Noncommunicable Diseases Research Center, Fasa University of Medical Sciences, Fasa, Iran.
Faculty of Medicine, Fasa University of Medical Sciences, Fasa, Iran.
BMC Public Health. 2024 May 8;24(1):1265. doi: 10.1186/s12889-024-18733-1.
Given the destructive nature of addiction and its relapse after quitting, the present study aimed to investigate the factors affecting substance abuse relapse based on the Theory of Planned Behavior (TPB) in male addicts covered by addiction treatment centers in Shiraz, Iran.
This cross-sectional study was conducted on 400 male addicts covered by addiction treatment centers in Shiraz, Iran, in 2021-2022. The data collection tool was a researcher-made questionnaire. Data were analyzed using SPSS-22 software through descriptive statistical methods, linear regression, and binary logistic regression.
190 people (47.50%) were aged 31-40 years, 265 people (66.25%) were married, 224 people (56%) lived with their spouses, and 192 people (48 percent) had their first use at the age of 16-20. The substance respondents used were methamphetamine (59.5%), heroin (53%), opium (48%), and alcohol (40%). 138 people (34.5%) had their first place of consumption at friends' houses (Tables 1 and 2). 342 people (85.5%) had a history of relapse, and 172 people (50.29%) had 1-5 relapses. Marital status, occupation, and income were among the demographic risk factors, and addicted friends and close relatives were among the behavioral risk factors for drug relapse among people with a history of relapse. Personal desire and the insistence of friends were also among the individual and interpersonal factors of drug use among participants. The regression results showed that the constructs of awareness, attitude, subjective norms, perceived behavioral control, and behavioral intention were predictors of drug relapse among addicts (P < 0.05).
The current study's findings indicate that among the behavioral risk factors for drug relapse in individuals with a history of relapse are addicted friends and close relatives, while marital status, occupation, and income are among the demographic risk variables. Among the individual and interpersonal factors influencing drug usage among participants were personal desire and friends' insistence. Furthermore, the findings indicated that the TPB's structures might be used to predict drug relapse in addicts.
鉴于成瘾的破坏性及其戒断后的复发，本研究旨在根据计划行为理论（TPB）调查影响男性成瘾者物质滥用复发的因素，这些成瘾者在伊朗设拉子的成瘾治疗中心接受治疗。
本横断面研究于 2021-2022 年在伊朗设拉子的成瘾治疗中心对 400 名男性成瘾者进行，数据收集工具为研究者自制问卷。采用 SPSS-22 软件通过描述性统计方法、线性回归和二元逻辑回归分析数据。
190 人（47.50%）年龄在 31-40 岁，265 人（66.25%）已婚，224 人（56%）与配偶同住，192 人（48%）首次使用年龄为 16-20 岁。受访者使用的物质是冰毒（59.5%）、海洛因（53%）、鸦片（48%）和酒精（40%）。138 人（34.5%）首次消费地点在朋友家（表 1 和表 2）。342 人（85.5%）有复发史，172 人（50.29%）有 1-5 次复发。婚姻状况、职业和收入是复发的人口统计学风险因素，有瘾的朋友和近亲是有复发史的人药物复发的行为风险因素。个人愿望和朋友的坚持也是参与者使用药物的个人和人际因素之一。回归结果表明，意识、态度、主观规范、感知行为控制和行为意向结构是成瘾者药物复发的预测因素（P<0.05）。
本研究结果表明，在有复发史的个体中，药物复发的行为风险因素包括有瘾的朋友和近亲，而婚姻状况、职业和收入是复发的人口统计学风险变量。在影响参与者使用药物的个人和人际因素中，个人愿望和朋友的坚持是重要因素。此外，研究结果表明，TPB 结构可用于预测成瘾者的药物复发。
