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Codeine misuse and dependence in South Africa : learning from substance abuse treatment admissions

dc.contributor.authorDada, S.en_ZA
dc.contributor.authorBurnhams, N. Harkeren_ZA
dc.contributor.authorVan Hout, M. C.en_ZA
dc.contributor.authorParry, C. D. H.en_ZA
dc.date.accessioned2016-07-27T09:27:55Z
dc.date.available2016-07-27T09:27:55Z
dc.date.issued2015
dc.identifier.citationDada, S., et al. 2015. Codeine misuse and dependence in South Africa : learning from substance abuse treatment admissions. South African Medical Journal, 105(9):776-779, doi:10.7196/SAMJnew.8172
dc.identifier.issn2078-5135 (online)
dc.identifier.issn0256-9574 (print)
dc.identifier.otherdoi:10.7196/SAMJnew.8172
dc.identifier.urihttp://hdl.handle.net/10019.1/99251
dc.descriptionCITATION: Dada, S., et al. 2015. Codeine misuse and dependence in South Africa : learning from substance abuse treatment admissions. South African Medical Journal, 105(9):776-779, doi:10.7196/SAMJnew.8172.
dc.descriptionThe original publication is available at http://www.samj.org.za
dc.description.abstractBackground: Misuse of prescription and over-the-counter codeine-containing products is a global public health issue. Objectives: To investigate the extent of treatment demand related to the misuse of codeine or codeine dependence in South Africa (SA) and the profile of patients seeking treatment, so as to understand the nature and extent of the problem. Method: Data were collected from centres participating in the South African Community Epidemiology Network on Drug Use in 2014. A total of 17 260 admissions were recorded. Results: There were 435 recorded treatment admissions for codeine misuse or dependence as a primary or secondary substance of abuse (2.5% of all admissions). Of treatment admissions, 137 (0.8%) involved codeine as the primary substance of abuse; 74.9% of patients were males, with an even spread across population groups. Ages ranged from 11 to 70 years, with the highest proportion aged 20 - 29 years; >40% were referred by self, family and/or friends, and 26.7% by health professionals; and 36.8% had received treatment previously. The majority reported misuse of tablets/capsules, with 17.6% reporting misuse of syrups. Oral use comprised 96.6% and daily use 63.1%. Conclusions: Data from treatment admissions related to codeine misuse and dependence are informative, but provide an incomplete picture of the nature and extent of codeine-related problems in SA. Other data sources must be considered before further regulatory/policy changes regarding codeine are implemented.en_ZA
dc.description.urihttp://www.samj.org.za/index.php/samj/article/view/9967
dc.format.extent4 pages
dc.language.isoen_ZAen_ZA
dc.publisherHealth & Medical Publishing Group
dc.subjectCodeine -- Drug use -- South Africaen_ZA
dc.subjectDrug addiction -- Medical care -- South Africaen_ZA
dc.titleCodeine misuse and dependence in South Africa : learning from substance abuse treatment admissionsen_ZA
dc.typeArticleen_ZA
dc.description.versionPublisher's version
dc.rights.holderHealth & Medical Publishing Group


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