Sfendla Anis, Lemrani Dina, Ahlström Britt Hedman, Senhaji Meftaha, Kerekes Nóra
Department of Biology, Faculty of Sciences, Abdelmalek Essaâdi University, Tetouan, Morocco.
Department of Health Sciences, University West, Trollhättan, Sweden.
PeerJ. 2018 Nov 8;6:e5930. doi: 10.7717/peerj.5930. eCollection 2018.
Substance use is linked to biological, environmental, and social factors. This study provides insights on protective and risk factors for drug dependence in two Moroccan, high-risk, male samples.
Data from the "Mental and Somatic Health without borders" (MeSHe) survey were utilized in the present study. The MeSHe survey assesses somatic and mental health parameters by self-report from prison inmates ( = 177) and outpatients from an addiction institution ( = 54). The "Drug dependence" and the "No drug dependence" groups were identified based on the Arabic version of the Drug Use Disorder Identification Test's (DUDIT) validated cutoff for identifying individuals with drug dependence, specifically in Morocco.
The majority of participants who had at least high school competence (67.6%), were living in a partnership (53.7%), were a parent (43.1%), and/or had a job (86.8%) belonged to the "No drug dependence" group, while the presence of mental health problems was typical among the "Drug dependence" group (47.4%). A multivariable regression model (χ (d = 5, = 156) = 63.90, < 0.001) revealed that the presence of depression diagnosis remains a significant risk factor, while a higher level of education, having a child, and being employed are protective factors from drug dependence.
Findings support the importance of increasing academic competence and treating depression as prevention from the persistence of drug addiction in male high-risk populations.
物质使用与生物、环境和社会因素相关。本研究为摩洛哥两个高风险男性样本中药物依赖的保护因素和风险因素提供了见解。
本研究使用了“无国界身心健康”(MeSHe)调查的数据。MeSHe调查通过对监狱囚犯(n = 177)和戒毒机构门诊患者(n = 54)的自我报告来评估身心健康参数。根据药物使用障碍识别测试(DUDIT)阿拉伯语版经验证的用于识别药物依赖个体(特别是在摩洛哥)的临界值,确定“药物依赖”组和“无药物依赖”组。
大多数至少具有高中文化程度(67.6%)、处于恋爱关系中(53.7%)、为人父母(43.1%)和/或有工作(86.8%)的参与者属于“无药物依赖”组,而心理健康问题在“药物依赖”组中很常见(47.4%)。多变量回归模型(χ²(d = 5,n = 156)= 63.90,p < 0.001)显示,抑郁症诊断仍然是一个重要的风险因素,而较高的教育水平、有孩子和就业是预防药物依赖的保护因素。
研究结果支持提高学术能力和治疗抑郁症对于预防男性高风险人群持续药物成瘾的重要性。