Abstract
BackgroundThe problem of substance use disorder in Iran is of great national concern. The aim of this study was to measure the association between substance use disorder and demographic, social and behavioral factors in Yasuj city, located at southwest of Iran.MethodsAs the second phase of a previously published study, this case-control study was conducted in 2015–2016 on 362 addicted participants and 207 controls (with no history of substance use disorder). The control group was selected from male hospital visitors in Yasuj city during the same period of selection of the case group. The required information was collected via a self-administered questionnaire.ResultsBased on the results of multivariate analysis, significant associations were found between the number of sisters (OR = 0.82, 95%CI = 0.68 to 0.99, P = 0.04), history of smoking (ORyes/no = 19.89, 95%CI = 10.02 to 39.49, P < 0.001), leisure time activity (ORwith friends/home = 8.98, 95%CI = 3.99 to 20.19, P < 0.001) and substance use disorder.ConclusionThis study introduced smoking, number of sisters, education and way of spending leisure time as predictors of substance use disorder. Among these factors, smoking was the most powerful risk factor and spending leisure time with family and having sister were the most powerful preventive factors for substance use disorder.
Highlights
The problem of substance use disorder in Iran is of great national concern
(2.75 ± 1.67 among addicted and 3.13 ± 1.82 among control participants, p = 0.01), had lower levels of education (57.80% of cases had not completed the compulsory education compared to 19.80% among controls, p < 0.001), failed during compulsory education (51.03% among cases compared to 33.17% among controls, p < 001), and had a history of smoking before substance use disorder (82.34% among cases compared to 15.58% among controls, p < 0.001)
After fitting the logistic model age, education, number of brothers, number of sisters, history of smoking, way of spending leisure time, failed during compulsory education and arguing with other students at school remained in the final model
Summary
The problem of substance use disorder in Iran is of great national concern. The aim of this study was to measure the association between substance use disorder and demographic, social and behavioral factors in Yasuj city, located at southwest of Iran. Along with the growing number of users, substance use disorder is becoming a more serious social problem in developed and developing countries [3]. Based on a report from the Iranian minister of internal affairs, substance use disorder is responsible for Numerous studies are conducted to identify the contributing factors to substance use disorder and the results came out in favor of a long list of factors including drug availability, unemployment, peer groups, parent’s behavior, parent’s education and individual’s socio-economic status
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