Kokainmissbrauch in Wien und in europäischen Metropolen – eine multizentrische Studie

Abstract

The European trend of increased cocaine use could also be observed in Vienna. One of the greatest barriers for establishing adequate treatment settings for this target group is the difficulty to reach this population. In addition, multiple substance abuse seems to be one of the predominating patterns of cocaine consumption and this aspect should be integrated within treatment (in the treatment and scene groups additional heroin and benzodiapzepines abuse is observed, in the party group intensive alcohol consumption). The Viennese results are in line with those of the other European cities; however, it could not be confirmed that consumption of crack cocaine and binge play a similarly significant role as in cities such as Hamburg or London.

Eosinophile Pneumonie in Verbindung mit Heroininhalation

“…According to the Office of Applied Studies, Substance Abuse and Mental Health Services Administration (SAMHSA) in the USA [1], heroin is among the three most frequently reported drugs that result in emergency department visits, and there are similar results from studies conducted in Europe [10]. Reports in the 1990s indicated that inhalation as a means of substance abuse had increased among primary heroin admissions.…”

Influence of Site Differences between Urban and Rural American and Central European Opioid-Dependent Pregnant Women and Neonatal Outcome Characteristics

“…A variety of research findings support the easier availability of illicit substances in urban areas, particularly the availability of cocaine is known to be increased [20,21,22]. These differences in cocaine availability have also been shown for European city comparisons, and were confirmed in a multi-site investigation of cocaine consumption patterns in capital cities of the EU, with a significantly lower prevalence for Vienna, which was not comparable to larger US cities [23]. …”

Kokainkonsum: Die therapeutische Herausforderung durch diversifizierte Konsummuster

“…Das Crackrauchen ist aber nicht in allen europäischen Ländern verbreitet; wie die Arbeit von Bäwert et al in dieser Ausgabe der Wiener klinischen Wochenschrift zeigt, gibt es z.B. in Wien nur wenige Crackraucher [8]. Ein wichtiges Konsummuster bei denjenigen Kokainkonsumenten, die opiatabhängig sind und weiterhin Heroin intravenös konsumieren, ist die kombinierte Einnahme von Heroin und Kokain in einer Spritze, welches auch "speedball" genannt wird, verbreitet [9].…”

“…Kokain wird nur selten als alleinige Substanz konsumiert -fast alle konsumieren zusätzlich eine andere psychoaktive Substanz [7,8] [12,13]. Bei Opiatabhängigen in einer Substitutionsbehandlung wird angenommen, dass Kokain eingesetzt wird, um die sedierende Wirkung des Methadons zu entgegnen.…”