ABSTRACT

Background

Community-based drug treatment clinics (CB-DTC) aim to reduce the barriers to treatment-seeking among substance users. Literature is lacking in assessing the change in the profile of the clients seeking treatment from the CB-DTC over time. The current study aimed to assess the change in the profile of the service utilizers of a CB-DTC located in an urban slum in the northern part of India.

Methods

A retrospective chart review of the profile of the patients (n = 631) who were enrolled at a CB-DTC at two different periods (n = 330, 2003; n = 301, 2017).

Results

As compared to 2003, enrolees of 2017 had better socio-demographic profiles; earlier age of initiation of substance use and early treatment-seeking (p < .0001); relatively higher prevalence of alcohol (p < .0001) and volatile substance-dependence (p < .001); lower prevalence of opioid dependence (p < .0001); and lower prevalence of substance-related complications (injection drug use, illegal activities, and broken families) (p < .001). However, there was no difference in prevalence of high-risk sexual behaviors (HRSB) and polysubstance use.

Conclusion

Changing profile of the service utilizers of the CB-DTC reflect the changing dynamics of the substance use pattern and the putative role a CB-DTC can play. Interventions need to be tailored to address these changing requirements.

中文翻译：

---

以社区为基础的药物治疗诊所的服务使用者概况的变化：来自印度的回顾性研究

摘要

背景

以社区为基础的药物治疗诊所 (CB-DTC) 旨在减少药物使用者寻求治疗的障碍。随着时间的推移，缺乏文献来评估寻求 CB-DTC 治疗的客户的概况变化。目前的研究旨在评估位于印度北部城市贫民窟的 CB-DTC 的服务利用者概况的变化。

方法

回顾性图表回顾了在两个不同时期（n = 330, 2003; n = 301, 2017）参加 CB-DTC 的患者（n = 631）的概况。

结果

与 2003 年相比，2017 年的入伍者具有更好的社会人口概况；开始使用药物和早期寻求治疗的较早年龄 ( p < .0001)；酒精（ p < .0001）和挥发性物质依赖（p < .001）的患病率相对较高；阿片类药物依赖的患病率较低（p < .0001）；物质相关并发症（注射吸毒、非法活动和破碎的家庭）的发生率较低（p < .001）。然而，高危性行为（HRSB）和多物质使用的流行率没有差异。

结论

CB-DTC 服务使用者的不断变化的概况反映了物质使用模式的变化动态以及 CB-DTC 可以发挥的假定作用。需要针对这些不断变化的需求量身定制干预措施。