Volume 10, Issue 2 (Apr- June 2021)                   JCHR 2021, 10(2): 175-182 | Back to browse issues page

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Kheirandish J, Lotfi M H, Fallahzadeh H, Farahzadi M H, Hosseini S M H, Mehrabanian M M. Social Determinants of Addiction in Middle-aged Population in Yazd. JCHR. 2021; 10 (2) :175-182
URL: http://jhr.ssu.ac.ir/article-1-631-en.html
1- 1- Department of Biostatistics and Epidemiology, School of public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
2- 2- Director of Addiction and Behavioral Sciences Research Center of Shahid Sadoughi University of Medical Sciences, Yazd, Iran
3- 3- Department of Psychology & Educational Sciences, Faculty of Clinical Psychology, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Abstract:   (674 Views)
Background: There are several determinants involved in drug abuse, some of which, especially social factors, can be changed and corrected; therefore, more effective prevention programs can be implemented by recognizing them. This case study aimed to determine the social factors of addiction in middle-aged population living in Yazd city.
Methods: In this case-control study conducted during 2019- 2020, 150 substance users who referred to methadone maintenance treatment centers (MMTCs) were involved in a case group and 150 subjects, matched in terms of sex and age, were selected as a control group. The cases were selected by cluster sampling method from Yazd MMTCs. The witnesses were selected from the neighbors of the cases.
The data collection tool was a researcher-made questionnaire that consisted of three parts, including demographic questions, economic and social factors, and substance abuse-related questions. The content validity of the questionnaire was confirmed by experts and its reliability by Cronbach's alpha coefficient which was 0.75. The cases were selected by cluster sampling from MMTCs.
The data were analyzed using SPSS software and Binary logistic regression model was used to find the related characteristics.
Results: The results of logistic regression model showed that individuals working in non- profit organizations had the highest share in relation to substance user, with an odds ratio of 4.65 (OR=4.65,95%CI:1.4-15.38,P=0.01). The use of drugs, substance user’s first-degree relatives, and substance user’s friends with odds ratios of (OR=3.4,95%CI:1.87-6.2,P=0.0001), (OR=2.97,95%CI:1.5-6.03,P=0.002), and (OR=2.6, 95%CI:1.43-4.75,P=0.002).
respectively, were significantly related to substance user  and had the highest risk for substance user. (P = 0.0001).
Conclusion: The results of this study indicated that substance users 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. Family plays a decisive role in choosing a friend for their children.
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Review: Research | Subject: General
Received: 2020/04/29 | Accepted: 2021/03/20 | Published: 2021/07/1

1. 1. Moddabernia MJ, Mirhosseini SK, Tabari R, et al. Factors Influencing Addiction in People of 15 to 30 Years of Age: a qualitative study. Journal of Guilan University of Medical Sciences. 2013;22(87):70-7.[Persian]
2. Mohammadi Zeydi I, Pakpour-Hagiagha A. Application of the theory of planned behavior for the prevention of substance abuse among male adolescents. Iran Journal Health Education Health Promotion. 2016;3(4):298-310. [Persian]
3. Barjas F, Govari F, Mohammad Ali Zadeh S, et al. The Opinions of Hospitalized Addicts in Kerman Rehabilitation Centers about Factors Affecting Their Tendency Toward Drugs. Journal of Research in Behavioural Sciences. 2011;9(4):279-86. [Persian]
4. Eshaghpanah MS, Shahvaizian N,Farahzadi M. Addiction, relapse and life skills: merdook; 1389: 152.
5. Norouzi khalili M, Hojjat S, Khajedaluee M, et al. Social, economical and population characteristics of substance dependents treated in North khorasan drug rehabilitation centers. Journal of North Khorasan University of Medical Sciences. 2014;6(1):189-97. [Persian] [DOI:10.29252/jnkums.6.1.189]
6. Babaiefard A, Shahmirzaei Bidgoli M. The investigation on Social factors affecting addiction among married people in Aran Bidgol. Journal of Social Problems of Iran. 2013;4(2):155-86. [Persian]
7. Hajian K, Khirkhah F, Falatoni M. Epidemiology of Addiction among Volunteered Addicts Attending in Detoxification Centers. Journal of Guilan University of Medical Sciences. 2013;22(87):22-30. [Persian]
8. Feyzi H, Vaisi Raygani A, Abdi A, et al. The predisposing factors for drug abuse in viewpoints of referrers to Addiction Treatment Centers in Kermanshah. Iranian Journal of Rehabilitation Research in Nursing. 2016;2(2):47-56. [Persian]
9. Sarrami H, Ghorbani M, Minooei M. Survey of Four Decades of Addiction Prevalence Researches in Iran. Research on Addiction. 2013;7(26):29-52. [Persian]
10. Mohammadi A, Pourghaz A, Raghib MS. The Construction and Validation of Scale of Effective Factors in Drug Abuse Tendency among Youth (A Case Study in Khorasan Razavi). Scientific Quarterly Research on Addiction. 2013;7(26):73-94. [Persian]
11. Heidari h, Malmir, Mohammad Sharif , et al. Comparison of Causes of Drug Abuse from the Viewpoint of Addicted Patients and Their Families. Health system research. 2013;8(6):1017-26. [Persian]
12. Saberi Zafarghandi M. Some of the Challenges of Mental Health and Addiction in Iran. Iranian Journal of Psychiatry and Clinical Psychology. 2011;17(2):161-57. [Persian]
13. Kaldi Ar, Mahdavi R. The Role of Internal and External Locus of Control In Relapse of Addiction in Occupational Therapy Camp of Zanjan. Social Welfare. 2003;3(9): 307-34. [Persian]
14. Karimi K, Shahriyari P, Asadabdolkarim A. The lived experience of drug misuse among Kurds' youth (Case study: the Solaimanye province). Sociology of Culture and Art. 2020;2(2):58-33. [Persian]
15. Asayesh H, Jahahgir F, Qorbani M, et al. Substance Abuse and Correlation between of Route of Administration and Age Factors in Substance Abuser. Journal of Research Development in Nursing & Midwifery. 2013;9(2):82-9. [Persian]
16. Nurco DN, Kinlock TW, O'Grady KE, et al. Differential contributions of family and peer factors to the etiology of narcotic addiction. Drug and Alcohol Dependence. 1998; 51(3): 229-37. [DOI:10.1016/S0376-8716(98)00041-6]
17. Sussman S, Gunning M, Lisha NE, et al. Concurrent Predictors of Drug Use Consequences Among U.S. and Russian Adolescents. Salud Drogas. 2009;9(2):129-48. [DOI:10.21134/haaj.v9i2.41]
18. allahverdi n, hejazi s, pourteymour s, et al. Comparison of Predisposing Factors of Consuming Addicting Drugs in Singles with Married Men in Addiction Center Affiliated to Welfare Office in Tehran in 2016. Journal of Urmia Nursing and Midwifery Faculty. 2018;16(9):648-59. [Persian]
19. Sharifi H, Sigari S, Sadr M, et al. Smoking and Substance Abuse Relation: Is Tobacco a Gateway for Substance Abuse?. Nafas Journal. 2014;1(2):19-24. [Persian]
20. Moshki M, Hashemizadeh H, Zarei M, et al. Pattern of Drug Abuse Based on Demographic Factors in Self-Report Addicts of Quchan. Journal of Neyshabur University of Medical Sciences. 2016;3(4):19-26. [Persian]
21. Safari M, Mousavi-Zade SN. Factor influences on return to substance abuse in clients referred to addiction treatment centers in Maragheh City in 1390. Journal of Shahid Beheshti School of Nursing & Midwifery. 2014; 24(86): 57-64. [Persian]
22. Asadi sm, Porzoor p. Investigating the causes of tendency to use substances (addiction) in Ardabil. Research on Addiction. 2020;14(56):169-98. [Persian] [DOI:10.29252/etiadpajohi.14.56.169]
23. Kardia SLR, Pomerleau CS, Rozek LS, et al. Association of parental smoking history with nicotine dependence, smoking rate, and psychological cofactors in adult smokers. Addictive Behaviors. 2003; 28(8):1447-52. [DOI:10.1016/S0306-4603(02)00245-9]
24. Coviello DM, Alterman AI, Cacciola JS, et al. The role of family history in addiction severity and treatment response. Journal of Substance Abuse Treatment. 2004; 26(1):1-11. [DOI:10.1016/S0740-5472(03)00143-0]
25. Mohammadkhani P. The Personal-Relationships Problems of Women Who Had Addicted Husband: A Perspective to Their Rehabilitation. Research on Addiction. 2009;3(9):0-.[Persian]
26. Rimaz S, Dastoorpour M, Merghati khoii E, et al. Demographic variables associated with relapse in women and men referred to the selected addiction treatment centers in Tehran, 2009: A case- control study. Razi Journal of Medical Sciences. 2013;20(107):63-72. [Persian]
27. Hosseinzadeh Feremi M, Sadeghi Dahcheshmeh S. Explaining the Use of Narcotics among Ethnic Groups of the Central Area of Shahrekord. Social Problems of Iran. 2020;10(2):111-29. [Persian]

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