Prevalence and Determinants of Substance Use Among Indigenous Tribes in South India: Findings from a Tribal Household Survey.
Prevalence and Determinants of Substance Use Among Indigenous Tribes in South India: Findings from a Tribal Household Survey.
复制标题
印度南部土著部落中药物使用的流行率和决定因素：部落家庭调查的结果。
DOI：
10.1007/s40615-021-00964-2
复制
发表时间：
2022
影响因子：
3.9
通讯作者：
Arensman,Ella
中科院分区：
文献类型：
--
作者：
Sadath,Anvar;Jose,Kurian;Jiji,KM;Mercy,VT;Ragesh,G;Arensman,Ella
背景土著居民比非土著居民有更高的物质使用。目前关于土著人使用药物的证据主要来自全国住户调查，而没有专门设计的、针对具体文化的方法研究来确定土著部落中药物滥用的普遍程度。本研究探讨了饮酒，吸烟，槟榔嚼在印度南部的土著tribe.MethodWe进行了一项横断面人口为基础的随机调查，2186个部落家庭在Wayanad区，喀拉拉邦的患病率和预测。一个自我准备的，试点测试的结构化访谈时间表被用来收集社会人口变量和物质使用的信息。多变量Logistic回归模型被用来研究物质use.ResultsThe目前的饮酒，吸烟和每日槟榔使用的总体患病率分别为17.2%，18.8%和47.6%的社会人口预测。一致性，男性饮酒OR = 13.55;吸烟OR = 3.42;槟榔OR = 1.65（OR = 1.32; OR = 1.01; OR = 1.03），Paniya部落身份（OR = 2.24; OR = 1.39; OR = 5.38）和工作状态（OR = 2.07; OR = 1.77; OR = 1.26）增加饮酒、吸烟和嚼槟榔的风险。此外，有“没有正规教育”与吸烟（OR = 1.35），嚼槟榔（OR = 3.27）。男性、年龄、部落、工作状况对饮酒、吸烟、嚼槟榔有显著影响。研究结果强调，需要制定针对土著人的戒毒政策和方案，同时考虑到关键的社会人口预测因素。
BackgroundIndigenous populations have higher substance use than non-indigenous populations. Current evidence on indigenous substance use is largely derived from national household surveys, while there are no specifically designed, culturally specific methodological studies available to determine the prevalence of substance abuse among the indigenous tribes. The present study examined the prevalence and predictors of alcohol use, smoking, and betel quid chewing among indigenous tribes in South India.MethodWe conducted a cross-sectional population-based random survey of 2186 tribal households in the Wayanad District, Kerala. A self-prepared, pilot-tested structured interview schedule was used to collect information on sociodemographic variables and substance use. Multivariate logistic regression models were used to examine the sociodemographic predictors of substance use.ResultsThe overall prevalence of current alcohol use, current smoking and daily betel quid use was 17.2%, 18.8% and 47.6% respectively. Consistently, male gender (alcohol use OR = 13.55; smoking OR = 3.42; betel quid use OR = 1.65), increasing age (OR = 1.32; OR = 1.01; OR = 1.03), Paniya tribe status (OR = 2.24; OR = 1.39; OR = 5.38) and employment status being working (OR = 2.07; OR = 1.77; OR = 1.26) increased the risk of alcohol use, smoking and betel quid chewing. Furthermore, having ‘no formal education’ was associated with smoking (OR = 1.35), and betel quid chewing (OR = 3.27).ConclusionSubstance use was high among the indigenous tribes. The male gender, increasing age, Paniya tribe and working status significantly influenced alcohol use, smoking and betel quid chewing. The results underscore the need for indigenous specific de-addiction policies and programmes, alongside a consideration of the critical sociodemographic predictors.