TITLE

Addressing the Need for Treatment Paradigms for Drug-Abusing Patients with Multiple Morbidities

AUTHOR(S)
Kresina, Thomas F.; Normand, Jacques; Khalsa, Jag; Mitty, Jennifer; Flanigan, Timothy; Henry3Francis
PUB. DATE
June 2004
SOURCE
Clinical Infectious Diseases;6/1/2004 Supplement, Vol. 38, pS398
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Persons who use and abuse drugs are at risk for multiple morbidities that involve addiction, bloodborne infectious diseases, and sexually transmitted diseases, in addition to psychiatric illness and social instability. Infectious diseases acquired as a result of drug use can diffuse into non-drug using populations through other high-risk behaviors. Drug users also have substantial comorbidities from noncommunicable diseases and complications that can affect virtually every organ system in the body. Diagnosis of comorbidities and complications associated with drug abuse usually occurs late in the disease course, particularly for persons who are disenfranchised and have limited or no access to medical care. Medical management of these comorbid conditions constitutes a significant challenge. Directly observed therapy (DOT) can be useful but needs to conform to the needs of the targeted treatment population for full efficacy. DOT may have its greatest impact with drug users destabilized by cocaine or methamphetamine use but has yet to be fully investigated in this patient population.
ACCESSION #
13239532

 

Related Articles

  • AIDS and Behavioral Change to reduce Risk: A Review. Becker, Marshall H.; Joseph, Jill G. // American Journal of Public Health;Apr88, Vol. 78 Issue 4, p394 

    Published reports describing behavioral changes in response to the threat of AIDS (acquired immunodeficiency syndrome) are reviewed. These studies demonstrate rapid, profound, but expectably incomplete alterations in the behavior of both homosexual/bisexual males and intravenous drug users. This...

  • Prevalence of Chlamydia trachomatis and associated risk factors in women inmates admitted to a youth offenders institute in the UK. Gabriel, G.; Burns, T.; Scott-Ram, R.; Adlington, R.; Bansi, L. // International Journal of STD & AIDS;Jan2008, Vol. 19 Issue 1, p26 

    The aim of the study was to estimate the prevalence of Chlamydia trachomatis genital infections in young women inmates aged 17–21 located on the Youth Offenders Institute of HMP Holloway. The study consisted of a questionnaire and a urine sample for analysis. A health advisor administered...

  • Substance use, risk situations, and HIV seroprevalence among individuals seeking free HIV testing in Porto Alegre, Brazil. Pechansky, Flavio; Kessler, Felix; Von Diemen, Lísia; Inciardi, James A.; Surratt, Hilary // Revista Panamericana de Salud Publica;Oct/Nov2005, Vol. 18 Issue 4/5, p249 

    Objective. To describe substance use, HIV seroprevalence, and risk of exposure to HIV infection in individuals seeking HIV testing in two screening centers (a municipal one and a state one) in the city of Porto Alegre, Rio Grande do Sul, Brazil. Methods. Using a cross-sectional design, we...

  • Three quarters of Russia's prisoners have serious diseases. Burgermeister, Jane // BMJ: British Medical Journal (International Edition);11/8/2003, Vol. 327 Issue 7423, p1066 

    Reports on an admission by Russia's ministry of justice that three quarters of prisoners in Russia have a serious disease such as tuberculosis or AIDS. Statistics on the breakdown of prisoners to diseases; Additional statistics on the number with mental health problems and drug abuse issues;...

  • Prevalence and correlates of exchanging sex for drugs or money among adolescents in the United States. Edwards, J. M.; Iritani, B. J.; Hallfors, D. D. // Sexually Transmitted Infections;Oct2006, Vol. 82 Issue 5, p354 

    Objective: This study examined the prevalence and correlates of exchanging sex for drugs or money among a nationally representative sample of 13,294 adolescents in the United States.Methods: Data are from the National Longitudinal Study of Adolescent Health, waves I and...

  • Prostitutes and AIDS: A Health Department Priority? Rosenberg, Michael J.; Weiner, Odle M. // American Journal of Public Health;Apr88, Vol. 78 Issue 4, p418 

    With increasing competition for resources, health departments are faced with the question of whether to target female prostitutes as a high priority component of AIDS prevention strategy. Prostitutes are considered to be a reservoir for transmission of certain sexually transmitted diseases...

  • Sex-habit and Sexually Transmitted Infection (STIs) Among The Drug Abusers Undergoing Detoxification. HOSSAIN, KAZI JAHANGIR; KARIM, RIZWANUL; NURUL KARIM, ABUL MASUD MD.; KAMAL, MUSTAFA // Journal of Medicine;2013, Vol. 14 Issue 1, p5 

    Drug abuse is increasing alarmingly with time among the young-adults in Bangladesh. The objective of the study was to investigate sex-habit and STIs of the drug abusers. A total of 1076 drug abusers undergoing detoxification voluntarily at the Central Drug Addiction Treatment Centre (CTC),...

  • Jet set clubbers spread diseases. Duffin, Christian // Nursing Standard;6/1/2005, Vol. 19 Issue 38, p12 

    Discusses a report presented at the 2005 International Council of Nurses congress in Taiwan, suggesting that sexually transmitted diseases are being spread across Europe by revelers who travel to nightclubs across the continent. Statistics on diseases that can be attributed to the practice;...

  • Treatment Readiness Among Out-of-Treatment African-American Crack Users. Zule, William A.; Lam, Wendy K.K.; Wechsberg, Wendee M. // Journal of Psychoactive Drugs;Oct-Dec2003, Vol. 35 Issue 4, p503 

    Crack cocaine use is linked to high rates of HIV and other sexually transmitted infections, as well as violence and criminal activity. Substance abuse treatment can play an important role in reducing drug use and related problems. However, many crack users do not want treatment, and those who do...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics