Prevalence of Substance Abuse/Alcohol Consumption and their Predictors among Patients Admitted in Operating Rooms of a General Educational Hospital, Tehran, Iran
Substance/alcohol abuse is an important public health threat in most countries. Social stigmatization and legal restrictions prevent accurate and direct estimate of prevalence of substance/alcohol abuse in Iran. This study aimed to estimate of the prevalence of alcohol and substance use among Iranian patients who were admitted to operating rooms of a general hospital in Tehran and identified risk factors that may predict alcohol and substance use. This cross-sectional study was conducted among all consecutive patients who were admitted to 16 operating rooms in Vali-e-Asr General Educational Hospital (Tehran, Iran) during March 2014 to September 2015. Data were derived from a medical history form prior to operation by trained nurses who were working in the operating rooms. Among 1136 patients admitted to operating rooms, 105 (28.7%) men and 21 (2.7%) women were substance/alcohol users. The main substance of abuse was opium (57.3%) followed by alcohol consumption (25.6%) and water pipe smoking (14.8%). Cigarette smoking was reported by 110 (30.1%) men and 21 (2.7%) women. Sex, cigarette smoking and family history of alcohol and substance abuse predicted 42.3% of the variance in substance abuse/alcohol consumption. Substance use, especially opium, alcohol, water pipe tobacco and cigarette smoking were found to be significantly high particularly among male patients. Being a man, current cigarette smoking and having a first-degree family member who had abused substances should be considered when planning preventive or therapeutic programs.
Goreishizade M, Torabi K. A study of comorbidity of substance
abuse and psychiatric disorders in self-referred addicts
to Tabriz welfare centre. Medical Journal of Tabriz
University of Medical Sciences. 2002; 55:49–53.
Mokri A. Brief overview of the status of drug abuse in Iran.
Arch Iranian Med. 2002; 5(1):184–90.
Fox TP, Oliver G, Ellis SM. The destructive capacity of drug
abuse: an overview exploring the harmful potential of drug
abuse both to the individual and to society. ISRN Addiction.
Ahmadi J, Pridmore S, Alimi A, Cheraghi A, Arad A, Parsaeyan
H, Mohagheghzadeh MS, Kianpour M. Epidemiology
of opium use in the general population. The American
Journal of Drug and Alcohol Abuse. 2007; 33(1):483–91.
Rahimi MA, Sharifi V, Mohammadi MR, Farhodian A, Sahimi
E, Rad R, et al. Researches on substance use in Iran 3
decades evaluation. Hakim Res J. 2006; 8(4):37–44.
Okay T, Şengul C, Acıkgöz Ç, Ozan G, Dilbaz N. Prevalence
of alcohol dependence and abuse in a general hospital; sensitivity
and specificity of MAST. European Journal of General
Medicine. 2010; 7(1):10–5.
Kouros D, Tahereh H, Mohammadreza A, Minoo MZ. Opium
and heroin alter biochemical parameters of human’s
serum. The American Journal of Drug and Alcohol Abuse.
Kak V, Chandrasekar PH. Bone and joint infections in
injection drug users. Infectious Disease Clinics of North
America. 2002; 16(1):681–95.
Dabbagh A, Dahi-Taleghani M, Elyasi H, Vosoughian M,
Malek B, Rajaei S, Maftuh H. Duration of spinal anesthesia
with bupivacaine in chronic opium abusers undergoing
lower extremity orthopedic surgery. Arch Iran Med. 2007;
Schoener EP, Hopper JA, Pierre JD. Injection drug use in
North America. Infectious Disease Clinics of North America.
Warner M, Divertie M, Tinker J. Preoperative cessation of
smoking and pulmonary complications in coronary artery
bypass patients. Anesthesiology. 1984; 60(1):380–3.
Zevin S, Benowitz NL. Drug interactions with tobacco
smoking. Clinical Pharmacokinetics. 199; 36(1):425–38.
Spies C, Tønnesen H, Andreasson S, Helander A, Conigrave
K. Perioperative morbidity and mortality in chronic
alcoholic patients. Alcoholism: Clinical and Experimental
Research. 2001; 25(1):164S–70.
Tønnesen H. Alcohol abuse and postoperative morbidity.
Dan Med Bull. 2003; 50:139–60.
Sri E, Raguram R, Srivastava M. Alcohol problems in a
general hospital–a prevalence study. Journal of the Indian
Medical Association. 1997; 95(1):505–6.
Bostwick JM, Seaman JS. Hospitalized patients and alcohol:
who is being missed? General Hospital Psychiatry. 2004;
Kouimtsidis C, Reynolds M, Hunt M, Lind J, Beckett J,
Drummond C, Ghodse H. Substance use in the general
hospital. Addictive Behaviors. 2003; 28(2):483–99.
Ahmadi J, Benrazavi L. Substance use among Iranian nephrologic
patients. American Journal of Nephrology. 2002;
Ahmadi J, Benrazavi L. Substance use among Iranian cardiovascular
patients. European Journal of Medical Research.
Afshar A, Asadzadeh M, Kargar H, Aghdashi MM, Mirzatolooei
F. Opium and opioid abuse in orthopedic inpatients:
a cross sectional study in Urmia university of medical sciences.
Acta Medica Iranica. 2012; 50(1):66–9.
Tabei S, Heydari S, Mehrabani D, Shamsina S, Ahmadi J,
Firouzi SM. Current substance use in patients with gastric
cancer in Southern Iran. Journal of Cancer Research and
Therapeutics. 2006; 2(1):181–2.
Ardebili ME, Salehi M, Gharai B, Daneshamuz B, Nassr
M, Halebandi MF. A household study on the prevalence
of substance misuse in Tehran: the need for other methods
to estimate the prevalence. Iranian Journal of Psychiatry.
Smith-Simone S, Maziak W, Ward KD, Eissenberg T. Waterpipe
tobacco smoking: knowledge, attitudes, beliefs, and
behavior in two US samples. Nicotine & Tobacco Research.
Afzali S, Saleh A, Rabiei MAS, Taheri K. Frequency of alcohol
and substance abuse observed in drivers killed in traffic
accidents in Hamadan, Iran. Archives of Iranian Medicine.
Hovens JG, Cantwell DP, Kiriakos R. Psychiatric comorbidity
in hospitalized adolescent substance abusers. Journal of
the American Academy of Child & Adolescent Psychiatry.
; 33(1): 476–83.
Gordon A, Conley J, Gordon J. Physical diseases and addictive
disorders: associations and implications. Key Issues in
Mental Health. 2015; 179:114–28.
Finkelstein NB. Substance abuse treatment: addressing the
specific needs of women. Diane Publishing; 2011.
McCabe SE. Screening for drug abuse among medical and
nonmedical users of prescription drugs in a probability
sample of college students. Archives of Pediatrics & Adolescent
Medicine. 2008; 162(2):225–31.
Compton WM, Thomas YF, Stinson FS, Grant BF. Prevalence,
correlates, disability, and comorbidity of DSM-IV
drug abuse and dependence in the United States: results
from the national epidemiologic survey on alcohol and
related conditions. Archives of General Psychiatry. 2007;
Hasin DS, Stinson FS, Ogburn E, Grant BF. Prevalence,
correlates, disability, and comorbidity of DSM-IV alcohol
Vol 8(S1) | 2016 | www.informaticsjournals.com/index.php/ajprhc Asian Journal of Pharmaceutical Research and Health Care 71
S. Shohreh Alavi, Ramin Mehrdad and Jalil Makarem
abuse and dependence in the United States: results from the
national epidemiologic survey on alcohol and related conditions.
Archives of General Psychiatry. 2007; 64(1):830–42.
Anderson TL. Drug use and gender. Encyclopedia of criminology
and deviant behavior. 2001; 4(2):286–9.
Obot IS, Room R. Alcohol, gender and drinking problems:
perspectives from low and middle income countries. Geneva:
World Health Organization. 2005.
Degenhardt L, Hall W. The relationship between tobacco
use, substance-use disorders and mental health: results
from the National Survey of Mental Health and Well-being.
Nicotine & Tobacco Research. 2001; 3(2):225–34.
Kendler KS, Prescott CA, Neale MC, Pedersen NL. Temperance
board registration for alcohol abuse in a national
sample of Swedish male twins, born 1902 to 1949. Archives
of General Psychiatry. 1997; 54(1):178–84.
Kendler KS, Prescott CA. Cannabis use, abuse, and dependence
in a population-based sample of female twins. American
Journal of Psychiatry. 1998; 155(2):1016–22.
Kendler KS, Neale M, Sullivan P, Corey L, Gardner C,
Prescott C. A population-based twin study in women of
smoking initiation and nicotine dependence. Psychological
Medicine. 1999; 29(1):299–308.
Kendler KS, Prescott CA. Cocaine use, abuse and dependence
in a population-based sample of female twins. The
British Journal of Psychiatry. 1998; 173(4):345–50.
Bierut LJ, Dinwiddie SH, Begleiter H, Crowe RR, Hesselbrock
V, Nurnberger JI, Porjesz B, Schuckit MA, Reich T.
Familial transmission of substance dependence: alcohol,
marijuana, cocaine, and habitual smoking: a report from
the collaborative study on the genetics of alcoholism. Archives
of General Psychiatry. 1998; 55(2):982–8.
Haase T, Pratschke J. Risk and protection factors for substance
use among young people. 2010.
Dick DM, Agrawal A. The genetics of alcohol and other
drug dependence. Alcohol Research & Health. 2008;
Ashery RS, Robertson EB, Kumpfer KL. Drug abuse prevention
through family interventions. Diane Publishing;
Griswold KS, Aronoff H, Kernan JB, Kahn LS. Adolescent
substance use and abuse: recognition and management.
American Family Physician. 2008; 77(2):331–6.
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