Stanikzai Muhammad Haroon, Wahidi Mohammad Wahid
Department of Public Health, Faculty of Medicine, Kandahar University, Kandahar, Afghanistan.
Subst Abuse Rehabil. 2023 Aug 7;14:89-98. doi: 10.2147/SAR.S412821. eCollection 2023.
Substance use and its associated bio-psycho-social problems are public health concerns with harmful individual and social consequences.
This study assessed the bio-psycho-social profile of people with substance use disorders (SUD) treated at locally assigned treatment facilities in Kandahar, Afghanistan.
We conducted this facility-based cross-sectional study among 621 substance users receiving care at three locally assigned treatment facilities in November-December 2022. We performed multiple linear regression to determine factors associated with psychological symptoms.
The mean age of the participants was 34.41 (± 10.10 SD) years. The majority of our subjects (81.2%) perceived their physical health as very good or fair. More than two-thirds (73.4%) rated their social support as high. Of all participants, 541 (87.1%) had symptoms of depression, 569 (91.6%) of anxiety, and 442 (71.2%) of stress. The prevalence of severe depression, anxiety, and stress was 34.8%, 65.8%, and 27.3%, respectively. The multiple linear regression showed that several attributes of people with substance use disorders [ie, having a low level of education (β=0.12, p=<0.001), being unemployed (β=0.31, p=<0.001), having a low level of social support (β=-0.35, p=<0.001), had a pre-existing medical condition (β=-0.28, p=<0.001), and having lived abroad in the past ten years (β=0.10, p=0.001)] were significantly associated with higher DASS-21 total scores.
This study highlights the importance of providing bio-psycho-social support programs and implementing therapeutic interventions to help people with substance use disorders, particularly those who are most susceptible to higher levels of bio-psycho-social problems.
物质使用及其相关的生物-心理-社会问题是公共卫生关注的问题，会对个人和社会造成有害后果。
本研究评估了在阿富汗坎大哈当地指定治疗机构接受治疗的物质使用障碍（SUD）患者的生物-心理-社会概况。
2022年11月至12月，我们在当地指定的三家治疗机构对621名接受护理的物质使用者进行了这项基于机构的横断面研究。我们进行了多元线性回归以确定与心理症状相关的因素。
参与者的平均年龄为34.41（±10.10标准差）岁。我们的大多数受试者（81.2%）认为他们的身体健康状况非常好或良好。超过三分之二（73.4%）的人将他们的社会支持评为高水平。在所有参与者中，541人（87.1%）有抑郁症状，569人（91.6%）有焦虑症状，442人（71.2%）有压力症状。重度抑郁、焦虑和压力的患病率分别为34.8%、65.8%和27.3%。多元线性回归显示，物质使用障碍患者的几个特征[即教育水平低（β=0.12，p<0.001）、失业（β=0.31，p<0.001）、社会支持水平低（β=-0.35，p<
