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Substance use disorder and associated factors among prisoners in a correctional institution in Jimma, Southwest Ethiopia: a cross-sectional study

机译:埃塞俄比亚西南部吉马一家惩教所的囚犯物质使用障碍及其相关因素:一项横断面研究

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Substance use disorder is an important public health problem and one of the major causes of disability worldwide. Substance use and criminal behavior are closely related and there is a significant association between substance misuse and crime, but little is known about substance use disorder among prisoners, in particular in low-income countries. Therefore, we investigated substance use disorder and associated factors in inmates of a correctional institution in Jimma, Southwest Ethiopia. We used a cross-sectional study design to collect data from 336 prisoners from June 5 to July 5, 2017. Study participants were selected from the total of 1460 prisoners eligible for the study by a systematic random sampling technique, i.e., one participant was randomly selected from every four consecutive admissions in the registration book. Alcohol use disorder, nicotine dependence, khat abuse, cannabis use disorder, psychopathy, adverse traumatic life events, and social support were assessed. Data were entered into EpiData version 3.1 and analyzed in bivariate and multivariable logistic regression models with the Statistical Package for Social Science version 21. Variables with a P value ?0.05 in the final fitting model were declared to be associated with the outcome variable. The overall prevalence of substance use disorder was 55.9%. The prevalence of khat abuse was 41.9%; alcohol use disorder, 36.2%; nicotine dependence, 19.8%; and cannabis use disorder, 3.6%. Poor social support, living in urban areas, psychopathy, and a family history of substance use were positively associated with substance use disorder. Substance use disorder is prevalent among prisoners. The increased morbidity and unpleasant psychosocial consequences associated with substance use disorder, together with our finding that 66.3% of prisoners with substance use disorder were interested in obtaining treatment, suggest a need to establish prison-based treatment in this correctional institution in Jimma.
机译:物质使用障碍是一个重要的公共卫生问题,也是全球范围内致残的主要原因之一。毒品的使用与犯罪行为密切相关,滥用毒品与犯罪之间有着显着的联系,但是对于囚犯,特别是在低收入国家的囚犯中的毒品使用障碍知之甚少。因此,我们调查了埃塞俄比亚西南部吉马市一家惩教所的囚犯的物质使用障碍及其相关因素。我们使用横断面研究设计从2017年6月5日至7月5日收集了336名囚犯的数据。研究参与者是通过系统随机抽样技术从总共1460名符合研究条件的囚犯中选出的,即一名参与者是随机从登记簿中每四个连续的入学中选择。评估了酒精使用障碍,尼古丁依赖,卡塔叶滥用,大麻使用障碍,精神病,不良创伤性生活事件和社会支持。将数据输入EpiData 3.1版,并使用社会科学统计软件包21版在双变量和多变量logistic回归模型中进行分析。声明最终拟合模型中P值<?0.05的变量与结果变量相关联。物质使用障碍的总体患病率为55.9%。卡塔叶滥用的患病率为41.9%;饮酒障碍,36.2%;尼古丁依赖性,19.8%;和大麻使用障碍,占3.6%。较差的社会支持,居住在城市地区,精神病和药物滥用的家族史与药物滥用症呈正相关。囚犯中普遍存在物质使用障碍。与毒品使用障碍相关的发病率增加和令人不快的社会心理后果,以及我们的发现:66.3%的毒品使用障碍囚犯对获得治疗感兴趣,这表明有必要在吉马的这家惩教所建立以监狱为基础的治疗。

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