@article{ref1,
title="Health profiles of clients in substance abuse treatment: a comparison of clients dependent on alcohol or cocaine with those concurrently dependent",
journal="Substance use and misuse",
year="2014",
author="Macdonald, Scott and Pakula, Basia and Martin, Gina and Wells, Samantha and Borges, Guilherme L. G. and Roth, Eric and Salmon, Amy and Stockwell, Tim and Callaghan, Russell C.",
volume="49",
number="14",
pages="1899-1907",
abstract="The purpose of this study was to assess whether, among clients receiving substance abuse treatment (n = 616), those dependent on alcohol or cocaine differed significantly from those concurrently dependent on both drugs in terms of physical, mental, social, and economic harms as well as substance use behaviors. <br><br>METHODS: Clients from five substance abuse treatment agencies presenting with a primary problem of cocaine or alcohol were classified into three groups as dependent on: (1) alcohol alone, (2) cocaine alone, or (3) both cocaine and alcohol (i.e. concurrent dependence). Participants completed a self-administered questionnaire that included details of their drug and alcohol use, physical health, mental health, social health, economic health, and demographic characteristics. <br><br>RESULTS: The concurrent group drank similar amounts of alcohol as those in the alcohol group and used similar amounts of cocaine as the cocaine group. The alcohol group had significantly (p <.05) poorer health profiles than the concurrent group across most variables of the four health domains. An exception was significantly more accidental injuries (p <.05) in the alcohol group. In both bivariate and multivariate analyses, the concurrent group had significantly (p <.05) more accidental injuries, violence, and overdoses than the cocaine group. As well, the concurrent group had significantly (p <.05) higher scores on the anxiety and sexual compulsion scales than the cocaine group, controlling for demographic variables. <br><br>CONCLUSION: These findings can aid health care professionals to better respond to issues related to concurrent dependence of cocaine and alcohol.<p /> <p>Language: en</p>",
language="en",
issn="1082-6084",
doi="10.3109/10826084.2014.935791",
url="http://dx.doi.org/10.3109/10826084.2014.935791"
}