A Research on the Factors Affecting Treatment Seeking Behavior of Turkish Originated Heroin Dependents in Germany

A Research on the Factors Affecting Treatment Seeking Behavior of Turkish Originated Heroin Dependents in Germany

Authors

  • Özlem Yalnız Balıklı Rum Hastanesi Vakfı Anatolia Klinikleri
  • Özkan Pektaş Maltepe Üniv. Tıp Fak. Psikiyatri A.D
  • Emre Şahin Balıklı Rum Hastanesi Vakfı Anatolia Klinikleri
  • Ö. Ayhan Kalyoncu Maltepe Üniv. Tıp Fak. Psikiyatri A.D.
  • Hasan Mırsal Maltepe Üniv. Tıp Fak. Psikiyatri A.D.
  • Mansur Beyazyürek Maltepe Üniversitesi Tıp Fak.

Keywords:

Heroin dependence, sociodemographic characteristics, clinical features

Abstract

Objective: A multitute of factors influence treatmentseeking behaviour in heroin dependence. The aim of this study was to investigate sociocultural characteristics and clinical features influencing the decision of our inpatients who were Turkish originated heroin dependents living in Germany and preferred to seek treatment in Turkey.
Methods: This study included 98 Turkish originated heroin dependents living in Germany who met the diagnostic criteria of heroin dependence according to DSM-IV and who applied for hospitalization. A semi-structured test with 76 items was conducted to all patients. In this study, the evaluated variables were sociodemographic data, cultural characteristics, family information, cultural adaptation, causes of migration, methods of heroin use, the way of obtaining heroin, legal problems, presence of imprisonment, treatmentseeking behaviour and consequences. All of the data were analyzed by SPSS (Windows 10.0) program.
Results: The sample of this study included 8 female (8.2%), 90 male (91.8%) patients . The mean age of the patients was 28.7 (ss = 7.8) years. The age of starting heroin use was under 20 years (85.7%). In the study group, 37.7% of all patients used heroin by injection. The study group reported that heroin use was common in their peer group. In the study group 87.8 % of all patients had legal problems and 46.9% of all patients reported a history of imprisonment due to heroin use.
Conclusion: The results show that sociocultural factors play an important role on the decision of Turkish originated heroin dependents in Germany to seek treatment in Turkey. Multicenter, controlled and transcultural oriented studies are further needed.

References

Halikas JA, Kuhn K. Opioid dependence. Dunner DL (Ed). Current Psychiatric Therapy. Philadelphia :W.B. Saunders Company, 1993: 118-123.

Seale JP, Muramoto ML. Substance abuse among minority populations.Primary Care 1993; 20:167-180.

Zarif F, Goldberg A, Karakaşoğlu Y. 2000’li Yıllarda Almanya’da Türkler. Ankara : Önel Yayınevi, 1995.

Şen F, Koray S. Türkiye’den Avrupa Topluluğu’na göç hareketleri. Ankara: Önel Yayınevi, 1993.

Johnston LD, O’Malley PM, Bachman JG. Monitoring the future national survey results on adolescent drug use: overview of key findings. Rockville: NIH Publication, 2000.

AMATEM. Bakırköy Ruh ve Sinir Hastalıkları Hastanesi Alkol Madde Araştırma ve Tedavi Merkezi 1996 yıllık faaliyet raporu, İstanbul, 1996.

Pektaş Ö, Kalyoncu A,Yılmaz S, Mırsal H, Beyazyürek M. Anatolia Bağımlılık Tedavi Kliniği’nde yatarak tedavi gören hastaların deskriptif analizi. 33. Ulusal Psikiyatri Kongresi Özet Kitabı, Antalya, 1-4 Ekim, 1997: 73.

Castro FG, Alarcon EH.Integrating cultural variables into drug abuse prevention and treatment with racial/eth-nic minorities. J Drug Issues 2002; 32: 783-811.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4. baskı, Washington, DC: American Psychiatric Association, 1994.

Lewis JA, Dang RQ, Blevins GA. Substance Abuse Counseling: An individualized Approach. 2nd Ed, California: Brooks/Cole Publishing Company, 1994.

Uluğ B. Madde bağımlılığı epidemiyolojisi. Alkol ve Alkol Dışı Madde Bağımlılığı. Dilbaz N (Ed). Ankara: Mut-ludoğan Ofset Matbaacılık, 1998:27-31.

Darke S, Wodak A, Hall W, Heather N, Ward J. Prevalence and predictors of psychopathology among opioid users. Br J Addict 1992; 87: 771-776.

Kaplan HI, Sadock BJ. Opioid-related disorders. Synopsis of Psychiatry. 8th edition, Caıro: Mass Publishing Co, 1998:436-443.

Pugatch D, Strong LL, Has P, et al. Heroin use in adolescents and young adults admitted for drug detoxification. J Subst Abuse 2001; 13: 337-346.

Ertekin D, Çakmak D. Madde kültürü üstüne bir çalışma. Bağımlılık Dergisi 2001; 2:16-20.

Sobeck J, Abbey A, Agius E,et al. Predicting early adolescent substance use: do risk factors differ depending on age of onset? J Subst Abuse 2000; 11: 89-102.

Velez CN, Ungemack JA. Psyhosocial correlates of drug use among Puerto Rican youth: generational status differences. Soc Sci Med 1995; 40: 91-103.

Ögel K. Türkiye’de Madde Bağımlılığı. 2. baskı, İstanbul: IQ Kültür/Sanat Yayıncılık, 2002.

Spooner C, Mattick RP, Noffs WA. Study of the patterns and correlates of substance use among adolescents applying for drug treatment.Aust NZJ Public Health 2000; 24: 492-503.

Karkowski LM, Prescott CA, Kendler KS. Multivariate assessment of factors influencing illicit substance use in twins from female – female pairs. Am J Med Genet 2000; 96: 665 – 670.

Tamar D. Fransa’da yaşayan Türkler arasında madde kullanımının yaygınlığı ve doğası. Avrupa Konseyi Pompidou Grubu Raporu, İstanbul, 1996:5-6.

Published

2004-08-01

How to Cite

1.
Yalnız Özlem, Pektaş Özkan, Şahin E, Kalyoncu Ö. A, Mırsal H, Beyazyürek M. A Research on the Factors Affecting Treatment Seeking Behavior of Turkish Originated Heroin Dependents in Germany. J Depend [Internet]. 2004 Aug. 1 [cited 2025 Aug. 20];5(2):72-6. Available from: https://bagimlilik.akademisyen.net/index.php/bagimlilik/article/view/84

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Research Article
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