Snoubar Motaz, Kasim Salih, Badawi Mahdi, Shaban Qusay, AbuAlrub Ibraheem, Hunjul Marah, Khelfeh Nashat, Abuhassan Ahmad, Hanani Ahmad, Bilbeisi Saed, Damiri Basma
An-Najah National University, Nablus, Palestine.
Opioid Substitution Therapy Unit, Ramallah, Palestine.
J Ethn Subst Abuse. 2025 Jan-Mar;24(1):3-22. doi: 10.1080/15332640.2023.2255850. Epub 2023 Sep 12.
Palestinian adolescent refugees are at increased risk for behaviors that can lead to poor health outcomes, such as high-risk substance use. This research focuses on the prevalence of substance use and its relationship with depression among adolescent male refugees in Palestine's North-West Bank. A cross-sectional study was conducted in five of seven refugee camps to gather data using a proportional stratified sampling technique. A structured questionnaire-based interview was conducted to gather sociodemographic data, self-reported substance use, and depression scale information. Additionally, urine screening tests were used to detect the presence of different drugs in participants' urine samples. The final sample size was 386 refugee males; 24.0% were workers, and 13.7% worked previously. For self-reported substance use, 26.9%;12.4%; 28.0%; 37.0%; and 60.4%, 2.6% of adolescents reported current users of cigarettes, e-cigarettes, waterpipe, coffee, energy drinks (ED), and alcohol, respectively. Moreover, 3.4% tested positive for at least one drug. The drugs that tested positive were as follows: PCP (5%), MDMA (1.8%), THC (1.6%), BZO (0.5%), and MET (0.5%). The adjusted logistic regression showed an increased risk of depression among workers (OR = 3.777; -value = 0.008), cigarette smokers (OR = 2.948; -value = 0.04), waterpipe smokers (OR = 4.458; -value = 0.041), and coffee users (OR = 2.883, -value = 0.046). In conclusion, Palestinian adolescent refugees are at increased risk for behaviors that can lead to poor health outcomes, such as high-risk substance use, including illicit drugs, alcohol use, tobacco smoking, and ED intake. The results of this study reveal alarming figures on drug use associated with depression in refugee camps which demand controlling interventions.
巴勒斯坦青少年难民出现可能导致健康状况不佳的行为的风险增加，比如高风险物质使用。本研究聚焦于约旦河西岸巴勒斯坦青少年男性难民中物质使用的流行情况及其与抑郁症的关系。采用比例分层抽样技术，在七个难民营中的五个开展了一项横断面研究以收集数据。通过基于问卷的结构化访谈收集社会人口学数据、自我报告的物质使用情况以及抑郁量表信息。此外，还使用尿液筛查测试来检测参与者尿液样本中不同药物的存在情况。最终样本量为386名男性难民；24.0%为工人，13.7%曾有工作经历。对于自我报告的物质使用情况，分别有26.9%、12.4%、28.0%、37.0%以及60.4%、2.6%的青少年报告当前使用香烟、电子烟、水烟、咖啡、能量饮料和酒精。此外，3.4%的人至少一种药物检测呈阳性。检测呈阳性的药物如下：苯环己哌啶（5%）、摇头丸（1.8%）、四氢大麻酚（1.6%）、苯二氮卓类药物（0.5%）和甲基苯丙胺（0.5%）。经调整的逻辑回归显示，工人（比值比=3.777；P值=0.008）、吸烟者（比值比=2.948；P值=0.04）、水烟使用者（比值比=4.458；P值=0.041）和咖啡使用者（比值比=2.883，P值=0.046）患抑郁症的风险增加。总之，巴勒斯坦青少年难民出现可能导致健康状况不佳的行为的风险增加，比如高风险物质使用，包括非法药物、酒精使用、吸烟和能量饮料摄入。本研究结果揭示了难民营中与抑郁症相关的药物使用的惊人数据，这需要进行控制干预。
