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Drug Use, Drug Use Disorders, and Treatment Services in the Eastern Mediterranean Region: A Systematic Review Publisher Pubmed



Rostamabadi Y1 ; Gholami J1 ; Jobehdar MM1 ; Ardeshir M1 ; Aghaei AM1 ; Olamazadeh S1 ; Taj M2 ; Saeed K2 ; Mojtabai R3 ; Rahimimovaghar A1
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Authors Affiliations
  1. 1. Iranian National Center for Addiction Studies (INCAS) WHO Collaborating Center, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Mental Health and Substance Abuse Unit, Department of Non-Communicable Diseases and Mental Health, World Health Organization, Regional Office for the Eastern Mediterranean, Cairo, Egypt
  3. 3. Department of Mental Health, Bloomberg School of Public Health and Department of Psychiatry, Johns Hopkins University, Baltimore, MD, United States

Source: The Lancet Psychiatry Published:2023


Abstract

Drug use is an increasing global public health concern. We reviewed the prevalence and patterns of drug use, drug use disorders, and the extent of treatment services in 21 countries and one territory in the Eastern Mediterranean region from 2010 to 2022. Online databases were systematically searched on April 17, 2022, along with other sources for grey literature. The extracted data were analysed and used for synthesis at the country, subregional, and regional levels. The prevalence of drug use is higher in the Eastern Mediterranean region than global estimates, with cannabis, opium, khat, and tramadol among the main drugs used in the region. Data on the prevalence of drug use disorders were scarce and heterogeneous. Treatment facilities for drug use disorders are available in most countries, but opioid agonist treatment exists in only seven countries. There is a need to expand evidence-based and cost-effective care. Limited data exist, especially regarding drug use disorders, treatment coverage, and drug use among women and young people. © 2023 Elsevier Ltd
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