Kassew Tilahun, Tilahun Sewbesew Yitayih, Alemayehu Biruk Fanta, Getnet Berhanie, Demilew Demeke, Tarekegn Gebrekidan Ewnetu, Alemu Kassahun, Yesuf Yassin Mohammed, Oumer Mohammed, Mehari Eden Abetu, Melkam Mamaru, Nenko Goshu
Department of Psychiatry, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Department of Epidemiology and Biostatistics, Institute of Public Health, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.
Front Psychiatry. 2023 May 5;14:1045111. doi: 10.3389/fpsyt.2023.1045111. eCollection 2023.
Substance use is associated with high rates of psychiatric symptoms including psychotic symptoms. Despite the severity of the problem, there are intervention gaps in Ethiopia. To combat this, relevant evidence is required to raise the awareness of service providers. This study aimed to assess the prevalence of psychotic symptoms and its associated factors among the youth population who uses psychoactive substances in the Central Gondar Zone, Northwest Ethiopia.
A community-based cross-sectional study was conducted among the youth population in the Central Gondar zone, Northwest Ethiopia, from 01 January to 30 March 2021. A multistage sampling technique was used to recruit the study participants. All data were collected using questionnaires assessing socio-demographic; family-related variables; Depression, Anxiety, and Stress Scale; Multidimensional Scale Perceived Social Support (MSPSS), and Self-Reporting Questionnaire (SRQ-24). The data were analyzed using the STATA 14 statistical program.
A total of 372 young people who used psychoactive substances (79.57%, 53.49%, 34.14%, and 16.13% were consuming alcohol, Khat, tobacco/cigarette products, and other substances such as shisha, inhalants, and drugs, respectively) were included in the study. The prevalence of psychotic symptoms was 24.2% with a 95% CI: 20.1, 28.8. Being married [AOR = 1.87 95% CI: 1.06, 3.48], recent loss of loved ones [AOR = 1.97 95% CI: 1.10, 3.18], low perceived social support [AOR = 1.61 95% CI: 1.11, 3.02], and severe psychological distress [AOR = 3.23 95% CI; 1.64, 6.54] were the factors associated with psychotic symptoms among young people with psychoactive substances use at a -value of < 0.05.
Psychotic symptoms related to psychoactive substances among the youth population in Northwest Ethiopia were high. Thus, it is better to give a special attention to the youth population with low social support and existing psychological distress concurrent with psychoactive substance use.
物质使用与包括精神病性症状在内的高比例精神症状相关。尽管该问题严重，但埃塞俄比亚存在干预缺口。为解决这一问题，需要相关证据来提高服务提供者的认识。本研究旨在评估埃塞俄比亚西北部贡德尔中部地区使用精神活性物质的青年人群中精神病性症状的患病率及其相关因素。
2021年1月1日至3月30日，在埃塞俄比亚西北部贡德尔中部地区的青年人群中进行了一项基于社区的横断面研究。采用多阶段抽样技术招募研究参与者。所有数据均通过问卷收集，问卷评估社会人口统计学；家庭相关变量；抑郁、焦虑和压力量表；多维感知社会支持量表（MSPSS）和自填问卷（SRQ - 24）。使用STATA 14统计程序对数据进行分析。
共有372名使用精神活性物质的年轻人（分别有79.57%、53.49%、34.14%和16.13%的人使用酒精、巧茶、烟草/香烟制品以及水烟、吸入剂和毒品等其他物质）纳入研究。精神病性症状的患病率为24.2%，95%置信区间为：20.1，28.8。已婚[AOR = 1.87，95%置信区间：1.06，3.48]、近期失去亲人[AOR = 1.97，95%置信区间：1.10，3.18]、低感知社会支持[AOR = 1.61，95%置信区间：1.11，3.02]和严重心理困扰[AOR = 3.23，95%置信区间；1.64，6.54]是使用精神活性物质的青年人群中与精神病性症状相关的因素，P值<0.05。
埃塞俄比亚西北部青年人群中与精神活性物质相关的精神病性症状发生率较高。因此，最好特别关注社会支持低且同时存在心理困扰以及使用精神活性物质的青年人群。
