Prevalence and perception of substance abuse and associated economic indicators and mental health disorders in a large cohort of Kenyan students: towards integrated public health approach and clinical management.
Prevalence and perception of substance abuse and associated economic indicators and mental health disorders in a large cohort of Kenyan students: towards integrated public health approach and clinical management.
复制标题
DOI：
10.1186/s12888-022-03817-2
复制
发表时间：
2022-03-17
期刊：
影响因子：
4.4
通讯作者：
Mamah D
中科院分区：
文献类型：
--
作者：
Mutiso VN;Ndetei DM;N Muia E;Musyimi C;Osborn TL;Kasike R;Onsinyo L;Mbijjiwe J;Karambu P;Sounders A;Weisz JR;Swahn MH;Mamah D
年轻人越早开始吸毒，他们就越容易受到短期和长期有害影响。本研究的总体目标是确定酒精和药物滥用的流行率、社会人口特征、对虐待的看法以及相关的经济指标和精神障碍，以及它们如何为肯尼亚学生群体的潜在干预提供信息。这是一项针对 9742 名高中生、学院学生和大学生的横断面研究。我们使用工具来记录社会人口特征、经济指标、药物和酒精使用及相关认知，以及《精神疾病诊断和统计手册》第四版 (DSM-IV) 相关的精神疾病。进行了基本的描述性统计（数值变量的平均值和标准差以及名义变量和序数变量的频率）。使用逻辑回归模型来评估特定物质的使用与其他物质的使用之间的关联和优势比，以及与各种可用的社会人口因素和经济指标的关联。卡方检验用于按当前饮酒情况分类的社会经济特征。平均年龄为21.4±2.4岁；中位数 = 21.3（范围15-43）年。我们发现了多种不同的滥用药物。酗酒最常见，吸入剂最少，认知不同。酗酒和吸毒都与各种经济指标和各种精神障碍有关。这项研究首次在肯尼亚建立了从高中到大学的跨部门学生群体中酒精和药物滥用的多方面关联和预测因素。在此过程中，该研究为该主题的全球数据做出了贡献。这些协会呼吁采取综合和多方面的方法来解决酒精和药物滥用问题。这种方法应考虑各种关联和预测因素，作为公众意识和临床干预整体方法的一部分。在线版本包含可在 10.1186/s12888-022-03817-2 获取的补充材料。
The earlier younger people begin to use drugs, the more vulnerable they become to both their short term and long-term harmful effects. The overall aim of this study is to determine the prevalence of alcohol and drug abuse, the socio-demographic characteristic, perception of abuse and associated economic indicators and mental disorders and how they inform potential intervention in a cohort of Kenyan students. This was a cross-sectional study on a total of 9742 high school, college and university students. We used tools to document socio-demographic characteristics, economic indicators, drug and alcohol use and related perceptions and Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) related psychiatric disorders. Basic descriptive statistics (means and standard deviations for numerical variables and frequencies for nominal and ordinal variables) were done. Logistic regression models were used to assess the association and odds ratios between the use of a given substance and the use of the other substances, as well as associations with the various available socio-demographic factors and economic indicators. Chi-squared tests were used in socio-economic characteristics disaggregated by current alcohol use. The mean age was 21.4 ± 2.4; median = 21.3 (range 15–43) years. We found a wide range of different drugs of abuse. Alcohol abuse was the commonest and inhalants were the least, with different perceptions.Both alcohol and drug abuse were associated with various economic indicators and various mental disorders. This study has established for the first time in Kenya the multifaceted associations and predictors of alcohol and drug abuse in a cross-sectional student population ranging from high school to college and university levels. In the process, the study contributes to global data on the subject. These associations call for an integrated and multifaceted approach in addressing alcohol and substance abuse. This approach should take into account various associations and predictors as part of holistic approach in both public awareness and clinical interventions. The online version contains supplementary material available at 10.1186/s12888-022-03817-2.
登录
查看更多内容
影响因子：
7.6
作者：
Palen, Lori-Ann;Smith, Edward A.;Mpofu, Elias
通讯作者：
Mpofu, Elias
影响因子：
4.4
作者：
Atwoli, Lukoye;Mungla, Prisca A.;Ogot, Evans M.
通讯作者：
Ogot, Evans M.
影响因子：
--
作者：
Zimmerman, M;Mattia, JI
通讯作者：
Mattia, JI
影响因子：
3.1
作者：
Smits, Jeroen;Steendijk, Roel
通讯作者：
Steendijk, Roel
DOI：
10.15288/jsa.1992.53.447
发表时间：
1992-09-01
期刊：
JOURNAL OF STUDIES ON ALCOHOL
影响因子：
--
作者：
KANDEL, DB;YAMAGUCHI, K;CHEN, K
通讯作者：
CHEN, K