Prevalence and Correlates of Youth Drug Abuse in Egypt

描述(由申请人提供)：我们建议开展这项关于药物成瘾的国际研究合作(响应PA-07-275)，以解决埃及药物滥用造成的日益严重的公共健康威胁，埃及普遍缺乏用于医疗保健的资源，特别是用于成瘾控制和研究(包括烟草和其他成瘾药物)的资源。我们将采用参与式、混合方法的研究设计，既进行定量调查，又进行定性调查。我们将从埃及三个地区(上埃及、下埃及和开罗)招募具有全国代表性的10-18岁青年样本，包括在校青年(N=10,800)和未上学青年(N=540)。我们亦会与这个年龄组别的青少年进行深入的定性访问和焦点小组，以进一步了解他们吸烟和其他吸毒行为的详情，以及他们使用烟草和其他药物的相互关系，包括风险和保护因素。本研究的具体目的如下。目的1：对青少年吸烟和其他吸毒行为及其相关因素进行深入的定性研究，包括情境、环境保护和危险因素。这一目标的结果将有助于揭示埃及青年吸毒的原因，并支持量化调查工具的设计。目标2：开展一项大规模的流行率调查，以评估青少年的药物使用和滥用行为，并找出使用的相关性；受访者将包括埃及三个地区(上埃及、下埃及和开罗)具有全国代表性的城市和农村地区的男性和女性。我们将对在校和校外青年人口进行调查。

DESCRIPTION (provided by applicant): We propose to conduct this International Research Collaboration on Drug Addiction (in response to PA-07-275) to address the growing public health threat from substance abuse in Egypt, where resources for healthcare in general, and for addiction control and research in particular (including both tobacco and other drugs of addiction), are severely lacking. Using a participatory, mixed methods research design, we will conduct both quantitative and qualitative surveys. We will recruit nationally representative samples of youths 10-18 years old, including those attending school (N=10,800) and those not attending school (N=540), from the three regions of Egypt (Upper Egypt, Lower Egypt, and Cairo). We will also conduct in-depth qualitative interviews and focus groups with youth in this same age range, to discern further details of their tobacco and other drug use behaviors, and of the correlates of their use, including the risks and protective factors. The specific aims of the study are as follows. Aim 1: To conduct an in-depth qualitative study of the tobacco and other drug use behaviors of youths and of the correlates of use, including the situational and environmental protective and risk factors. The results of this aim will shed light on the etiologies of drug use among Egyptian youth, and support the design of the quantitative survey instrument. Aim 2: To conduct a large-scale Prevalence Survey to assess substance use and abuse behaviors in youths and to discern correlates of use; respondents will include both males and females nationally representative of urban and rural areas in the three regions of Egypt (Upper Egypt, Lower Egypt, and Cairo). We will survey both in-school and out-of-school youth populations.