Syphilis (+)

1. Psychological Problems Among Injecting Drug Users (IDUs) in Bandung, West Java, Indonesia 5 1 3 4 3 11 1 16 2 7 4 2 16 1 10 5 1 7 5 2 31 7 6 3 17 10 3 4 3 11 PKM Salam (interview place) S. Iskandar1,2, T. Hidayat1,2, I.M.P. Siregar1,2, Tri Hanggono Ahmad1, A.J.A.M. Van der Ven3, C.A.J. de Jong5 1Padjajaran University/ Hasan Sadikin Hospital, Bandung, Indonesia, 2IMPACT (Integrated Management for Prevention Control and Treatment of HIV-AIDS), Health Research Unit, Medical Faculty, Padjadjaran University / Hasan Sadikin Hospital, Bandung, Indonesia 3Radboud University Nijmegen Medical Centre, the Netherlands 4Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA); Nijmegen, the Netherlands Introduction Results (2) Living Area • Most common view was that drug addicts are weak and/ or bad people unwilling to control their behavior • Addictive drugs affect the brain circuitycontrolling the motivated and learned behavior • Some of drug users start using drug to “cure” their psychological problems • Psychiatric disorders and addiction are often dubbed ‘dual disorders’. • To explore the common psychological problems among injecting drug users (IDUs) in Bandung, West Java, Indonesia  a better understanding of these co-morbidities may contribute to the design of specifically tailored programs Notes : KecamatanSukasari KecamatanSukajadi KecamatanCicendo KecamatanAndir KecamatanCidadap KecamatanCoblong Kecamatan Bandung Wetan KecamatanSumur Bandung KecamatanCibeunyingKaler KecamatanCibeunyingKidul KecamatanKiaraCondong KecamatanBatununggal KecamatanLengkong KecamatanRegol Kecamatan Astana Anyar KecamatanBojongloaKaler KecamatanBojongloaKidul Kecamatan BACIP (BababakanCiparay) Kecamatan Bandung Kulon Kecamatan Cicadas KecamatanArcamanik KecamatanUjungberung KecamatanCibiru KecamatanRancasari KecamatanMargacinta Kecamatan Bandung Kidul Bandung City Objective Interview Center Methods Screening, informed consent Results (3) Psychological problems among IDUs Psychological problems among IDUs in life time days (N = 210) Psychological problems among IDUs in the last 30 days (N = 210) Get a coupon Interview New respondents Free HIV, HBV, HCV, Syphilis Test Free coupon for free testing Reward & 2 coupons for recruiting other IDUs HIV (+) Syphilis (+) Free CD4 test & Chest X-ray Payment for recruiting other IDUs Free Syphilis Treatment Free ARV treatment • 37% of all IDUs have ever had serious thought of committing suicide • More than 50% of those who had serious thought  attempted suicide • Only 26 IDUs (16%) of those who have ever had psychiatric problems, sought for help for their psychological problems This process (respondent driven sampling) is continued until the number of IDUs recruited reach 210 Results (1) Characteristics of IDUs (n=210) Conclusion • High psychological problems among IDUs • Further research on contributing factors to psychological help seeking behavior is needed • Providing information about psychological problems and their treatment is required by IDUs • Those who deliver addiction care have to be aware of psychiatric • co-morbidity • Addressing psychological problems in the general community probably can reduce the chance to become a drug user Acknowledgments We would like to thank Prof. Cissy B. Sudjana Prawira, Director of Hasan Sadikin General Hospital, and Prof. Eri Surahman, Dean of the Medical Faculty Padjadjaran University for encouraging and accommodating research in their institutions. Municipal Health Department, the interviewers, staffs and ORC from Salam Primary Health Center. Rumah Cemara, Bahtera, PKBI, and Grapiks are thanked for their valuable help IMPACT (5-year program for HIV care and drug addiction in West Java, Indonesia) is funded by the European Union