Damapong Pongmada, Tongkrajai Pramote, Homchampa Pissamai, Kanato Manop
Graduate Division, Faculty of Medicine, Mahasarakham University, Mahasarakham, Thailand.
J Med Assoc Thai. 2012 Feb;95(2):241-8.
There is growing evidence that the number of substance abusers have increased. Use of public health surveillance system in substance abuse at the community level is limited.
Study and develop a suitable Model for Substance Abusing Surveillance System (MSASS) in communities.
Thirty-eight volunteers, including five direct responsible officers, five local leaders, five people representatives and four university specialists participated in the development of the model. The present study utilized ten sets of database, reported on a monthly basis. These included substance abuse arrested cases, substance abuse treatment seekers, anonymous notification of drug abuse, notification of obstacles and problems of the responsible organizations and notification of substance abuse by the local community leaders. The seven approaches of the model included situational analysis, prototype design, trial test, system design, system running test, model improvement and model dissemination. The study was conducted in 47 communities in four sub-districts in Phakdichumphon District, Chaiyaphum Province.
The MSASS model application was created at the community level. The model assessed and monitored substance abuse practices of population aged 12 to 65 years and triggered prevention and control actions in communities. The five important constituents of the model were 1) organizations of substance abuse networks, 2) indicators of substance abuse situations, 3) criteria for investigation of magnitude of the problems, 4) data collection tools and 5) dissemination of information. The model comprised of six core activities (detection, registration, confirmation, reporting, analysis and feedback) and four support activities (communication through meeting and brainstorming, training, supervision and resource-provision). After one year the authors were able to develop indicators and criteria for measuring magnitude of the substance abuse problems. The current developed MSASS was effective in terms of representativeness (93.0%), sensitivity (92.7%), timeliness (84.7%), prediction ability (84.5%), acceptability (82.5%), simplicity (82.5%) and validity (80.3%).
The developed MSASS is an effective form of public health surveillance suitable for communities at a district level.
越来越多的证据表明药物滥用者的数量有所增加。社区层面公共卫生监测系统在药物滥用方面的应用有限。
研究并开发一种适用于社区的药物滥用监测系统模型（MSASS）。
38名志愿者参与了该模型的开发，其中包括5名直接负责人、5名当地领导、5名民众代表和4名大学专家。本研究使用了每月报告的十套数据库。这些数据库包括药物滥用被捕案件、寻求药物滥用治疗者、药物滥用匿名举报、责任组织的障碍和问题通报以及当地社区领导的药物滥用通报。该模型的七种方法包括情境分析、原型设计、试验测试、系统设计、系统运行测试、模型改进和模型传播。该研究在猜也蓬府帕克迪春蓬区四个分区的47个社区进行。
在社区层面创建了MSASS模型应用。该模型评估和监测了12至65岁人群的药物滥用行为，并在社区引发了预防和控制行动。该模型的五个重要组成部分是：1）药物滥用网络组织；2）药物滥用情况指标；3）问题严重程度调查标准；4）数据收集工具；5）信息传播。该模型由六项核心活动（检测、登记、确认、报告、分析和反馈）和四项支持活动（通过会议和头脑风暴进行沟通、培训、监督和资源提供）组成。一年后，作者能够制定出衡量药物滥用问题严重程度的指标和标准。当前开发的MSASS在代表性（93.0%）、敏感性（92.7%）、及时性（84.7%）、预测能力（84.5%）、可接受性（82.5%）、简易性（82.5%）和有效性（80.3%）方面表现良好。
所开发的MSASS是一种适用于区级社区的有效公共卫生监测形式。
