service during their treatment episode. Conclusions: This study contributes to the literature by reporting on the incidence of physical health problems among people in residential treatment for substance use disorders. The high prevalence of physical health morbidity iterates the role of non-medical staff working within drug and alcohol services in the identification of client health needs. The findings support calls for systematic screening of physical health as part of routine care for substance use disorders improved integration of substance treatment and the broader primary health care system.

中文翻译：

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物质使用和共同发生的身体健康问题：住宅药物和酒精治疗服务的文件审查

摘要 目的：身体健康状况导致酗酒和吸毒者严重残疾和死亡。关于物质使用障碍患者的临床样本中健康问题流行率的研究有限，特别是在住院治疗的患者中。然而，住宅环境为满足健康需求提供了独特的机会。为了更好地了解接受物质使用障碍治疗的人的健康状况，本研究进行了文件审查，以检查在常规住院护理期间发现的身体健康问题的普遍性。方法：对 2013 年至 2017 年间收集的客户文件（N = 172）在澳大利亚新南威尔士州的一家住宅治疗服务机构进行了回顾性审查。提取数据以检查进入治疗时记录的身体健康问题的流行率。使用双变量描述性分析和逻辑回归估计健康问题的相关性。结果：接受药物滥用治疗的大多数客户都存在身体健康问题（80.7%）。肌肉骨骼问题是最常报告的医疗问题 (38.6%)。一些身体健康问题的几率与客户的性别、年龄和主要关注的物质有关。在控制年龄和物质类型时，男性仍然是牙齿健康问题的最强预测因素（优势比 [OR] = 3.60）。在控制客户年龄（OR = 4.43）时，主要饮酒仍然是营养缺乏的最强预测因素。在有身体健康问题且接受至少 14 天治疗的客户 (n = 110) 中，超过一半 (55.5%) 在治疗期间被转介给与健康相关的医生或服务。结论：本研究报告了因物质使用障碍而接受住院治疗的人的身体健康问题的发生率，从而为文献做出了贡献。身体健康发病率的高发重申了在毒品和酒精服务中工作的非医务人员在确定客户健康需求方面的作用。研究结果支持对身体健康进行系统筛查的呼吁，作为物质使用障碍常规护理的一部分，改善了物质治疗和更广泛的初级卫生保健系统的整合。5%) 在治疗期间被转介给与健康相关的医生或服务。结论：本研究报告了因物质使用障碍而接受住院治疗的人的身体健康问题的发生率，从而为文献做出了贡献。身体健康发病率的高发重申了在毒品和酒精服务中工作的非医务人员在确定客户健康需求方面的作用。研究结果支持对身体健康进行系统筛查的呼吁，作为物质使用障碍常规护理的一部分，改善了物质治疗和更广泛的初级卫生保健系统的整合。5%）在治疗期间被转介给与健康相关的医生或服务。结论：本研究报告了因物质使用障碍而接受住院治疗的人的身体健康问题的发生率，从而为文献做出了贡献。身体健康发病率的高发重申了在毒品和酒精服务中工作的非医务人员在确定客户健康需求方面的作用。研究结果支持对身体健康进行系统筛查的呼吁，作为物质使用障碍常规护理的一部分，改善了物质治疗和更广泛的初级卫生保健系统的整合。本研究报告了因物质使用障碍而接受住院治疗的人的身体健康问题的发生率，从而为文献做出了贡献。身体健康发病率的高发重申了在毒品和酒精服务中工作的非医务人员在确定客户健康需求方面的作用。研究结果支持对身体健康进行系统筛查的呼吁，作为物质使用障碍常规护理的一部分，改善了物质治疗和更广泛的初级卫生保健系统的整合。本研究报告了因物质使用障碍而接受住院治疗的人的身体健康问题的发生率，从而为文献做出了贡献。身体健康发病率的高发重申了在毒品和酒精服务中工作的非医务人员在识别客户健康需求方面的作用。研究结果支持对身体健康进行系统筛查的呼吁，作为物质使用障碍常规护理的一部分，改善了物质治疗和更广泛的初级卫生保健系统的整合。