物质使用障碍临床和社会形态的性别差异

Mahmoud M. El Habiby, Hanan H. El Rassas, M. Morsy, Nesreen Mohsen, F. Ezzat
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引用次数: 1

摘要

背景:药物滥用的历史和人类本身一样古老。目前,它已成为一个受社会、经济、政治和心理社会因素影响的全球性问题。科学家们早就注意到社会关系和健康之间的联系。因此,本研究的目的是讨论物质使用障碍的性别异同,突出物质使用障碍的严重程度,并关注男性和女性的合并症。患者和方法:本横断面描述性研究对在埃及精神病院寻求治疗的117名成瘾患者(39名女性和78名男性)进行了样本分析。患者来自3家政府医院的住院部和门诊部。结果:在滥用行为的平均开始年龄等各项参数上,男性的差异有统计学意义。已婚男性的比例低于女性;女性的离婚率更高。完成初等教育的妇女较多,完成高等教育的男子较多。身体和精神虐待在男性中更为普遍,但女性更容易遭受性虐待。男性有更多的法律问题。作为毒品资金来源的工作和毒品交易主要在男性中流行,但女性主要从家庭或通过卖淫获得资金。男性丙型肝炎病毒感染率较高。结论:在本研究涵盖的许多方面,男性和女性之间存在明显的差异,这证实了需要为女性专门制定不同的方案,而不是对男性和女性进行相同的治疗方案,这导致女性患者的结果不满意,参与成瘾治疗的人员也不满意。
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Gender Differences in Clinical and Sociodemographic Patterns of Substance Use Disorder
Background: The history of substance abuse is as old as mankind itself. Currently, it has become a global problem that is influenced by social, economic, political, and psychosocial factors. Scientists have long noted an association between social relationships and health. Therefore, the aim of the present study is to discuss similarities and differences between the genders in substance use disorders, highlight the severity of substance use disorders, and focus on comorbidities in both males and females. Patients and Methods: This cross-sectional descriptive study was carried out on a sample of 117 addicted patients (39 women and 78 men) seeking treatment in Egyptian psychiatric hospitals. The patients were recruited from the inpatient and outpatient departments of 3 governmental hospitals. Results: A statistically significant difference in various parameters such as the mean age of onset of abuse was higher among men. The percentage of married men was lower in comparison to women; there was a higher percentage of divorces among women. More women had completed primary levels of education, but more men had completed tertiary diplomas. Physical and emotional abuse was more prevalent among men, but women were exposed more to sexual abuse. Men had greater legal problems. Job and dealing drugs as a source of money for drugs were mainly prevalent among men, but women obtained money mainly from the family or through prostitution. Men showed higher rates of hepatitis C virus infection. Conclusions: There is a clear difference between men and women in many of the aspects covered in this study, which confirms that different programs need to be developed specifically for women, instead of conducting the same treatment programs for both men and women, which leads to unsatisfactory results among female patients and dissatisfaction also among those involved in the treatment of addiction.
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期刊介绍: Addictive Disorders & Their Treatment is a quarterly international journal devoted to practical clinical research and treatment issues related to the misuses of alcohol and licit and illicit drugs and the study and treatment of addictive disorders and their behaviors. The journal publishes broad-spectrum, patient-oriented coverage of all aspects of addiction, directed toward an audience of psychiatrists, clinical psychologists, psychopharmacologists, and primary care practitioners. Original articles help clinicians make more educated, effective decisions regarding optimal patient management and care. In-depth reviews examine current understanding, diagnosis, and treatment of addiction disorders.
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