Heroin treatment demand in South Africa: trends from two large metropolitan sites (January 1997–December 2003)

Parry, Charles D. H.; Plüddemann, Andreas; Myers, Bronwyn

doi:10.1080/09595230500290841

Cited by 22 publications

(16 citation statements)

References 10 publications

(11 reference statements)

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“…An increase in heroin use among South African youths has been reported elsewhere and appears to be  RESEARCH AND PRACTICE  related to an increase in supply as well as a drop in price. 10,11 The relatively lower rates of marijuana use we found among South African students were consistent with data from other developing countries, 4,12 and the higher rates among US students were consistent with data from other North American and western European countries. 5,12 In a 2002 World Health Organization study of marijuana use in 31 nations, the United States ranked third in use behind Canada and Switzerland 12 ; South Africa was not included in that study.…”

Section: Comparison Of Prevalencesupporting

confidence: 92%

“…However, in the design and administration of the surveys in both the United States and South Africa, various steps were taken to mitigate such bias, for example students were allowed to participate anonymously and voluntarily while not in the presence of teachers. 8,10 Nevertheless, because we were unable to empirically address this issue, we cannot dismiss differential bias as a potential confounder for the results observed.…”

Section: Limitationsmentioning

confidence: 81%

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Prevalence and Correlates of Substance Use Among High School Students in South Africa and the United States

et al. 2007

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Objectives. We compared prevalence rates and correlates of substance use among high school students in South Africa and the United States. Methods. We used weighted data from 2 nationally representative surveys of high school students. We conducted bivariate and multivariate analyses and examined between-country differences in rates and correlates of substance use were examined. Results. Rates of past-month alcohol and marijuana use were lower among South African students than among US students, but rates of illicit hard drug use were higher. Correlates of use in the 2 countries differed. For example, female gender was protective against tobacco, alcohol, and marijuana use in South Africa, whereas in the United States it was protective only against marijuana use. Black race/ethnicity was associated with lower rates of past-month cigarette and alcohol use in both countries, but the protective effect for alcohol use was stronger in South Africa. Conclusions. Crosscultural studies can elucidate common and culturally unique pathways to drug use. Our results can inform future research, policies, and behavioral interventions in South Africa.

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Section: Comparison Of Prevalencesupporting

confidence: 92%

Section: Limitationsmentioning

confidence: 81%

Prevalence and Correlates of Substance Use Among High School Students in South Africa and the United States

et al. 2007

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“…In an attempt to provide prevalence data on heroin use in South Africa, Parry et al 39 examined data from 41 specialist alcohol and drug treatment centers in 2004 and found a substantial increase in heroin use during the preceding 5 years, with most users being white, with an average age of 24 years. Their preferred method of use was by smoking rather than injection.…”

Section: South Africamentioning

confidence: 98%

The Epidemiology of Addiction in Sub-Saharan Africa: A Synthesis of Reports, Reviews, and Original Articles

Acuda

Othieno

Obondo

et al. 2011

The American Journal on Addictions

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Use of alcohol and other psychoactive substances is associated with serious social and public health problems, but the extent of the problem in Sub-Saharan Africa is not well known. We set out to review epidemiological publications on alcohol and other psychoactive substances in Sub-Saharan Africa by performing a systematic search of electronic databases and paper records. Ten Sub-Saharan African countries are among the 22 in the world with the highest increase in per capita alcohol consumption. Cannabis, tobacco, and khat are widely used, and use of cocaine, stimulants, and heroin is increasing. More epidemiological research and implementation and evaluation of interventions is needed. Collaboration between African researchers and those in developed countries could help.

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“…While IDU is low in comparison with other countries such as China, the USA and Russia (Mathers et al, 2008), there has been an increase over time in the use of drugs such as heroin (Parry, Plü ddemann, & Myers, 2005). In addition, the proportion of heroin users in substance abuse treatment facilities reporting some IDU has increased over time in several parts of the country (Plü ddemann, Parry, Bhana, Dada, & Fourie, 2009).…”

Section: Introductionmentioning

confidence: 97%

Limited access to HIV risk-reduction services in South African substance abuse treatment facilities

Myers

2010

Drugs: Education, Prevention and Policy

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Background: Although HIV risk-reduction service provision is an important indicator of substance abuse service quality, the extent to which these services are provided in South African substance abuse treatment facilities is unknown. Aims: To examine (i) the extent to which South African substance abuse treatment services provide HIV risk-reduction services to clients and (ii) whether the provision of these services varies by type of facility and by geographic region. Method: Cross-sectional surveys of substance abuse treatment services were conducted in Gauteng and KwaZulu-Natal provinces (2006-2007 and the Central and Northern region of the country (2007)(2008). Questions on the availability of testing for HIV and co-occurring infectious diseases, opioid substitution treatment (OST), and harmreduction interventions for injection drug users were included within the larger survey questionnaire. Response rates of 84% and 83% were obtained for each survey, respectively. Results: Less than half of the facilities surveyed provide HIV counselling and testing services to clients or test clients for co-occurring infectious diseases. Less than one-third conduct harm-reduction interventions among injection drug users and OST is largely unavailable. Facilities that offer residential/inpatient services and employ medically trained staff are more likely to offer clients HIV risk-reduction services than outpatient services or services without medically trained staff. Conclusions: Findings point to the limited availability of HIV risk-reduction services within South African substance abuse treatment facilities. Recommendations are made to enhance access to these services.

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Heroin treatment demand in South Africa: trends from two large metropolitan sites (January 1997–December 2003)

Cited by 22 publications

References 10 publications

Prevalence and Correlates of Substance Use Among High School Students in South Africa and the United States

Prevalence and Correlates of Substance Use Among High School Students in South Africa and the United States

The Epidemiology of Addiction in Sub-Saharan Africa: A Synthesis of Reports, Reviews, and Original Articles

Limited access to HIV risk-reduction services in South African substance abuse treatment facilities

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