Immediate drop-out rate in adolescent substance abusers: an out-patient chart review from North India
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Sidharth Arya
,
Rajiv Gupta
Abstract
Introduction:
Although a number of management strategies are available for adolescent substance abusers, the outcomes are limited due to high drop out. The factors related to drop out in adolescent substance users, especially in low and middle income countries (LAMIC) have been sparsely studied.
Objective:
To study the personal, family and clinical variables related to immediate drop out in adolescent substance abusers.
Materials and methods:
A retrospective outpatient chart review was carried out for adolescent substance abusers aged 12–19 years from January 2012 to December 2014.
Results:
Of the 89 patients, 57 (64%) dropped out immediately. The majority of adolescent substance users were >17 years (85%), having some education (90%), belonging to a joint family (76%), having good family support (66%). Drop out was higher in those with later onset and less duration of substance abuse (3.42 vs. 2.36, p=0.014), not currently employed/attending school (OR=2.65, 95% CI=1.04–6.70), not having a psychiatric comorbidity, using a single substance and abusing cannabis. Factors like school drop out, background, family type and support and the relationship to the accompanying person were not associated with immediate drop out.
Conclusion:
Later onset, lesser duration of substance use, not currently employed/attending school, absence of psychiatric illness and using cannabis were associated with drop out from outpatient treatment. These factors must be thoroughly addressed in substance abuse interventions.
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- Gastrointestinal dysfunction and autism: caution with misdiagnoses as many mysteries remain to be unraveled!
- Effect of integrated school-based nutrition education on optimal dietary practices and nutritional status of school adolescents in Southwest of Ethiopia: a quasi-experimental study
- Promoting the sexual and reproductive health of adolescent females in Ijebu-Ode, southwest, Nigeria: a study of sexual risk-taking
- Characterization of physical activity in undergraduate students in Israel
- Immediate drop-out rate in adolescent substance abusers: an out-patient chart review from North India
- Dysmenorrhea and self-care strategies in Iranian female students: a regression modeling of pain severity and underlying factors
- Hookah addiction among adolescents of five major cities in Central India
- Characteristics of sleep habits among adolescents living in the city of Ribeirão Preto (SP)
- Pathways between BMI and adherence to weight management in adolescence
- Barriers to disclosure of child maltreatment among school-going adolescent girls of a semi-urban area of Delhi, India
- Long-term positive and negative psychosocial outcomes in young childhood cancer survivors, type 1 diabetics and their healthy peers
- External criticism by parents and obsessive beliefs in adolescents in Iran: the mediating role of emotional self-regulation
- Prevalence and health care seeking behaviour for sexually transmitted infections among in-school adolescents in Ado-Ekiti, South-Western Nigeria
- The nurse-patient communication: voices from nursing students
- The Tarunya Project’s efforts to improve the quality of adolescent reproductive and sexual health services in Jharkhand state, India: a post-hoc evaluation
- Abdominal lymphadenopathy in an adolescent with Kawasaki disease: a major sign?
- Electric wire in the urinary bladder in an adolescent boy
- Optimizing enrollment in pediatric obese patients: reflections on recruitment characteristics
