Cent Eur J Public Health 2021, 29(1):62-67 | DOI: 10.21101/cejph.a5419
Negative trends in outpatient care of addicted patients in Hungary
- Theoretical Biology Research Group, Budapest, Hungary
Objectives: This article investigates how the numbers of registered addict patients have changed in the last three decades in Hungary and whether the predicted HIV epidemic among intravenous drug users has occurred.
Methods: Data were collected from the Annual Reports of the National Bureau of Statistics and National Epidemiological Centre as well as from the medical records of the author.
Results: The total number of registered alcoholics decreased by about 75% during the investigated period. This decrease was more pronounced among males than females. After initial increase, the number of registered drug addicts showed stagnation with an about 50% drop-out rate. Fortunately, the anticipated HIV epidemic did not manifest. The negative effect of a poor political action upon the number of client visits could, however, be documented.
Conclusion: In conclusion, negative trends are seen in the Hungarian addiction care. Numerous variables may be taken into consideration as affecting factors, but it is not yet clear to what extent these negative factors are responsible for trends. These data, however, warrant further investigations.
Klíčová slova: alcoholic, drug addict, Jellinek formula, HIV infection, outpatient clinic
Vloženo: 17. květen 2018; Revidováno: 7. prosinec 2020; Přijato: 7. prosinec 2020; Zveřejněno: 31. březen 2021 Zobrazit citaci
Reference
- Poznyak V, Rekve D, editors. Global status report on alcohol and health. Geneva: WHO; 2014.
- United Nations. World drug report 2015. Vienna: United Nations Office on Drugs and Crime; 2015.
- Kalapos MP. Introduction to addictology. Budapest: Medicina; 2016. (In Hungarian.)
- Kalapos MP. Introduction to alcohology. Budapest: Medicina; 2007. (In Hungarian.)
- Mundt AP, Frančišković T, Gurovich I, Heinz A, Ignatyev Y, Ismayilov F, et al. Changes in the provision of institutionalized mental health care in post-communist countries. PLoS One. 2012;7(6):e38490. doi: 10.1371/journal.pone.0038490.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Vlahov D, Robertson AM, Strathdee SA. Prevention of HIV infection among injection drug users in resource-limited settings. Clin Infect Dis. 2010 May 15;50 Suppl 3(Suppl 3):S114-21.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Paraskevis D, Nikolopoulos G, Fotiou A, Tsiara C, Paraskeva D, Sypsa V, et al. Economic recession and emergence of an HIV-1 outbreak among drug injectors in Athens metropolitan area: a longitudinal study. PLoS One. 2013 Nov 12;8(11):e78941. doi: 10.1371/journal.pone.0078941.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Nikolopoulos GK, Sypsa V, Bonovas S, Paraskevis D, Malliori-Minerva M, Hatzakis A, et al. Big events in Greece and HIV infection among people who inject drugs. Subst Use Misuse. 2015;50(7):825-38.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Rácz J, Gyarmathy VA, Csák R. New cases of HIV among people who inject drugs in Hungary: false alarm or early warning? Int J Drug Policy. 2016 Jan;27:13-6.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Gyarmathy VA, Csák R, Bálint K, Bene E, Varga AE, Varga M, et al. A needle in the haystack - the dire straits of needle exchange in Hungary. BMC Public Health. 2016 Feb 16;16:157. doi: 10.1186/s12889-016-2842-2.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Kalapos MP. Addiction therapy. Limits, problems, perspectives. Psychiatr Hung. 2014;29(3):308-27. (In Hungarian.)
Přejít na PubMed...
- Molnár G. The homeless health care services, with special respect to their psychological state. In: Glatz F, editor. Living situation, quality of life, dead-ends and ways out. Budapest: Hungarian Academy of Sciences; 2002. p.137-61 (In Hungarian.)
- Fazel S, Khosla V, Doll H, Geddes J. The prevalence of mental disorders among the homeless in western countries: systematic review and meta-regression analysis. PLoS Med. 2008 Dec 2;5(12):e225. doi: 10.1371/journal.pmed.0050225.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Cartwright WS. Cost-benefit analysis of drug treatment services: review of the literature. J Ment Health Policy Econ. 2000 Mar 1;3(1):11-26.
Přejít k původnímu zdroji...
- Gulácsi L. The concept and measurement of quality in health care. In: Gulácsi L, editor. Quality improvement in health care. Budapest: Medicina; 2000. p. 113-42. (In Hungarian.)
- Taylor PJ, Gunn J. Homicides by people with mental illness: myth and reality. Br J Psychiatry. 1999 Jan;174(1):9-14.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Gunn J. Future directions for treatment in forensic psychiatry. Br J Psychiatry. 2000 Apr;176(4):332-8.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Salvador-Carulla L. Bridging experience and evidence in mental health care reform. World Psychiatry. 2008;7(2):99-100.
Přejít k původnímu zdroji...
Přejít na PubMed...
- Kalapos MP. Penrose's law: methodological challenges and call for data. Int J Law Psychiatry. 2016 Sep-Dec;49(Pt A):1-9.
Přejít k původnímu zdroji...
Přejít na PubMed...