Citation

López-Rodríguez JA, Rigabert A, Gómez Llano MN, Rubio G. Aten. Primaria 2019; 51(4): 200-207.

Vernacular Title

Cribado de riesgos derivados del consumo de drogas utilizando la herramienta ASSIST (Alcohol, smoking and substances involvement screening test) en pacientes de atención primaria: estudio transversal.

Affiliation

Centro de Salud Las Calesas, Unidad de Apoyo a la Investigación, Gerencia de Atención Primaria, Madrid, España; Instituto de Investigación 12 de Octubre, Madrid, España; Facultad de Medicina, Departamento de Psiquiatría, Universidad Complutense de Madrid, Madrid, España; Red Temática de Investigación Cooperativa en Salud (RETICS-Trastornos Adictivos), Instituto de Salud Carlos III, Madrid, España.

Copyright

(Copyright © 2019, Sociedad Espanola de Medicina de Familia y Comunitaria, Publisher Elsevier España)

DOI

10.1016/j.aprim.2017.03.021

PMID

29551260

Abstract

OBJECTIVE: The aim of this study is to estimate risky-drug use patterns of consumption of primary care patients.

DESIGN: Multicentric descriptive cross-sectional study. SETTING: five primary health care centers of the South of Madrid. PARTICIPANTS: all patients between 16-100 year-old consulting with their family physician. MEASUREMENTS: Spanish-validated World Health Organization ASSIST test was use to screen risky drug use in primary care. Total points scored at the test were obtained.

RESULTS: A sum of 441 screening test were collected. Mean age was 51,3 years and 51.6% of patients presented a moderate-severe risky drug use out of the nine drugs tested. The more frequent drug use screened were tobacco (41.7%) followed by alcohol (15.4%), hypnotics (13.7%) and cannabis (5.7%). Differences were found between genders in the patterns: men had higher risky drug uses compared to women regarding alcohol and cannabis. Women had higher sedatives/hypnotics consumption prevalence. A 16% of patients presented with polyconsumption drug use patterns.

CONCLUSIONS: There is risk derived from drug misuse in primary care for tobacco, alcohol, hypnotics and cannabis as detected by the ASSIST test. There is a higher rate of hypnotics than expected.

Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

Language: es

Keywords

Alcohol, smoking and substances involvement screening test; Atención Primaria; Cribado; Primary Care; Screening; Substances-Related disorders; Trastornos relacionados con sustancias