• Juan A López-Rodríguez, Alina Rigabert, M Nieves Gómez Llano, Gabriel Rubio, and Grupo ASSIST.
• Grupo semFyC de Salud Mental, Madrid, España; Centro de Salud Las Calesas, Unidad de Apoyo a la Investigación, Gerencia de Atención Primaria, Madrid, España; Hospital Universitario 12 de Octubre, Madrid, España; Facultad de Ciencias de la Salud, Departamento de Medicina, Universidad Rey Juan Carlos, Madrid, España; Red de Investigación en Servicios de Salud en enfermedades crónicas (REDISECC), Instituto de Salud Carlos III, Madrid, España. Electronic address: juanantonio.lopez@salud.madrid.org.
• Aten Primaria. 2019 Apr 1; 51 (4): 200-207.

ObjectiveThe aim of this study is to estimate risky-drug use patterns of consumption of primary care patients.DesignMulticentric descriptive cross-sectional study.Settingfive primary health care centers of the South of Madrid.Participantsall patients between 16-100 year-old consulting with their family physician.MeasurementsSpanish-validated World Health Organization ASSIST test was use to screen risky drug use in primary care. Total points scored at the test were obtained.ResultsA sum of 441 screening test were collected. Mean age was 51,3 years and 51.6% of patients presented a moderate-severe risky drug use out of the nine drugs tested. The more frequent drug use screened were tobacco (41.7%) followed by alcohol (15.4%), hypnotics (13.7%) and cannabis (5.7%). Differences were found between genders in the patterns: men had higher risky drug uses compared to women regarding alcohol and cannabis. Women had higher sedatives/hypnotics consumption prevalence. A 16% of patients presented with polyconsumption drug use patterns.ConclusionsThere is risk derived from drug misuse in primary care for tobacco, alcohol, hypnotics and cannabis as detected by the ASSIST test. There is a higher rate of hypnotics than expected.Copyright © 2018 The Authors. Publicado por Elsevier España, S.L.U. All rights reserved.

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