Affiliation:
1. Kirov Regional Narcological Dispensary
2. V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology; Academician I.P. Pavlov First St. Petersburg State Medical University
3. V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology; City Narcological Hospital
4. V.M. Bekhterev National Research Medical Center for Psychiatry and Neurology
5. V.M. Bekhterev National Research Medical Center for
Psychiatry and Neurology
Abstract
To analyze the primary incidence of mental disorders and behavioral disorders associated with the use of psychoactive substances in subjects with cities with a population of over a million and in subjects where there are no such cities, using the example of the Volga and North-Western federal districts. Material and methods. The study compared the detection rates for these disorders obtained from the forms of federal statistical observation №11 «Information on diseases with narcological disorders» for 2020 in all subjects that are part of the Volga and North-Western federal districts. Results. When assessing the detectability of narcological disorders between the North-Western and Volga federal districts, significant differences were found in the detectability of alcoholism, harmful use of alcohol and harmful use of narcotic substances. In all cases, the detection of such disorders was higher in the Volga Federal District. At the same time, when assessing the detection of drug addiction, no differences were found. It was established that the primary incidence of drug addiction, the harmful use of alcohol and drugs was significantly higher in the cities with a population of one million in the Volga Federal District. And in the Northwestern Federal District, the opposite situation was observed. It draws attention to the fact that the detection of alcoholism, the harmful use of alcohol and the harmful use of drugs is significantly less in St. Petersburg, compared with other subjects of the district. Conclusion. The incidence of narcological disorders depends on many factors, including economic, social, as well as the territorial location of the subject. In addition, the identified differences both between the compared federal districts and between regions with cities with a population of over a million and regions without such cities indicate different approaches to organizing drug treatment services for the population, in particular preventive and diagnostic measures.
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