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Article de Périodique
Responding to global stimulant use: challenges and opportunities [Drug use 3] (2019)
Auteur(s) :
FARRELL, M. ;
MARTIN, N. K. ;
STOCKINGS, E. ;
BORQUEZ, A. ;
CEPEDA, J. A. ;
DEGENHARDT, L. ;
ALI, R. ;
TRAN, L. T. ;
REHM, J. ;
TORRENS, M. ;
SHOPTAW, S. ;
McKETIN, R.
Année
2019
Page(s) :
1652-1667
Sous-type de document :
Revue de la littérature / Literature review
Langue(s) :
Anglais
Refs biblio. :
138
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
INTERNATIONAL
Thésaurus mots-clés
STIMULANTS
;
PREVALENCE
;
COCAINE
;
AMPHETAMINE
;
MORBIDITE
;
MORTALITE
;
PRISE EN CHARGE
;
SUICIDE
;
HEPATITE
;
VIH
;
TRAITEMENT
Résumé :
We did a global review to synthesise data on the prevalence, harms, and interventions for stimulant use, focusing specifically on the use of cocaine and amphetamines. Modelling estimated the effect of cocaine and amphetamine use on mortality, suicidality, and blood borne virus incidence. The estimated global prevalence of cocaine use was 0.4% and amphetamine use was 0.7%, with dependence affecting 16% of people who used cocaine and 11% of those who used amphetamine. Stimulant use was associated with elevated mortality, increased incidence of HIV and hepatitis C infection, poor mental health (suicidality, psychosis, depression, and violence), and increased risk of cardiovascular events. No effective pharmacotherapies are available that reduce stimulant use, and the available psychosocial interventions (except for contingency management) had a weak overall effect. Generic approaches can address mental health and blood borne virus infection risk if better tailored to mitigate the harms associated with stimulant use. Substantial and sustained investment is needed to develop more effective interventions to reduce stimulant use.
Affiliation :
National Drug and Alcohol Research Centre, University of New South Wales Sydney, Sydney, NSW, Australia
Cote :
R00215