{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T23:40:23Z","timestamp":1791934823215,"version":"4.3.4"},"reference-count":28,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T00:00:00Z","timestamp":1689292800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100015069","name":"South Eastern Sydney Local Health District","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015069","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Medical Journal of Australia"],"published-print":{"date-parts":[[2023,9,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the demographic characteristics, substance use, and self\u2010rated health of people entering treatment in New South Wales public health services for alcohol, amphetamine\u2010type stimulants, cannabis, cocaine, or opioids use, by principal drug of concern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Baseline findings of a cohort study; analysis of data in patient electronic medical records and NSW minimum data set for drug and alcohol treatment services.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting, participants<\/jats:title><jats:p>People completing initial Australian Treatment Outcomes Profile (ATOP) assessments on entry to publicly funded alcohol and other drug treatment services in six NSW local health districts\/networks, 1 July 2016 \u2013 30 June 2019.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main outcome measures<\/jats:title><jats:p>Socio\u2010demographic characteristics, and substance use and self\u2010rated health (psychological, physical, quality of life) during preceding 28 days, by principal drug of concern.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 14\u2009087 people included in our analysis, the principal drug of concern was alcohol for 6051 people (43%), opioids for 3158 (22%), amphetamine\u2010type stimulants for 2534 (18%), cannabis for 2098 (15%), and cocaine for 246 (2%). Most people commencing treatment were male (9373, 66.5%), aged 20\u201339 years (7846, 50.4%), and were born in Australia (10\u2009934, 86.7%). Polysubstance use was frequently reported, particularly by people for whom opioids or amphetamine\u2010type stimulants were the principal drugs of concern. Large proportions used tobacco daily (53\u201382%, by principal drug of concern group) and reported poor psychological health (47\u201359%), poor physical health (32\u201344%), or poor quality of life (43\u201352%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The prevalence of social disadvantage and poor health is high among people seeking assistance with alcohol, amphetamine\u2010type stimulants, cannabis, cocaine, or opioids use problems. Given the differences in these characteristics by principal drug of concern, health services should collect comprehensive patient information during assessment to facilitate more holistic, tailored, and person\u2010centred care.<\/jats:p><\/jats:sec>","DOI":"10.5694\/mja2.52039","type":"journal-article","created":{"date-parts":[[2023,7,14]],"date-time":"2023-07-14T11:04:10Z","timestamp":1689332650000},"page":"218-226","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Substance use, socio\u2010demographic characteristics, and self\u2010rated health of people seeking alcohol and other drug treatment in New South Wales: baseline findings from a cohort study"],"prefix":"10.5694","volume":"219","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3936-2434","authenticated-orcid":false,"given":"Emma","family":"Black","sequence":"first","affiliation":[{"name":"Drug and Alcohol Services, South Eastern Sydney Local Health 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