The study of economic crisis in Greek population of drug users approaching KETHEA: socioeconomic factors and comorbidity between 2009 and 2014

Purpose To study the effect of the financial crisis in Greece, with a population of drug users approaching the Therapy Center for Dependent Individuals (KETHEA) between 2009 and 2014. Objectives It includes two different samples: 2,900 drug users who approached KETHEA in 2009 and 2,338 individuals in 2014. Methods The analysis was based on the questionnaire "Treatment Demand Indicator" (TDI) which was filled out during drug users' first approach. Findings There was a significant increase in the proportion of homeless people (from 8.7% to 16.8%), use of cannabinoids (from 13.2% to 31.8%) and a reduction in opioid use. IVU decreased significantly (from 33.2% to 24.4%). HIV/AIDS infection presented increasing trends. Psychological problems have increased. Risky sexual behaviors present very high rates (63.6%). Conclusions/Importance It seems that the financial crisis has affected the morbidity rates of the population of drug users. It is, therefore necessary to reinforce Harm Reduction interventions in order to control the rates of HIV/AIDS infection and focus more on Palliative Care with regards to comorbidity. The financial crisis seems to have a disruptive effect on the economic and social structure of society with a direct and violent impact on the lives of citizens.