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Salud mental  2009 

Unmet needs for treatment of alcohol and drug use in four cities in Mexico

Keywords: alcohol, drug use, health services, border.

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introduction even though heavy alcohol consumption is frequent, alcohol-related consequences are common, and drug use has become more common in this country, we know very little about public health response and the types of treatments available for persons with substance use disorders in mexico. current national estimates show that about one in every five persons with alcohol and substance use disorders received treatment in the last 12 months, but to date the rates of treatment for local communities are unknown; these data are needed for policy planning at community level. this study presents data on the treatment for substance use and substance use disorders in three urban areas of northern mexico and one state capital in central mexico. the northern region is of particular interest in mexico because of its proximity to the united states and previous evidence that alcohol and drug use is about twice as common in this region compared with other regions. the city of queretaro provides a more appropriate comparison for the cities in northern mexico than a place as mexico city, or the national means, due to its level of development, population size, and basic epidemiologic data on drug use. material and methods the local surveys on addictions 2005 (encuestas locales de adicciones 2005) are part of the mexican national survey on addictions (ena) series, supported by the ministry of health (conadic- national council against the addictions), state and local governments, and the national institute of psychiatry (inp), and included the cities of tijuana (baja california), ciudad juarez (chihuahua), monterrey (nuevo leon) and queretaro (queretaro), as part of a continuous effort to monitor use of illicit substances in mexico. the 12-month prevalence of health and non-health care service use for treatment of substance use was estimated. correlates of service use, including interference with role impairment, were identified in logistic regression analyses that took into accou


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