A hospital based study of socio-demographic profile, pattern of substance abuse and criminality in patients of Opioid Use Disorder.

Abstract

Context: Substance abuse and dependence has become a public health crisis not only in developed countries but also in developing countries. Its demand is increasing alarmingly in younger generation due to various socio-economical reasons. Substance abuse has also been found to be associated with violent behaviour and infections like Human Immunodeficiency Virus and Hepatitis B and Hepatitis C virus.

Objective: The aims of this study were to find out the socio-demographic profile, pattern of substance abuse and criminality in Opioid Use Disorder patients.

Subjects and Methods: 106 diagnosed patients of Opioid Use Disorder registered at the Opioid Substitution Therapy Centre, Department of Psychiatry, Swaroop Rani Nehru  Hospital, associated with Moti Lal Nehru Medical College, Prayagraj, were included. All patients were interviewed according to a semi‑structured questionnaire prepared for the purpose of collection of information regarding pattern of Opioid abuse.

Results: In the study population, out of 106 cases, majority of the cases were married, skilled worker, illiterate. Most common route of administration was combinational route (Intravenous and Inhalational). Cannabis was found to be the most common substance used prior to initiation of Opioid abuse. 20-29 years age group was found to be the most vulnerable age group for initiation of Opioid abuse and commission of crime.

Conclusions: Initiation of substance abuse is found during younger age. 3^rd decade of life is found to be the most vulnerable age group for initiation and commission of crime and so accordingly, people of this age group need better familial and social support.