Substance Use among Poisoned Teenage Patients

Background: Substance use is a growing problem in many countries especially among teenagers. We aimed to estimate the prevalence and complications of substance use in teenagers referring to a tertiary hospital following intoxication. Methods: In a cross-sectional study between 2012 and 2013 in Log...

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Main Authors: Nasim ZAMANI, Hossein HASSANIAN-MOGHADDAM, Alireza NOROOZI, Mohammad Bagher SABERI ZAFARGHANDI, Ali-Asghar KOLAHI
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2019-10-01
Series:Iranian Journal of Public Health
Subjects:
Online Access:https://ijph.tums.ac.ir/index.php/ijph/article/view/18543
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spelling doaj-80f67ff44e694b749f1c1c257f6ab1f52021-01-02T15:17:22ZengTehran University of Medical SciencesIranian Journal of Public Health2251-60852251-60932019-10-01481010.18502/ijph.v48i10.3492Substance Use among Poisoned Teenage PatientsNasim ZAMANI0Hossein HASSANIAN-MOGHADDAM1Alireza NOROOZI2Mohammad Bagher SABERI ZAFARGHANDI3Ali-Asghar KOLAHI4Social Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Department of Clinical Toxicology, Loghman-Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranSocial Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran AND Department of Clinical Toxicology, Loghman-Hakim Hospital, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, IranSchool of Advanced Technologies in Medicine, Tehran University of Medical Sciences, Tehran, Iran AND Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, IranDepartment of Addiction, School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, IranSocial Determinants of Health Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran Background: Substance use is a growing problem in many countries especially among teenagers. We aimed to estimate the prevalence and complications of substance use in teenagers referring to a tertiary hospital following intoxication. Methods: In a cross-sectional study between 2012 and 2013 in Loghman Hakim Hospital, Tehran, Iran, sixteen substances were checked in teenagers referring due to poisoning. They divided into two groups of young (13 to <16 yr; group 1) and old-teenagers (16 to 19 yr; group 2). History of lifetime substance use and drug use within the week prior to admission were recorded. Results: Mean (range) age of young teenagers was 14.5±0.6 [13, 15] and 17.7±1.1 [16, 19] in old-teenagers with female predominance. Of 264 teenagers, four in group 1 and 27 in group 2 were admitted due to drug overdose. Six and 69 patients in groups 1 and 2 claimed that they had used some kind of substance in the week prior to admission. Twenty (37%) and 106 (50.5%) patients in the young and old-teenager groups were defined as drug users and rates of unreported substance use were 27.8% (15 cases) and 23.8% (50 cases) respectively. Ninety-six substance users (36.4%) had referred due to poisonings other than recreational intoxication (P<.001). Screening toxicological lab data showed significant opioid and sedative exposure in old-teenagers. Conclusion: It seems young adolescents hide their drug abuse more than old teenagers. Using illicit drugs screening tests may help us to provide hidden rate of abuse in teenagers. https://ijph.tums.ac.ir/index.php/ijph/article/view/18543Drug abuseTeenagersAdolescentsAddictionOverdoseSubstance use
collection DOAJ
language English
format Article
sources DOAJ
author Nasim ZAMANI
Hossein HASSANIAN-MOGHADDAM
Alireza NOROOZI
Mohammad Bagher SABERI ZAFARGHANDI
Ali-Asghar KOLAHI
spellingShingle Nasim ZAMANI
Hossein HASSANIAN-MOGHADDAM
Alireza NOROOZI
Mohammad Bagher SABERI ZAFARGHANDI
Ali-Asghar KOLAHI
Substance Use among Poisoned Teenage Patients
Iranian Journal of Public Health
Drug abuse
Teenagers
Adolescents
Addiction
Overdose
Substance use
author_facet Nasim ZAMANI
Hossein HASSANIAN-MOGHADDAM
Alireza NOROOZI
Mohammad Bagher SABERI ZAFARGHANDI
Ali-Asghar KOLAHI
author_sort Nasim ZAMANI
title Substance Use among Poisoned Teenage Patients
title_short Substance Use among Poisoned Teenage Patients
title_full Substance Use among Poisoned Teenage Patients
title_fullStr Substance Use among Poisoned Teenage Patients
title_full_unstemmed Substance Use among Poisoned Teenage Patients
title_sort substance use among poisoned teenage patients
publisher Tehran University of Medical Sciences
series Iranian Journal of Public Health
issn 2251-6085
2251-6093
publishDate 2019-10-01
description Background: Substance use is a growing problem in many countries especially among teenagers. We aimed to estimate the prevalence and complications of substance use in teenagers referring to a tertiary hospital following intoxication. Methods: In a cross-sectional study between 2012 and 2013 in Loghman Hakim Hospital, Tehran, Iran, sixteen substances were checked in teenagers referring due to poisoning. They divided into two groups of young (13 to <16 yr; group 1) and old-teenagers (16 to 19 yr; group 2). History of lifetime substance use and drug use within the week prior to admission were recorded. Results: Mean (range) age of young teenagers was 14.5±0.6 [13, 15] and 17.7±1.1 [16, 19] in old-teenagers with female predominance. Of 264 teenagers, four in group 1 and 27 in group 2 were admitted due to drug overdose. Six and 69 patients in groups 1 and 2 claimed that they had used some kind of substance in the week prior to admission. Twenty (37%) and 106 (50.5%) patients in the young and old-teenager groups were defined as drug users and rates of unreported substance use were 27.8% (15 cases) and 23.8% (50 cases) respectively. Ninety-six substance users (36.4%) had referred due to poisonings other than recreational intoxication (P<.001). Screening toxicological lab data showed significant opioid and sedative exposure in old-teenagers. Conclusion: It seems young adolescents hide their drug abuse more than old teenagers. Using illicit drugs screening tests may help us to provide hidden rate of abuse in teenagers.
topic Drug abuse
Teenagers
Adolescents
Addiction
Overdose
Substance use
url https://ijph.tums.ac.ir/index.php/ijph/article/view/18543
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AT alirezanoroozi substanceuseamongpoisonedteenagepatients
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