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Related Experiment Videos

Cocaine users seen in medical practice.

S P Weinstein, E Gottheil, R H Smith

    The American Journal of Drug and Alcohol Abuse
    |January 1, 1986
    PubMed
    Summary
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    Physician awareness of cocaine abuse is rising, with more patients seen than last year. Most cocaine users are young males needing treatment, contrary to popular belief.

    Area of Science:

    • Public Health
    • Addiction Medicine
    • Medical Practice

    Background:

    • Cocaine abuse has increased significantly, yet physician-patient interactions regarding this issue remain understudied.
    • Understanding the profile of cocaine users presenting to physicians is crucial for public health initiatives.

    Purpose of the Study:

    • To investigate the prevalence of cocaine use among patients seen by physicians.
    • To characterize the demographic and drug use patterns of cocaine-using patients.
    • To explore physicians' approaches to managing cocaine abuse and identify treatment needs.

    Main Methods:

    • A questionnaire was distributed to 2,422 physicians across general practice, internal medicine, emergency medicine, and psychiatry.
    • Physicians reported on the number of cocaine patients seen and their characteristics.

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  • Physicians' comments on patient management and treatment approaches were collected.

    • Main Results:

    • Physicians reported a notable increase in cocaine patients compared to the previous year.
    • Psychiatrists saw the majority of cocaine patients, who were predominantly young males, polydrug users, and not high-income earners.
    • Few patients expressed a desire for treatment, and physician involvement ranged from minimal to direct intervention.

    Conclusions:

    • Physician recognition of cocaine abuse as a presenting problem is growing, highlighting an unmet treatment need.
    • The study underscores the importance of addressing cocaine abuse within primary and specialty care settings.
    • Further research is needed to optimize physician management strategies and patient engagement in treatment for cocaine use disorder.