Department of Psychiatry, School of Medicine, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Department of Psychiatry, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
BMC Psychiatry. 2022 Jun 15;22(1):402. doi: 10.1186/s12888-022-04053-4.
The recent WHO data reported that a high treatment gap for behavioral illnesses (70%) in low- and- middle-income countries and the mortality rate of aggressive behavior reaches up to 32.1 per 100,000 populations in the region. However, the magnitude of aggressive behavior is not well stated in resource-limited settings. Therefore, the aim of this study was to assess the prevalence and determinant factors of aggressive behavior among adults with problematic substance use in northwest Ethiopia.
A community-based cross-sectional study was employed from January to March 2019. A multi-stage cluster sampling method was used to screen a total of 4028 adults for problematic substance use by using the Cutdown, Annoyed, Guilty, and Eye-opener questionnaire (CAGE AID). Finally, 838 participants were positive for problematic substance use and interviewed for aggressive behavior using a modified overt aggression scale. Multiple logistic regression analysis was used to show the adjusted odds ratios (AOR) and p-value < 0.05 considered statistically significant. A multilevel binary logistic regressions model was employed for the hierarchical structure of two-level data for the individual and woreda/district levels.
The prevalence of aggressive behavior was found to be 37.9% (301/795, 95% CI: 34.5, 41.3). Stressful life events (AOR = 2.209, 95 CI; 1.423, 3.429), family history of mental illness (AOR = 4.038, 95 CI; 2.046, 7.971), comorbid physical illness (AOR = 2.01, 95 CI; 1.332, 3.032) and depressive symptoms (AOR = 2.342, 95 CI; 1.686, 3.253) were associated with aggressive behavior among individual with problem substance use.
Aggressive behavior was found to be high among problematic substance uses. An individual with problematic substance use is recommended to be screened by health extension workers for aggressive behavior at the community level.
世界卫生组织（WHO）最近的数据报告显示，在中低收入国家，行为疾病的治疗缺口很大（70%），该地区的攻击性行为死亡率高达每 10 万人中有 32.1 人。然而，在资源有限的环境中，攻击性行为的严重程度并没有得到很好的说明。因此，本研究旨在评估在埃塞俄比亚西北部有问题物质使用的成年人中攻击性行为的流行程度和决定因素。
这是一项基于社区的横断面研究，于 2019 年 1 月至 3 月进行。采用多阶段聚类抽样方法，使用 Cutdown、Annoyed、Guilty 和 Eye-opener 问卷（CAGE AID）对总共 4028 名成年人进行有问题物质使用筛查。最后，共有 838 名参与者对有问题物质使用呈阳性，并使用改良的显性攻击量表对其进行攻击性行为访谈。使用多变量逻辑回归分析显示调整后的优势比（AOR）和 p 值<0.05 被认为具有统计学意义。对于个体和 woreda/区两级的分层数据，采用多水平二元逻辑回归模型进行分析。
发现攻击性行为的患病率为 37.9%（301/795，95%CI：34.5，41.3）。应激性生活事件（AOR=2.209，95%CI；1.423，3.429）、精神病史（AOR=4.038，95%CI；2.046，7.971）、合并躯体疾病（AOR=2.01，95%CI；1.332，3.032）和抑郁症状（AOR=2.342，95%CI；1.686，3.253）与有问题物质使用的个体的攻击行为相关。
有问题物质使用的个体中发现攻击行为发生率很高。建议在社区层面上，由卫生推广工作者对有问题物质使用的个体进行攻击行为筛查。
