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Etiology of Drug Abuse: A Narrative Analysis

机译：药物滥用的病因：叙事分析

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Introduction and Aim. Further gains in the prevention of drug abuse disorders require in-depth and holistic understanding of the risk factors of addiction from different perspectives. Lay persons and experts have different concepts of risk which could complement each other. The purpose of this study was to elaborate drug abuse risk factors through the story of individuals who had become drug dependent. Design and Methods. In this qualitative research, 33 individuals attending treatment centres for drug abuse were interviewed about the story of their addiction in Kerman, Iran. Interview questions were around the story of the participants. Results. All participants were male and in the age range of 18–40 years. Narrative analysis identified five themes as the main risk factors family factors, peer pressure, the effect of gateway drugs (especially waterpipe), individual characteristics, and the community factors. More emphasis was placed upon the role of family factors, peer influence, and gateway effect. Discussion and Conclusion. This study elicited information from drug dependent subjects regarding the risk factors of drug abuse. According to drug dependent individuals’ views, more attention should be devoted to family and peer influences by policy makers, in developing culture-based preventive strategies.
机译：介绍和目标。预防药物滥用疾病的进一步进展需要从不同的角度对成瘾的危险因素进行全面深入的了解。外行人员和专家具有不同的风险概念，可以相互补充。这项研究的目的是通过已成为毒品依赖者的故事来详细阐述药物滥用的危险因素。设计和方法。在这项定性研究中，采访了33名参加戒毒治疗中心的人，讲述了他们在伊朗克尔曼（Kerman）上瘾的故事。访谈问题围绕参与者的故事展开。结果。所有参与者均为男性，年龄在18-40岁之间。叙事分析确定了五个主题，分别是家庭因素，同伴压力，网关药物（尤其是水烟）的作用，个体特征和社区因素等主要危险因素。更多的重点放在家庭因素，同伴影响和门户效应的作用上。讨论和结论。这项研究从药物依赖性受试者中获取了有关药物滥用危险因素的信息。根据毒品依赖者的观点，在制定基于文化的预防策略时，应该更多地关注政策制定者的家庭和同伴的影响。

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