Singh Ajay Kumar, Verma Kushel, Chawla Sumit, Sharma Vaishali, Gupta Prerna
Department of Health and Family Welfare, Solan, Himachal Pradesh, India.
Regional Hospital, Solan, Himachal Pradesh, India.
Indian J Psychiatry. 2021 Sep-Oct;63(5):433-438. doi: 10.4103/indianjpsychiatry.indianjpsychiatry_1312_20. Epub 2021 Oct 12.
Special drive campaigns on substance use disorders (SUDs) in India are usually organized in educational institutes, non-governmental organizations, or few selected localities. Hard to reach communities of construction, prison, and industrial sites quite often remain uncovered.
During a month-long special drive in 2019, under a cross-sectional study, we reached these communities of Solan town through awareness camps and incorporated standardized screening tools for evaluating morbidity patterns of SUDs.
Statistically significant relationship existed between 360 participants (90.8% males, 9.2% females; mean age of 33 years) and their educational levels with χ (1, = 360) =130.59, = 0.000. Fagerstrom's scale inferred very high nicotine dependence in 10.6%, 7.9%, and 2.4% of prisoners, industrial workers, and laborers, respectively. Whereas, Fagerstrom scale for smokeless tobacco revealed 31% of significant dependence potential amongst laborers. Alcohol use disorder identification test revealed 28 persons with harmful alcohol dependence. Drug abuse screening test revealed 13.6% of prisoners having moderate level drug abuse potential. The Kruskal-Wallis test showed a statistically significant difference, in levels and potential of substance use in construction, prison, and industrial sites.
The study proved the utility of special drives in evaluating SUDs morbidity patterns in hard-to-reach communities.
印度针对物质使用障碍（SUDs）开展的专项宣传活动通常在教育机构、非政府组织或少数选定地区进行。建筑、监狱和工业场所等难以触及的社区往往未被覆盖。
在2019年为期一个月的专项活动中，我们通过宣传营深入索兰镇的这些社区，并采用标准化筛查工具来评估物质使用障碍的发病模式，开展了一项横断面研究。
360名参与者（90.8%为男性，9.2%为女性；平均年龄33岁）与其教育水平之间存在统计学显著关系，χ（1，=360）=130.59，P = 0.000。法格斯特罗姆量表显示，分别有10.6%的囚犯、7.9%的产业工人和2.4%的劳动者对尼古丁有高度依赖。而针对无烟烟草的法格斯特罗姆量表显示，劳动者中有31%具有显著的依赖潜力。酒精使用障碍识别测试显示有28人存在有害酒精依赖。药物滥用筛查测试显示13.6%的囚犯有中度药物滥用潜力。克鲁斯卡尔 - 沃利斯检验表明，建筑、监狱和工业场所的物质使用水平和潜力存在统计学显著差异。
该研究证明了专项活动在评估难以触及社区的物质使用障碍发病模式方面的效用。
