Department of Science Education, Alex Ekwueme Federal University Ndufu Alike, Abakaliki, Nigeria.
Department of Human Kinetics and Health Education, Ebonyi State University, Abakaliki, Nigeria.
BMC Public Health. 2024 Sep 7;24(1):2436. doi: 10.1186/s12889-024-19921-9.
Methamphetamine (MA) (Mkpurummiri) is seen as the most common, accessible and new drug of use/abuse in south east Nigeria. Despite the overwhelming evidence of the dire consequences of this drug to the users, there is lack of empirical research to determine its prevalence in this area where use is assumed to be common. This study aimed to determine the prevalence of MA use, characteristics of the users and the control measures.
A descriptive cross-sectional survey research design was conducted from May through November 2023 among adolescents/adults at the age bracket of 15-64 years in the five states of south east, Nigeria. Three hundred and seventy-one (371) respondents were recruited using purposive/convenience sampling methods. A semi structured questionnaire was the instrument used. Data were analyzed using percentage, bivariate and multivariate logistics regression statistics. The Prevalence of MA was determined using percentages whereas the factors that are associated with MA use were expressed using multivariate logistics regression statistics AORs and 95%CIs. The level of significance was set at P < 0.05.
The prevalence of Methamphetamine (Mkpurummiri) was (21.8%). The most common reason for MA use was depression (86.5%), the most common route of administration was inhalation (64.9%). The most common characteristic of MA (Mkpurummiri) user was aggressive/violent behaviour (94.1%).The control measures were self-control (92.2%), parental monitoring (85.7%), drug education (83.1%) and legal control (80.8%). The multivariate logistics regression statistics AOR shows that off-campus were 3 times (AOR = 0.298; CI = 0.12-0.73 P = 0.008), family house 4 times (AOR = 0.241; CI = 0.09-0.65; P = 0.005 ) less likely than on-campus to predict MA use. Recently married were 3.25 times (aOR = 3.25; CI = 1.47-7.18), divorced 3.45 times (aOR = 3.45; CI = 1.23-9.58), polygamy 2.3 times (aOR = 2.3; CI = 1.08-4.90; P = 0.031 ), tradition 4.44 times (aOR = 4.44; CI = 1.77-11.15; P = 0.001 , more likely than others to use MA.
MA use prevalence was relatively high, and marital status, living arrangements, family type and religion were the predictors. These findings underscore the need for concerted effort among the relevant government agencies, community stakeholders, families, religious bodies and school authorities to designing MA use policy/laws with special focus on adopting the punitive measure used in checking cocaine users. This may help to arrest and prosecute the manufacturers, distributors and users of MA.
在尼日利亚东南部，冰毒（MA）（Mkpurummiri）被视为最常见、最容易获得和最新的滥用药物。尽管有大量证据表明这种药物对使用者造成了可怕的后果，但缺乏实证研究来确定在这个被认为普遍存在使用的地区的流行程度。本研究旨在确定 MA 使用的流行程度、使用者的特征以及控制措施。
采用描述性横断面调查研究设计，于 2023 年 5 月至 11 月在尼日利亚东南部五个州的 15-64 岁青少年/成年人中进行。使用目的/便利抽样方法招募了 371 名受访者。使用半结构式问卷作为工具。使用百分比、双变量和多变量逻辑回归统计进行数据分析。使用百分比确定 MA 的流行程度，使用多变量逻辑回归统计的优势比（AOR）和 95%置信区间（CI）表示与 MA 使用相关的因素。显著性水平设置为 P<0.05。
冰毒（Mkpurummiri）的流行率为 21.8%。使用 MA 的最常见原因是抑郁（86.5%），最常见的给药途径是吸入（64.9%）。MA（Mkpurummiri）使用者最常见的特征是攻击性/暴力行为（94.1%）。控制措施包括自我控制（92.2%）、父母监督（85.7%）、药物教育（83.1%）和法律控制（80.8%）。多变量逻辑回归统计的 AOR 显示，校外是 3 倍（AOR=0.298；CI=0.12-0.73；P=0.008），家庭住宅是 4 倍（AOR=0.241；CI=0.09-0.65；P=0.005），而在校内的 MA 使用可能性较低。最近结婚的是 3.25 倍（aOR=3.25；CI=1.47-7.18），离婚的是 3.45 倍（aOR=3.45；CI=1.23-9.58），一夫多妻制的是 2.3 倍（aOR=2.3；CI=1.08-4.90；P=0.031），传统的是 4.44 倍（aOR=4.44；CI=1.77-11.15；P=0.001），比其他人更有可能使用 MA。
MA 使用的流行率相对较高，婚姻状况、居住安排、家庭类型和宗教是预测因素。这些发现强调了相关政府机构、社区利益相关者、家庭、宗教团体和学校当局需要共同努力，制定 MA 使用政策/法律，特别关注采用用于检查可卡因使用者的惩罚性措施。这可能有助于逮捕和起诉 MA 的制造商、分销商和使用者。
