Exploring The Factors Related to the First Usage of Crystal and Providing Some Preventive Solutions: A Qualitative Study
Abstract Background: Crystal (methamphetamine) usage is increasing among teenagers and young people in the country. In this matter, one of the practical and important ways to control it is to identify the causes of its first usage. Thus, in this paper, the factors related to the first usage of crystal in consumers and providing a preventive solution were designed and performed in Golestan province, Iran.Methods: In a qualitative study, 19 crystal consumers entered the study in Golestan province by snowball sampling from DIC (drop-in center) and addiction treatment centers. The interviews were mostly carried out individually with the participants, in which only one interview was conducted in an addiction treatment camp in the form of a group-focused discussion. Data analysis was implemented through content analysis in MAXQDA 10 softwareResults: The mean age of the participants was 35.05± 6.06 years with a range of 23-46 years. Meanwhile, the mean and standard deviation of usage time was 7.42±3.61 via a range of 1-14 years. Based on the obtained qualitative data, the reasons for first usage of crystal in six classes of "crystal usage to other drugs rehabilitation"; "Lack of awareness of the addictive nature of crystal"; “stimulating curiosity in public with crystal-usage friends”; “cheap price and comfortable usage”; "anti-sleep effects and increasing work efficiency" and "misconceptions (therapeutic effect), increase attractiveness, and increase sexual drive" were included.Conclusions: The achieved results indicated that crystal is mostly abused to opium rehabilitation. Meanwhile, the lack of awareness of addiction and misconceptions can prepare to crystal usage. Furthermore, performing the Interventions to increase the level of awareness that crystal is addictive and its negative impact on opium rehabilitation as well as the necessary policy-making to facilitate accessing it by reducing its production can also be effective to prevent the crystal usage.