Trends and Gender Differences in Substance Use Among Children and Adolescents Admitted to an Addiction Treatment Center in Turkey: Years 2011-2013

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dc.contributor.authorTanıdır, Canan
dc.contributor.authorÇiftçi, Arzu Demirci
dc.contributor.authorDoksat, Neslim Güvendeğer
dc.contributor.authorGüneş, Hatice
dc.contributor.authorToz, Hamiyet İpek
dc.contributor.authorErdoğan, Ayten
dc.date.accessioned2020-04-30T23:46:49Z
dc.date.available2020-04-30T23:46:49Z
dc.date.issued2015
dc.departmentDÜ, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümüen_US
dc.descriptionWOS: 000359611700003en_US
dc.description.abstractObjective: In this study we aimed to examine the trends and gender differences in substance use behaviors and treatment seeking patterns of children and adolescents who were admitted to an addiction treatment center in Turkey. Method: Participants were 2718 children and adolescents who had been consecutively admitted to the 'Children and Adolescent Alcohol and Drug Dependency Treatment Center' in Istanbul between January 2011 and December 2013. A detailed drug use questionnaire was completed by all participants, and substance use characteristics were analyzed in terms of gender and substance types. The data regarding age of first use, age at referral, referral pattern, and type of the substances used were compared between three years (2011, 2012, and 2013) and between genders. Results: There was a statistically significant increase in the number of females (p<0.001) and in the total number of children and adolescents (p<0.001) seeking treatment for substance use through these years. The mean age of first use was 13.8 years (SD: 2.1) and the mean age at referral for treatment was 16.1 years (SD: 1.5) in the whole group. The mean age at referral for treatment was significantly lower in the female group (p<0.001). There was a statistically significant increase in the proportion of subjects admitted to the addiction treatment center alone or with their family (p<0.001) and in the number of subjects brought in by social services (p<0.001), while there was a statistically significant decrease in the number of non-voluntary referrals from forensic services through the years (p<0.001). There was a statistically significant increase in the rate of ecstasy, heroin, synthetic cannabinoid use and polysubstance use and a statistically significant decrease in the age of first use (p<0.0001) and inhalant/solvent use through the years. Use of solvents/ inhalants was more common among men (p<0.001), whereas ecstasy and cocaine use was more common among women (for each, p<0.001). Polysubstance use was present in 60.2% of the subjects, and there was a statistically significant increase in the mean number of substance types used in the last two years (p<0.001). Conclusion: As different and new illicit drugs rise and fall in popularity, it is important to re-examine the patterns of substance use and to re-organize the prevention policies and treatment strategies. Considering the decrease in the age of first use and the increase in the number of youth using multiple drugs and/or hard drugs, new and more effective preventive strategies should be developed targeting children and adolescents in Turkey.en_US
dc.identifier.doi10.5455/bcp.20150210030606en_US
dc.identifier.endpage117en_US
dc.identifier.issn1017-7833
dc.identifier.issue2en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage109en_US
dc.identifier.urihttps://doi.org/10.5455/bcp.20150210030606
dc.identifier.urihttps://hdl.handle.net/20.500.12684/5270
dc.identifier.volume25en_US
dc.identifier.wosWOS:000359611700003en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherKure Iletisim Grubu A Sen_US
dc.relation.ispartofKlinik Psikofarmakoloji Bulteni-Bulletin Of Clinical Psychopharmacologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectchildrenen_US
dc.subjectadolescenten_US
dc.subjectdrugen_US
dc.subjectaddictionen_US
dc.subjectgenderen_US
dc.subjecttrenden_US
dc.titleTrends and Gender Differences in Substance Use Among Children and Adolescents Admitted to an Addiction Treatment Center in Turkey: Years 2011-2013en_US
dc.typeArticleen_US

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