Department of Health Education and Promotion, Social Determinants of Health Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Department of Psychology, Yazd University, Yazd, Iran.
BMC Psychol. 2022 Feb 22;10(1):37. doi: 10.1186/s40359-022-00748-1.
Usually, substance abuse begins in adolescence in Iran. Young people who score high on the sensation-seeking trait tend to be more prone to substance abuse and an early experience in using. According to the COM_B model, substance abuse can be observed in situations where a person has the necessary physical and mental abilities, the necessary opportunities, and competing motivations. Therefore the study aimed to deeper understand of capability, motivation, and opportunities of substance abuse behavior to design educational programs.
This study was conducted based on content analysis approach. Data were collected through a focus group discussion with 18 participants (high school male students) from the outskirts of Birjand, who received a positive score from the Zuckerman Sensation Seeking Questionnaires' summary form. The group discussion was conducted using a guide to semi-structured questions based on COM-B model constructs.
Students' knowledge of substance cognition, side effects, and consequences of addiction were incomplete. Some students believed that substance use was a way to control or vent emotions and that smoking was a sedative, and private spaces and uncrowded public places were physical environments that students cited for engaging in substance use. In the analysis, 24 subcategories and 11 categories were identified for the capability analysis section, 16 subcategories and 7 categories for the motivation section, and 21 subcategories and 6 categories for the opportunity section.
In order to achieve more precise prevention interventions against adolescents' tendency for substance abuse and to have a more significant impact on their behaviors, it is beneficial to study the three identified factors in some of the target individuals before intervention.
在伊朗，物质滥用通常始于青少年时期。高分寻求刺激特质的年轻人更容易滥用物质和较早开始使用。根据 COM-B 模型，可以在一个人具备必要的身心能力、必要的机会和竞争动机的情况下观察到物质滥用行为。因此，本研究旨在深入了解物质滥用行为的能力、动机和机会，以设计教育计划。
本研究采用内容分析法。通过对来自比尔詹德郊区的 18 名（男高中生）参与者进行焦点小组讨论收集数据，这些参与者在 Zuckerman 感觉寻求问卷综合表上获得了积极的分数。小组讨论采用了基于 COM-B 模型结构的半结构化问题指南。
学生对物质认知、副作用和成瘾后果的了解不完整。一些学生认为使用物质是控制或发泄情绪的一种方式，吸烟是一种镇静剂，私人空间和不拥挤的公共场所是学生提到的进行物质使用的物质环境。在分析中，为能力分析部分确定了 24 个子类别和 11 个类别，为动机部分确定了 16 个子类别和 7 个类别，为机会部分确定了 21 个子类别和 6 个类别。
为了更精确地针对青少年对物质滥用的倾向采取预防干预措施，并对他们的行为产生更显著的影响，在干预之前对一些目标个体进行这三个已确定因素的研究是有益的。
