The characteristics and patterns of utilization of healthcare services among Omanis with substance use disorders attending therapy for cessation

It is indicated that Oman is witnessing an increase in issues pertinent to alcohol and psychoactive substance use. The aim of this study was to identify the characteristics of Omanis with substance use disorder attending a specialized hospital in Oman and the pattern of their utilization of healthca...

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Bibliographic Details
Published in:	PloS one Vol. 14; no. 1; p. e0210532
Main Authors:	Al Wahaibi, Nabila, Al Lawati, Anwaar, Al Ruqeishy, Falaah, Al Khatri, Abdulla, Al-Farsi, Yahya, Juma, Tahira M A, Al Hinai, Fatma, Al-Sibani, Nasser, Mahadevan, Sangeetha, Al-Adawi, Samir
Format:	Journal Article
Language:	English
Published:	United States Public Library of Science 31-01-2019 Public Library of Science (PLoS)
Subjects:	Acculturation Addictions Addictive behaviors Adult Age Age groups Alcohol Alcohol use Alcoholic beverages Alcoholism - diagnosis Alcoholism - epidemiology Alcoholism - prevention & control Analysis Antianxiety agents Behavior Benzodiazepines Biology and Life Sciences Bipolar disorder Blood diseases Cannabis Care and treatment Comorbidity Consultation Cross-Sectional Studies Demographics Disorders Female Health aspects Health care Health care industry Health psychology Health sciences Health services Health Services - statistics & numerical data Hepatitis Hepatitis C History Hospitalization Hospitals, Psychiatric Humans Intravenous administration Male Males Marijuana Marijuana Abuse - diagnosis Marijuana Abuse - epidemiology Marijuana Abuse - prevention & control Medical care utilization Medical research Medicine Medicine and Health Sciences Mental depression Mental disorders Middle Aged Oman - epidemiology Omanis Patient Acceptance of Health Care - statistics & numerical data Patients People and Places Population Psychiatry Public health Regression analysis Risk analysis Risk Factors Risk perception Social Sciences Sociodemographics Socioeconomic Factors Studies Substance abuse Substance use Substance use disorder Substance-related disorders Substance-Related Disorders - diagnosis Substance-Related Disorders - epidemiology Substance-Related Disorders - prevention & control Suicides & suicide attempts Systematic review Target marketing Tertiary Care Centers Therapy Utilization Oman Saudi Arabia
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Summary:	It is indicated that Oman is witnessing an increase in issues pertinent to alcohol and psychoactive substance use. The aim of this study was to identify the characteristics of Omanis with substance use disorder attending a specialized hospital in Oman and the pattern of their utilization of healthcare services. A related aim was to ascertain the age group most vulnerable to alcohol and substance use in Oman. A cross-sectional study was conducted in a tertiary care center specialized for treatment of those engaging in substance use in Oman. The participants in the study were selected from a convenience sample among patients seeking consultation at the center for alcohol and substance use. A six-part questionnaire was designed to obtain information regarding socio-demographic background, clinical history, healthcare utilization and perceived hurdles to access. Chi-square analyses were used to evaluate the significance of differences among categorical data. Logistic regression modelling was used to obtain measures of association after adjusting for confounding factors. Among the patients (n = 293) seeking cessation therapy, 99% were male and less than 30 years of age. Peer influences on the initiation of substance use were significant. Most patients had a history of polysubstance use, including intravenous substance use. Cannabis and alcohol were the first substances consumed by most patients and Hepatitis C and psychiatric disorders were found to be the most common co-morbidities. The participants that reported use of cannabis and benzodiazepines were more likely to perceive "improvement" upon receiving treatment. This study indicated that males below 30 years of age with a history of polysubstance use were likely to attend a hospital specialized in treating substance use disorder in Oman. This study identified information regarding socio-demographic background, risk factors and perceived hurdles to healthcare that could serve as groundwork for further studies conducted on newly emerging issues of substance use in Oman.
Bibliography:	Competing Interests: The authors have declared that no competing interests exist.
ISSN:	1932-6203 1932-6203
DOI:	10.1371/journal.pone.0210532