Driving and legal status of Spanish opioid-dependent patients

Background: Opioid dependent patients have legal problems, driving violations and accidents more frequently than the general population. We have hypothesized that those patients currently driving may have better legal outcomes than those who do not possess a valid driving license. With this aim we h...

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Detalhes bibliográficos
Autores: Roncero, C, Alvarez, FJ, Barral, C, Gomez-Baeza, S, Gonzalvo, B, Rodriguez-Cintas, L, Brugal, MT, Jacas, C, Romaguera, A, Casas, M
Formato: artículo
Estado:Versión publicada
Fecha de publicación:2013
País:España
Recursos:Institut d’Investigació Biomèdica Sant Pau (IIB Sant Pau)
Repositorio:r-IIB SANT PAU. Repositorio Institucional de Producción Científica del Instituto de Investigación Biomédica Sant Pau
OAI Identifier:oai:iibsantpau.fundanetsuite.com:p9856
Acesso em linha:https://iibsantpau.fundanetsuite.com/Publicaciones/ProdCientif/PublicacionFrw.aspx?id=9856
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84878952888&doi=10.1186%2f1747-597X-8-19&partnerID=40&md5=b6242561b49f10eda33c6a2a2edcbb8d
Access Level:acceso abierto
Palavra-chave:Legal status
Automobile driving
Traffic accidents
EuropASI
Opiate dependence
Descrição
Resumo:Background: Opioid dependent patients have legal problems, driving violations and accidents more frequently than the general population. We have hypothesized that those patients currently driving may have better legal outcomes than those who do not possess a valid driving license. With this aim we have analyzed the information gathered in the PROTEUS study regarding the legal and driving statuses and assessed the possible association between them. The PROTEUS study was an observational, cross-sectional, descriptive, multicenter nationwide representative study, conducted in Spanish healthcare centers for opioid dependent patients. Findings: The driving and legal statuses of a population of opioid dependent patients >= 18 years and enrolled in Opioid Agonist Therapy treatment centers in Spain, were assessed using a short specific questionnaire and the EuropASI questionnaire to highlight distinct individual clinical needs. 621 patients were evaluable (84% men, 24.5% active workers). 321 patients (52%) drove on a regular basis. Nineteen percent of patients had some problem with the criminal justice system. There was a significant difference (p = 0.0433) in status, according to the criminal justice system, between patients who drove on a regular basis and those who did not, with a higher percentage of patients with non-pending charges among usual drivers. Conclusions: Regular drivers showed fewer legal problems than non-regular drivers, with the exception of those related to driving (driving violations and drunk driving). Driving is a good prognostic factor for the social integration of the patients and policies should be implemented to enable these patients to drive safely under medical authorization. The legal description will be useful to assess treatment efficacy.