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Main arrow Archive of previous Issues arrow ╣2 2014 (36) arrow Trends in mental and behavioral disorders associated with opioid drug abuse in the Russian Federation
Trends in mental and behavioral disorders associated with opioid drug abuse in the Russian Federation Print
Tuesday, 27 May 2014

I.P. Pochitaeva, A.P. Golubeva
I.M. Sechenov First Moscow State Medical University, Moscow

Abstract. The study of epidemiological peculiarities and trends in morbidity due to drug abuse disorders in one region of the Central Federal District of the Russian Federation is conditioned by social, political and economic importance of this issue and a challenging complexity of measures aimed at reducing drug use.

Official statistics on nine indicators for 14 years (1999-2012) were collected and generalized to evaluate dynamics and estimate indicators of incidence and prevalence of psychiatric and behavioural disorders due to drug abuse and mortality among drug users in the Kostroma region.

Opioid dependence constitutes the highest chare in the structure of drug abuse disordersľ 88.3% (about 90 ľ desomorphine users). The second highest share is represented by multiple drug dependence ľ 8.3%; the rest included users of stimulant drugs, cannabis derivates and other drugs.

Growing trends were determined for:

  1. Incidence and prevalence of disorders due to harmful drug use (without abuse) with the average annual growth rate by 10.51% and 13.29% correspondingly;
  2. Prevalence of substance dependence in general population (by 9.91%) and outpatient mortality (by 10.62%). In 2011-2012, a trend towards reduction of those rates was registered and could be due to bans on free sale of codein-containing medications in drugstores and strengthen control measures.

Levels of substance dependence incidence among adolescents in 1999-2012 vary essentially. The highest increase of substance dependence rates in the general population and in adolescents was registered in 2000-2001, which was caused by a single-shot smuggle of large amounts of heroin.

The maximal rates of substance dependence morbidity were registered in the city of Kostroma and its nearest districts.

The death causes among injecting desomorphine users included HIV-infection, hepatitis B and C and cardiovascular diseases.

The determined trends and territorial peculiarities of all indicators under study in the region could serve the basis for monitoring the situation with drug abuse.

Keywords: disease incidence; disease prevalence; outpatient mortality; substance dependence; Kostroma region; risk factors; desomorphine.


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