Sayyah Mehdi, Shirbandi Kiarash, Javanmardi Fatemeh, Rahim Fakher
Education Development Center, Ahvaz Jundishapur University of Medical Sciences, Ahvaz, Iran.
Systematic Review and Meta-analysis Expert Group (SRMEG), Universal Scientific Education and Research Network (USERN), Tehran, Iran.
J Med Life. 2018 Oct-Dec;11(4):262-268. doi: 10.25122/jml-2018-0020.
Abuse of drugs such as methamphetamine is one of the most important problems in high-school children and adolescents according to the World Health Organization (WHO), which has mentioned it as a concerning event in the world. Therefore, the purpose of this study was to estimate the prevalence of methamphetamine abuse in Iranian students using the meta-analysis method on studies conducted in Iran. To select the studies, a systematic search was performed on leading databases, including ISI web of science, PubMed, Scopus, Embase, PsycINFO and PROSPERO with no language limits from their inception to 31 Jan 2018. Furthermore, local databases, including SID, Magiran, and IRANDOC were searched systematically using both Persian and English languages from their inception to 31 Jan 2018. We found a total of 828 potentially relevant studies, of which 30 met our criteria, and 7 articles (7452 students, 3063 females and 4389 males) were included. The pooled prevalence of methamphetamine use in Iranian students was 0.016% (95% CI: 0.06-0.041, P=0.00). The heterogeneity was low (I =44.41, d.f = 6), which shows that about 94.41 of the total observed variance was true variance between the studies. Although the prevalence of methamphetamine in high-school students is lower than in other drugs, a growing pattern in Iranian high-school students in recent years is a serious warning to authorities and families. Increasing families and students' knowledge about the harmful effects of this drug can be an effective approach to reducing its prevalence in young people, especially high-school students.
根据世界卫生组织（WHO）的说法，滥用甲基苯丙胺等毒品是高中生和青少年中最重要的问题之一，该组织已将其列为全球关注的事件。因此，本研究的目的是使用荟萃分析方法对伊朗进行的研究进行评估，以估计伊朗学生中甲基苯丙胺滥用的流行率。为了选择研究，我们对包括ISI科学网、PubMed、Scopus、Embase、PsycINFO和PROSPERO在内的主要数据库进行了系统检索，检索时间范围从数据库创建到2018年1月31日，无语言限制。此外，我们还对包括SID、Magiran和IRANDOC在内的本地数据库进行了系统检索，检索语言为波斯语和英语，时间范围同样从数据库创建到2018年1月31日。我们共找到828项潜在相关研究，其中30项符合我们的标准，最终纳入了7篇文章（涉及7452名学生，其中3063名女生和4389名男生）。伊朗学生中使用甲基苯丙胺的合并流行率为0.016%（95%置信区间：0.06 - 0.041，P = 0.00）。异质性较低（I = 44.41，自由度 = 6），这表明在所有观察到的方差中，约94.41%是各研究之间的真实方差。尽管高中生中甲基苯丙胺的流行率低于其他毒品，但近年来伊朗高中生中该毒品的使用呈上升趋势，这对当局和家庭来说是一个严重警告。提高家庭和学生对这种毒品有害影响的认识可能是降低其在年轻人尤其是高中生中流行率的有效途径。
