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Extramedicínské (zne)užívání buprenorfinu v Gruzii a efektivní léčebná intervence / Non-medical use of buprenorphine in Georgia: prevalence, socio-demographic and environmental correlates, treatment and policy options

Extramedicínské (zne)užívání buprenorfinu v Gruzii a efektivní léčebná intervence MUDr. David Otiashvili Abstrakt Background Since early 2000s, the nonmedical abuse of buprenorphine (Subutex®) tablets, presumably smuggled from EU countries, has represented major phenomena of the problem drug scene in the Republic of Georgia. In a country with relatively high level of injecting drug use (estimated 40,000 persons, i.e. 1.5 % of population aged 15-64, of whom over 50% inject buprenorphine), this represent a major public health problem that needs detailed description and comprehensive set of interventions. Aim (i) To describe the extent of nonmedical buprenorphine ab/use in the Republic of Georgia, the characteristics of the nonmedical ab/users and their motivations for seeking and using the black market buprenorphine. Subsequently, (ii) to plan and pilot-test a treatment intervention that would be more specific and effective than the simple detoxification and/or harm reduction modalities available in Georgian on a routine basis. Setting Four regional centres of Georgia were included into the descriptive part of the study: the cities of Tbilisi, Gori, Zugdidi, and Batumi. The intervention (sub)study was conducted in one Tbilisi addiction treatment clinic. Participants and methods For the descriptive part of the...

Identiferoai:union.ndltd.org:nusl.cz/oai:invenio.nusl.cz:439559
Date January 2014
CreatorsOtiashvili, David
ContributorsMiovský, Michal, Kalina, Kamil, Vorel, František
Source SetsCzech ETDs
LanguageEnglish
Detected LanguageEnglish
Typeinfo:eu-repo/semantics/doctoralThesis
Rightsinfo:eu-repo/semantics/restrictedAccess

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