{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:13:43Z","timestamp":1777936423280,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,1,1]],"date-time":"2023-01-01T00:00:00Z","timestamp":1672531200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"publisher","award":["PI19\/00982"],"award-info":[{"award-number":["PI19\/00982"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Subst\ufffdAbuse"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Patients seeking first time treatment for opioid consumption reflect the characteristics of the consumer population. This group has not been studied in Spain in decades. The objective of this study was to characterize the opioid user population seeking first time treatment (incidents) and compare them group with those with prior treatment (prevalents).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Cross-sectional study (N\u2009=\u20093325) with patients with opioid addiction seeking care at public addiction centers in the Community of Madrid from 2017 through 2019. Differentiation and comparisons were carried out using bivariate analysis, adjusted by sociodemographic characteristics related and those related to substance use consumption in incident and prevalent patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>About 12.2% were incidents. Compared to prevalents, there were more foreigners (34.1% vs 19.1% P\u2009&lt;\u2009.001), but with a better social network. Regarding opioid use, incidents were less likely to use injection (10.7% compared to 16.8% P\u2009=\u2009.008), but had greater daily frequency (75.8% vs 52.2%, P\u2009&lt;\u2009.001). The age of initial consumption was greater (27\u2009years vs 21.3\u2009years, ( P\u2009&lt;\u2009.001)). About 15.5% of incidents sought care for non-heroin opioids, compared to 4.8% of prevalents ( P\u2009&lt;\u2009.001). Women sought care at twice the rate of men (29.3% vs 12.3%; P\u2009&gt;\u2009.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>New patients presented a profile with many stable characteristics, but which highlighted an increase in the use of other opioids, as occurs in the international context. Surveillance of the new patient characteristics can serve as an early indicator of consumption changes in. Thus, periodic monitoring is important.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/11782218231182552","type":"journal-article","created":{"date-parts":[[2023,6,28]],"date-time":"2023-06-28T06:41:19Z","timestamp":1687934479000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["New Patients in Treatment for Opioid Addiction in Spain"],"prefix":"10.1177","volume":"17","author":[{"given":"Jose","family":"Pulido","sequence":"first","affiliation":[{"name":"Public Health and Maternal Health Department, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain"},{"name":"CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Guadalupe","family":"Pastor-Moreno","sequence":"additional","affiliation":[{"name":"CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain"},{"name":"Andalusian School of Public Health (EASP), Granada, Spain"},{"name":"Biohealth Research Institute of Granada, Ibs. Granada, Granada, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juan Miguel","family":"Guerras","sequence":"additional","affiliation":[{"name":"CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain"},{"name":"National School of Health, Carlos III Institute, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mar\u00eda Jos\u00e9","family":"Belza","sequence":"additional","affiliation":[{"name":"CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain"},{"name":"National School of Health, Carlos III Institute, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ana","family":"C\u00e1ceres","sequence":"additional","affiliation":[{"name":"Institute of Addiction, City Council of Madrid, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luc\u00eda","family":"Cea-Soriano","sequence":"additional","affiliation":[{"name":"Public Health and Maternal Health Department, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis","family":"Sordo","sequence":"additional","affiliation":[{"name":"Public Health and Maternal Health Department, Faculty of Medicine, Complutense University of Madrid, Madrid, Spain"},{"name":"CIBER of Epidemiology and Public Health (CIBERESP), Madrid, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2023,6,28]]},"reference":[{"key":"bibr1-11782218231182552","author":"European Monitoring Centre for Drugs and Drug Addiction","year":"2021","journal-title":"Update from the EMCDDA expert network;"},{"key":"bibr2-11782218231182552","doi-asserted-by":"publisher","DOI":"10.1111\/j.1360-0443.2008.02451.x"},{"key":"bibr3-11782218231182552","author":"Observatorio Espa\u00f1ol de las Drogas y las Adicciones","year":"2020","journal-title":"Ministerio de Sanidad, Consumo y Bienestar Social, Delegaci\u00f3n para el Plan Nacional sobre Drogas;"},{"key":"bibr4-11782218231182552","first-page":"263","volume":"31","author":"Madoz-G\u00farpide A","year":"2003","journal-title":"Actas Esp Psiquiatr"},{"key":"bibr5-11782218231182552","doi-asserted-by":"publisher","DOI":"10.1046\/j.1360-0443.2000.95694110.x"},{"key":"bibr6-11782218231182552","volume-title":"Opioides En Espa\u00f1a. Ni Repunte de Hero\u00edna Ni Crisis de Opioides a La Americana","author":"Mart\u00ednez Or\u00f3 DP","year":"2019"},{"key":"bibr7-11782218231182552","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2017.11.011"},{"key":"bibr8-11782218231182552","doi-asserted-by":"publisher","DOI":"10.1016\/j.addbeh.2013.10.021"},{"key":"bibr9-11782218231182552","doi-asserted-by":"publisher","DOI":"10.1159\/000490529"},{"key":"bibr10-11782218231182552","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugpo.2019.06.016"},{"key":"bibr11-11782218231182552","unstructured":"Spanish National Statistics Institute. Official website of the Spanish National Statistics Institute. 2020. https:\/\/www.ine.es\/jaxiT3\/Tabla.htm?t=33844&L=0"},{"key":"bibr12-11782218231182552","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2009.09081161"},{"key":"bibr13-11782218231182552","unstructured":"Descripci\u00f3n de las caracter\u00edsticas de los pacientes incluidos en el registro acumulativo de drogodependientes (RAD). Comunidad de Madrid 2020. https:\/\/www.comunidad.madrid\/sites\/default\/files\/doc\/sanidad\/drog\/2020_descripcion_de_las_caracteristicas_de_los_pacientes_incluidos_en_el_registro_acumulativo_de_drogodendientes_rad_c_madrid_2020.pdf"},{"key":"bibr14-11782218231182552","doi-asserted-by":"publisher","DOI":"10.1080\/03007995.2019.1684251"}],"container-title":["Substance Abuse: Research and Treatment"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11782218231182552","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/11782218231182552","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/11782218231182552","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T03:31:02Z","timestamp":1777692662000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/11782218231182552"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":14,"alternative-id":["10.1177\/11782218231182552"],"URL":"https:\/\/doi.org\/10.1177\/11782218231182552","relation":{},"ISSN":["1178-2218","1178-2218"],"issn-type":[{"value":"1178-2218","type":"print"},{"value":"1178-2218","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]},"article-number":"11782218231182552"}}