Social determinants of addiction in population Middle age in the city of Yazd

Background: There are several factors involved in drug abuse and since some of these effective factors, especially social factors, can be changed and corrected; By recognizing them, more effective prevention programs can be implemented.This case study was performed with the aim of determining the social factors of addiction in people middle age living in the city of Yazd. Methods: In this case-control study during 2019- 2020, 150 Substance user who referred to methadone maintenance treatment centers (MMTC) were involved in a case group and 150 subjects, matched in terms of sex and age, were selected as a control group during 2019. The cases were selected by cluster sampling method from Yazd methadone maintenance treatment centers. The selection of witnesses was done from the neighbors of the cases. Data collection tool was a researcher-made questionnaire that includes three parts: demographic questions, economic and social factors and Substance use-related questions. The content validity of the questionnaire was affirmed by experts and its reliability, obtained by Cronbach's alpha coefficient, was 0.75. The cases were selected by cluster sampling from MMTC. The data were analyzed using SPSS software and logistic regression model was used to find the related characteristics. Results: The results of logistic regression model show that individuals working in non-organizational jobs had the highest share in relation to Substance user , with an odds ratio of 4.65. The use of drugs, Substance user first-degree relatives, and Substance user friends were with the odds ratio of 3.4, 2.97, and 2.6, respectively are significantly related to Substance user and have the highest risk for Substance user (P = 0.0001). Conclusion: The results of this study indicate that Substance user individuals had more social risk factors compared to the general population. Therefore, planned measures to reduce these risk factors among the community, especially young people and their friends, by family and community officials are necessary. And the family plays a decisive role in choosing a friend for their children.

Psychosocial Interventions to Improve Psychological, Social and Physical Wellbeing in Family Members Affected by an Adult Relative’s Substance Use: A Systematic Search and Review of the Evidence

It is estimated that over 100 million people worldwide are affected by the substance use of a close relative and often experience related adverse health and social outcomes. There is a growing body of literature evaluating psychosocial interventions intended to reduce these adverse outcomes. We searched the international literature, using rigorous systematic methods to search and review the evidence for effective interventions to improve the wellbeing of family members affected by the substance use of an adult relative. We synthesised the evidence narratively by intervention type, in line with the systematic search and review approach. Sixty-five papers (from 58 unique trials) meeting our inclusion criteria were identified. Behavioural interventions delivered conjointly with the substance user and the affected family members were found to be effective in improving the social wellbeing of family members (reducing intimate partner violence, enhancing relationship satisfaction and stability and family functioning). Affected adult family members may derive psychological benefit from an adjacent individually focused therapeutic intervention component. No interventions fully addressed the complex multidimensional adversities experienced by many families affected by substance use. Further research is needed to determine the effect of a multi-component psychosocial intervention, which seeks to support both the substance user and the affected family member.

From abused to abuser, inevitably?: Female inmates accounting for identity categorizations to distance themselves from violence

Female inmates have encountered a great deal of violence during their life course, in most cases starting from abuse in the childhood home. In this study, I examine the accounts given by seven Finnish female inmates who have a two-fold relationship with violence: they have both experienced and perpetrated it. Thus, they have fractured the culturally dominant categorization of woman as nurturing and peaceful. They have an ambivalent relationship with culturally dominant discourses that narrowly depict violent women as either victims or perpetrators. By applying membership categorization analysis, I examine the kinds of identities that participants construct for themselves as both abused and abusers. The women mobilised interrelated yet non-linear and complex categorizations of abused child, substance user, object of intimate violence, perpetrator of violence and inmate. They accounted for their membership in the abused child, substance user and object of intimate violence categorizations, and thus constructed narrative accounts about why they were drawn into the ‘deviant’ category memberships of perpetrator of violence and inmate. By emphasising the category memberships or by resisting them, the participants distanced their identities from violence and were able to establish themselves as moral subjects.

Substances use and its association with sociodemographic, family and environment-related factors among technical and vocational education and training College students in Ataye, Ethiopia, 2019.

Background: Legal substances use is prevalent in Ethiopia. Substance use can have several health problems that are potentially harmful in educational performance, social issues, psychological and physical wellbeing. This study aimed to know prevalence of lifetime and last month substances use and its associated factors among technical and vocational education and training College students in Ataye town. Methods: An institution based cross-sectional study conducted from 1 March to last May 2019. Participants selected by using simple random sampling technique. Data collected by using a structured and pretested self-administered questionnaire. Data collected by five trained diploma nurses with close supervision. Odds ratio with their 95% confidence interval, and p value less than 0.05 used to declare the statistical significance of associated factors. Results: Four hundred eighty three individuals participated in the study, which was a response rate of 94%. The prevalence of lifetime legal substances use was 32.5% (95% CI: 28.2, 36.5). The prevalence of last month's legal substances use was 21.9% (95% CI= 18.2, 25.5). Among lifetime legal substance users, the majority (25.5%) chewed khat. The others, (19.5%) drunk alcohol, and, 15.3% smoked cigarette in lifetime. Lifetime cannabis and cocaine users were 2.5%, and 7.2% respectively. Among last month's legal substance users, (21.9%) chewed khat followed by alcohol drinking (16.6%), and cigarette smoking (15.3%). In the last month, 1.2% and 3.3% of students used cannabis and cocaine respectively. Multivariate logistic regression showed that, being male, 4having divorced family, living greater than twenty years in the town, having substance user family member, having intimate friend substance user, and easily availability of substances were independent predictors of lifetime legal substances use. Conclusions: The prevalence of last month and lifetime legal substance use at Ataye Technical and Vocational Education and Training (TVET) college students were analogous with most studies done in Ethiopia. It is advisable if furthers emphasis is given for TVET students with the predictor variables.

Substances use and its association with sociodemographic, family and environment-related factors among technical and vocational education and training College Students in Ataye, Ethiopia, 2019.

Background: substance use is prevalent in Ethiopia. Substance use can have several health problems that are potentially harmful in educational performance, social issues, psychological and physical wellbeing; especially on youth and adolescents. This study aimed to determine the prevalence of lifetime and last one-month substance use and its associated factors among technical and vocational education and training College Students (TVET) in Ataye town. Methods: an institution based cross-sectional study was conducted. Participants were selected by using simple random sampling technique. Chi-square with its p-value was used to identify correlates for each substance use. Bivariate and multivariate binary logistic regression analysis was performed to identify associated factors after controlling cofounding. Odds ratio with their 95% confidence interval, and P < 0.05 was used to declare the significance of associated factors. Results: A total of 483 individuals were participated, which was a response rate of 94%. The prevalence of lifetime substance use was 32.5% (95% CI: 28.2, 36.5). The prevalence of last month's substance use was 21.9% (95% CI= 18.2, 25.5). Among lifetime users, the majority 98(25.5%) were chewed Khat; followed by alcohol drinking 75(19.5%). Cigarettes, cannabis, and cocaine users were 15.3%, 2.5%, and 7.2% respectively. Among last month's substance users, the same proportions (21.9%) chewed Khat; followed by alcohol drinking, (16.6%) and cigarette smoking, (15.3%). Of last month's substance users, 1.2% and 3.3% of students used Cannabis and cocaine respectively. Using multivariate binary logistic regression, Being male (AOR=2.2, 95%CI: 2.3, 3.84), Being from divorced family (AOR=4.1,95%CI: 1.1, 5.8), Living > 20 years in the town (AOR=3.45,95%CI: 1.18,10.1), had family member substance user (AOR=2.5, 95%CI: 1.1, 5.8), had intimate friend substance user (AOR=5.3,95%CI: 2.6,10.9), and availability of substances (AOR=2.3,95%CI: 1.2,4.4.) were independent predictors of lifetime substance use among TVET college students. Conclusions: The prevalence of last month and lifetime substance use among Ataye TVET College students were analogous with other studies done in Ethiopia. Cannabis and cocaine are illegal drugs in Ethiopia. But, the reported proportion of these illegal drug use was significant and needs government attention. Overall, Substance use among adolescents should get further emphasis to lower the prevalence.