2016-2022 yılları arasında düzce üniversitesi adliTıp Anabilim Dalı'na uyuşturucu kullanımı iddiasıile başvuran olguların analizi
Küçük Resim Yok
Tarih
2024
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Uyuşturucu ve Uyarıcı Madde Kullanımı İddiasıyla Adli Makamlar tarafından Düzce Üniversitesi Tıp Fakültesi Adli Tıp Anabilim Dalı'na gönderilen olguların retrospektif olarak taranması ile yıllar içerisinde maddelerin dağılımı ve olguların demografik özelliklerinin saptanması, konu ile ilgili önerilerde bulunulması, uyuşturucu ile mücadele açısından bölgemizde mevcut durumun saptanması amaçlanmaktadır. Bulgular: Çalışma Kapsamı: 2016-2022 yılları arasında madde kullanma şüphesi ile Adli Tıp Anabilim Dalı'na gönderilen ve belirlenen kriterleri sağlayan 3804 olgu çalışmaya dahil edilmiştir. Yıllara Göre Dağılım: En fazla olgu 2022 yılında (% 21), en az olgu ise 2019 yılında (% 9) gönderilmiştir. Laboratuvar Sonuçları: Laboratuvar sonuçlarına göre olguların % 56,5'inde çoklu madde, % 28,4'ünde tek madde kullanımı, % 15,1'inde ise madde kullanımı olmadığı saptanmıştır. Kullanılan Maddeler: En fazla kullanılan madde türlerinin sırasıyla metamfetamin (% 48,8), esrar (% 44,5) ve ekstazi (% 31,9) olduğu belirlenmiştir. Metamfetamin kullanımının yıllar içinde arttığı, ekstazi kullanımının ise azaldığı gözlemlenmiştir. Esrar kullanımı; erkeklerde kadınlara göre, 19-29 ve 30-65 yaş grubundakilerde 19 yaş altındakilere göre anlamlı düzeyde yüksek bulunmuştur (P<0,05). Sonuç: Yapılan önleyici çalışmalara rağmen ülkemizin halen uyutucu ve uyuşturucu madde açsından hedef ülke konumunda olduğu görülmektedir. Başka maddeye geçiş ve çoklu madde kullanımında esrarın başlangıç maddesi olarak önemli rol oynaması nedeniyle yasaklı maddeler arasında yer alması gerektiği. Amfetamin ve türevlerinde artışın her iki cinsiyette de önemli düzeylere ulaşmasının etkin güvenlik önlemleri, eğitim ve aile yapısının güçlendirilmesi ile daha etkin topyekün mücadeleyi gerektirdiği sonucuna varılmıştır.
Purpose: The aim of this study is to retrospectively examine the cases referred to the Forensic Medicine Department of Düzce University Faculty of Medicine by judicial authorities on suspicion of drug and stimulant use between 2016 and 2022. This examination aims to determine the distribution of substances over the years and the demographic characteristics of the cases, to make recommendations on the subject, and to determine the current situation in our region in terms of combating drugs. Findings: Scope of the Study: The study included 3804 cases referred to the Forensic Medicine Department on suspicion of drug use between 2016 and 2022, which met the determined criteria. Distribution by Years: The highest number of cases was sent in 2022 (21% ), and the lowest in 2019 (9% ). Laboratory Results: According to laboratory results, 56.5% of the cases involved multiple substance use, 28.4% involved single substance use, and 15.1% did not involve substance use. Types of Substances Used: The most commonly used substances were identified as methamphetamine (48.8% ), cannabis (44.5% ), and ecstasy (31.9% ). It was observed that methamphetamine use increased over the years, while ecstasy use decreased. Cannabis use was significantly higher in males compared to females, and in the 19-29 and 30-65 age groups compared to those under 19 years old (P<0.05). Demographic Characteristics: The rate of substance use was higher among those with primary education or less, those living with their families, and those employed. It was found that being male, being in the 19-29 age group, living in the city center, and being single increased the risk of substance use. Initial Substance Use: The cases most frequently reported cannabis as the first drug they used, with the average age of initial substance use being 21.31±7.50 years. Conclusion: Despite preventive efforts, it is seen that our country is still a target country in terms of drug and stimulant use. Cannabis plays an important role as a gateway drug for transitioning to other substances and multiple substance use, thus it should be classified among prohibited substances. The significant increase in the use of amphetamines and their derivatives in both genders necessitates a more effective comprehensive struggle through effective security measures, education, and strengthening family structures.
Purpose: The aim of this study is to retrospectively examine the cases referred to the Forensic Medicine Department of Düzce University Faculty of Medicine by judicial authorities on suspicion of drug and stimulant use between 2016 and 2022. This examination aims to determine the distribution of substances over the years and the demographic characteristics of the cases, to make recommendations on the subject, and to determine the current situation in our region in terms of combating drugs. Findings: Scope of the Study: The study included 3804 cases referred to the Forensic Medicine Department on suspicion of drug use between 2016 and 2022, which met the determined criteria. Distribution by Years: The highest number of cases was sent in 2022 (21% ), and the lowest in 2019 (9% ). Laboratory Results: According to laboratory results, 56.5% of the cases involved multiple substance use, 28.4% involved single substance use, and 15.1% did not involve substance use. Types of Substances Used: The most commonly used substances were identified as methamphetamine (48.8% ), cannabis (44.5% ), and ecstasy (31.9% ). It was observed that methamphetamine use increased over the years, while ecstasy use decreased. Cannabis use was significantly higher in males compared to females, and in the 19-29 and 30-65 age groups compared to those under 19 years old (P<0.05). Demographic Characteristics: The rate of substance use was higher among those with primary education or less, those living with their families, and those employed. It was found that being male, being in the 19-29 age group, living in the city center, and being single increased the risk of substance use. Initial Substance Use: The cases most frequently reported cannabis as the first drug they used, with the average age of initial substance use being 21.31±7.50 years. Conclusion: Despite preventive efforts, it is seen that our country is still a target country in terms of drug and stimulant use. Cannabis plays an important role as a gateway drug for transitioning to other substances and multiple substance use, thus it should be classified among prohibited substances. The significant increase in the use of amphetamines and their derivatives in both genders necessitates a more effective comprehensive struggle through effective security measures, education, and strengthening family structures.
Açıklama
Anahtar Kelimeler
Adli Tıp, Forensic Medicine, Uyutucu ve Uyuşturucu madde kullanımı, TCK 191, CMK, Adli Tıp, Drug and stimulant use, TCK 191, CMK, Forensic Medicine
