Abstract
In British Columbia, Canada, the City of Vancouver’s notorious Downtown Eastside (DES) represents the poorest urban population in Canada. A prevalence rate of 30% for HIV and 90% for hepatitis C makes this a priority area for public-health interventions aimed at reducing the use of infected drugs. This study examined the utility of acupuncture treatment in reducing substance use in the marginalized, transient population. Acupuncture was offered on a voluntary, drop-in basis 5 days per week at two community agencies. During a 3-month period, the program generated 2,755 client visits. A reduction in overall use of substances (P=.01) was reported by subjects in addition to a decrease in intensity of withdrawal symptoms including “shakes”, stomach cramps, hallucinations, “muddle-headedness,” insomnia, muscle aches, nausea, sweating, heart palpitations, and feeling suicidal, P<.05. Acupuncture offered in the context of a community-based harm reduction model holds promise as an adjunct therapy for reduction of substance use.
Keywords: Acupuncture, Addiction, Alcohol, Cocaine, Complementary therapy, Harm reduction, Heroin, Substance use
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References
- 1.Strathdee S, Patrick D, Currie L, et al. Needle exchange is not enough: lessons from the Vancouver injecting drug use study. AIDS. 1997;11:F59–F60. doi: 10.1097/00002030-199708000-00001. [DOI] [PubMed] [Google Scholar]
- 2.Richard A, Montoya I, Nelson R, Spence R. Effectiveness of adjunct therapies in crack cocaine treatment. J Subst Abuse Treat. 1995;12:401–403. doi: 10.1016/0740-5472(95)02013-6. [DOI] [PubMed] [Google Scholar]
- 3.Culliton P, Kiresuk T. Overview of substance abuse acupuncture treatment research. J Altern Complement Med. 1996;2:149–159. doi: 10.1089/acm.1996.2.149. [DOI] [PubMed] [Google Scholar]
- 4.Brewington V, Smith M, Lipton D. Acupuncture as a detoxification treatment: an analysis of controlled research. J Subst Abuse Treat. 1994;11:289–307. doi: 10.1016/0740-5472(94)90040-X. [DOI] [PubMed] [Google Scholar]
- 5.Smith M. Acupuncture and natural healing in drug detoxification. Am J Acupunct. 1979;7:97–107. [Google Scholar]
- 6.Wen H, Cheung S. Treatment of drug addiction by acupuncture and electrical stimulation. Asian J Med. 1973;3:138–141. [Google Scholar]
- 7.Smith M, Khan I. Acupuncture programme for treatment of drug addicted persons. Bull Narc. 1988;40:35–41. [PubMed] [Google Scholar]
- 8.Lipton D, Brewington V, Smith M. Acupuncture for crack-cocaine detoxification: experimental evaluation of efficacy. J Subst Abuse Treat. 1994;11:205–215. doi: 10.1016/0740-5472(94)90077-9. [DOI] [PubMed] [Google Scholar]
- 9.Washburn A, Fullilove R, Fullilove M, et al. Acupuncture heroin detoxification: a singleblind trial. J Subst Abuse Treat. 1993;10:345–351. doi: 10.1016/0740-5472(93)90019-X. [DOI] [PubMed] [Google Scholar]
- 10.Avants S, Margolin A, Holgord T, Kosten T. A randomized controlled trial of auricular acupuncture for cocaine dependence. Arch Intern Med. 2000;160:2305–2313. doi: 10.1001/archinte.160.15.2305. [DOI] [PubMed] [Google Scholar]
- 11.Konefal F, Duncan R, Clemence C. The impact of the addition of an acupuncture treatment program to an existing Metro-Dade County outpatient substance abuse treatment facility. J Addict Dis. 1994;13:71–99. doi: 10.1300/J069v13n03_07. [DOI] [PubMed] [Google Scholar]
- 12.Margolin A, Kleber H, Avants S, et al. Acupuncture for the treatment of cocaine addiction: a randomized controlled trial. JAMA. 2002;287:55–63. doi: 10.1001/jama.287.1.55. [DOI] [PubMed] [Google Scholar]
- 13.Romeo E, Pompili E, di Michele F, et al. Effects of fluoxetine, indomethacine and placebo on 3 alpha tetrahydroprogesterone (THP) plasma levels in uncomplicated alcohol withdrawal. World J Biol Psychiatry. 2000;1:101–104. doi: 10.3109/15622970009150572. [DOI] [PubMed] [Google Scholar]
- 14.Craib L, Spittal P, Wood E, et al. Risk factors for elevated HIV incidence among aboriginal injection drug users in Vancouver. CMAJ. 2003;168:19–24. [PMC free article] [PubMed] [Google Scholar]
- 15.Roschke J, Wolf C, Muller M, et al. The benefit from whole body acupuncture in major depression. J Affect Disord. 2000;57:73–81. doi: 10.1016/S0165-0327(99)00061-0. [DOI] [PubMed] [Google Scholar]