Quality of life among people who use drugs living in poor urban communities in the Philippines
Quality of life among people who use drugs living in poor urban communities in the Philippines
复制标题
菲律宾贫困城市社区吸毒者的生活质量
DOI：
10.1016/j.drugpo.2021.103160
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发表时间：
2021
影响因子：
4.4
通讯作者：
Tanaka Eizaburo
中科院分区：
文献类型：
--
作者：
Yamada Chika;Tsutsumi Atsuro;Izutsu Takashi;Tuliao Maria T.R.;Matsuo Hiroya;Tanaka Eizaburo
背景在菲律宾，特别是那些生活在贫困城市社区的吸毒者的生活质量（QOL）和心理健康，由于毒品使用的情况和正在进行的强硬禁毒政策，是高度关注的。本研究旨在调查PWUD的生活质量和心理健康状况，比较他们与对照组没有吸毒史，并确定与生活质量相关的因素在菲律宾PWUD.MethodsA横断面研究进行了招聘从社区为基础的康复计划和贫困的城市社区在蒙廷卢帕在2018年。使用WHOQOL-BREF测量QOL，而心理困扰和创伤后应激障碍（PTSD）分别使用Kessler心理困扰量表（K-6）和DSM-5的初级保健PTSD筛查（PC-PTSD-5）进行测量。多变量线性回归与每个WHOQOL-BREF域作为一个依赖因素进行了建立三个预测：年龄和性别调整后的生活质量的手段，与生活质量的因素之间PWUD，和相互作用的终身药物使用与每个covariate.ResultsIn总，272 PWUD和402比较参与者被招募。大多数PWUD是目前的吸毒者（53%），主要是甲基苯丙胺（70%）。在PWUD中，中度至重度心理困扰的患病率为70%，可能的PTSD为28%-这两个比率都高于对照组。PWUD的所有四个QOL领域评分（身体、心理、社会和环境）均低于对照组。多变量回归分析显示，心理困扰，目前的药物使用，销售毒品，经历歧视，从未结婚与较低的生活质量。较高的个人收入，家庭资源，社会活动的参与，和服务使用的药物使用问题与较高的生活质量之间的PWUD。分层和互动分析显示，PWUD的生活质量是更敏感的个人收入的变化相对于生活质量的comparationgroup.ConclusionA综合干预解决心理困扰减少，经济赋权，社会包容性的补充禁欲为导向的方案，可以提高菲律宾PWUD的福祉。
BackgroundThe quality of life (QOL) and mental health of people who use drugs (PWUD) in the Philippines, especially those living in poor urban communities, are highly concerning due to the situations surrounding drug use and the ongoing hard-line antidrug policy. This study aimed to investigate the QOL and mental health status of PWUD, compare them with a comparison group with no history of drug use, and identify factors associated with QOL among Filipino PWUD.MethodsA cross-sectional study was conducted with recruitment from a community-based rehabilitation programme and poor urban communities in Muntinlupa in 2018. QOL was measured using the WHOQOL-BREF, while psychological distress and posttraumatic stress disorder (PTSD) were measured using the Kessler Psychological Distress Scale (K-6) and the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5), respectively. Multivariable linear regressions with each WHOQOL-BREF domain as a dependent factor were conducted to establish three predictions: age- and gender-adjusted QOL means, factors associated with QOL among PWUD, and interaction of lifetime drug use with each covariate.ResultsIn total, 272 PWUD and 402 comparison participants were recruited. Most PWUD were current drug users (53%), primarily of methamphetamine (70%). Among PWUD, the prevalence of moderate to severe psychological distress was 70%, and probable PTSD was 28%—both rates higher than those among the comparison group. All four QOL domain scores (physical, psychological, social, and environmental) of PWUD were lower than those of the comparison group. Multivariable regressions showed that psychological distress, current drug use, selling drugs, experiencing discrimination, and being never-married were associated with lower QOL. Higher individual income, household resources, social activity participation, and service use for drug use problems were associated with higher QOL among PWUD. Stratified and interaction analyses revealed that the QOL of PWUD was more sensitive to changes in individual income relative to the QOL of comparison group.ConclusionA comprehensive intervention addressing psychological distress reduction, economic empowerment, and social inclusion—complementary to abstinence-oriented programmes—may improve the well-being of Filipino PWUD.