Enhancement motivations for using prescription drugs among young adults in Nigeria.
Enhancement motivations for using prescription drugs among young adults in Nigeria.
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尼日利亚年轻人使用处方药的增强动机。
DOI：
10.1016/j.drugpo.2020.102995
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发表时间：
2020
期刊：
影响因子：
--
通讯作者：
R. Hanewinkel
中科院分区：
文献类型：
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作者：
Emeka W. Dumbili;J. Gardner;Hannah M. Degge;R. Hanewinkel
在西方国家，增强性欲是处方药非医疗使用的一个常见动机。在非西方语境中，人们对激发使用英语的因素知之甚少。方法本研究探讨了尼日利亚东南部阿南布拉州一个城市受过教育的年轻人获得处方药的途径和使用处方药的动机。对23名年龄在23 - 29岁之间的参与者进行了半结构化访谈。使用NVivo 12软件对数据进行主题分析。结果数据表明，处方药在尼日利亚非正式卫生保健系统的一部分——未注册的“药房”和药店可以广泛获得，而且无需处方也很容易获得。社交网络也是毒品的来源。参与者分享了他们使用处方药的详细观点，揭示了可待因、Rohypnol和高剂量曲马多在一些社会生活领域被用来提高表现。这些药物被描述为提高工作场所的表现和生产力，并被作为劳工和销售代表的参与者服用。男性参与者还分享了使用高剂量曲马多来提高耐力和运动技巧的故事。一些参与者服用Rohypnol来提高他们的创造力和学习成绩。参与者表示，吸毒使他们能够满足与工作、学业和父母期望有关的压力。结论研究结果表明，处方药正在被用户战略性和工具性地部署，以增强社会生活的不同领域。这是由使用者对药物身体影响的体验所驱动的，并且得到了自我药疗和非正式医疗保健普遍存在的背景的支持。参与者寻求药物增强的原因反映了尼日利亚和一些西非国家的社会文化因素，比如就业短缺和对体育实力的支持。研究结果可用于为设计量身定制的方法提供信息，以减少年轻人非医疗使用药物所带来的危害。
BackgroundThe desire for enhancement is a common motive for non-medical use of prescription drugs in Western countries. Little is known about the factors that motivate use in non-Western contexts.MethodsThe study explores access to prescription drugs and the motivations for using them among educated young adults in a city located in Anambra State, South-Eastern Nigeria. Semi-structured interviews were conducted with 23 participants aged 23–29 years. Data were thematically analysed using NVivo 12 Software.ResultsThe data indicate that prescription drugs are widely available and easy to access without a prescription in the unregistered ‘pharmacies’ and medicine shops that form part of Nigeria's informal healthcare system. Social networks are also a source of drugs. Participants shared detailed perspectives on their use of prescription drugs, revealing that codeine, Rohypnol, and high doses of tramadol are used to enhance performance in several social life domains. These drugs were described as enhancing performance and productivity in the workplace, and were taken by participants working as labourers and sales representatives. Male participants also shared accounts of using high doses of tramadol to improve stamina and skill in sports. Some participants took Rohypnol to enhance their creative and academic performance. Participants stated that drug use enabled them to meet the pressures associated with work, academia, and parental expectations.ConclusionThe findings suggest that prescription drugs are being strategically and instrumentally deployed by users to enhance different domains of social life. This is driven by users’ experiences of the drugs’ bodily effects, and it is supported by a context in which self-medication and informal healthcare are common. Participants’ reasons for seeking drug-induced enhancement reflect sociocultural factors within Nigeria and some West African countries, such as employment scarcity and the championing of sporting prowess. The findings can be used to inform the design of tailored approaches to reduce the harms presented by the non-medical use of pharmaceuticals among young adults.
检查旧金山湾区非医疗处方兴奋剂使用者的社会供应。
DOI：
10.1016/j.drugpo.2017.11.015
发表时间：
2018
期刊：
The International journal on drug policy
影响因子：
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作者：
Murphy,Fiona;Murphy,Sheigla;Sales,Paloma;Lau,Nicholas
通讯作者：
Lau,Nicholas