PDF(Pubmed)
Abstract：
Substance use is a major public health issue in South Africa. Cocktails, containing two or more low-quality substances, have been reported. Nyaope is one of the most popular and is widely available. It has a significant impact on users and communities. The aim of this study was to explore community members\' perceptions of the potential contributors to Nyaope use and dependency.
This was an exploratory descriptive qualitative study that conducted three focus group interviews with 29 community members. A maximum variation sample was used. Data were analysed using the framework method, assisted by Atlas-ti.
Seven main themes were identified, namely unfavourable home environments, distrust between community members and the local police, easy access to Nyaope at school, inadequate social services, lack of religious or spiritual drive, unfavourable community environments and the effects of Nyaope on users.
The factors identified, were used to construct an emerging model of how Nyaope use is driven in Tshwane. It is clear that a multisectoral response is required involving health and social services, basic education, policing and community leadership. Further research will explore the views of family members and users and quantify the importance of the factors identified.Contribution: This study showed that rather than a simple linear chain of events, Nyaope use is enabled by a complex system of interconnected elements. According to the respondents, variables in the community at large, the school, the home and the specific user all have a role in Nyaope usage and dependency.
This was an exploratory descriptive qualitative study that conducted three focus group interviews with 29 community members. A maximum variation sample was used. Data were analysed using the framework method, assisted by Atlas-ti.
Seven main themes were identified, namely unfavourable home environments, distrust between community members and the local police, easy access to Nyaope at school, inadequate social services, lack of religious or spiritual drive, unfavourable community environments and the effects of Nyaope on users.
The factors identified, were used to construct an emerging model of how Nyaope use is driven in Tshwane. It is clear that a multisectoral response is required involving health and social services, basic education, policing and community leadership. Further research will explore the views of family members and users and quantify the importance of the factors identified.Contribution: This study showed that rather than a simple linear chain of events, Nyaope use is enabled by a complex system of interconnected elements. According to the respondents, variables in the community at large, the school, the home and the specific user all have a role in Nyaope usage and dependency.
摘要：
背景：物质使用是南非的主要公共卫生问题。鸡尾酒,含有两种或两种以上低质量物质，已被报道。Nyaope是最受欢迎的产品之一，并且广泛可用。它对用户和社区产生重大影响。这项研究的目的是探索社区成员对Nyaope使用和依赖的潜在贡献者的看法。
方法：这是一项探索性描述性定性研究，对29名社区成员进行了三次焦点小组访谈。使用最大变化样本。使用框架方法分析数据，由Atlas-ti协助。
结果：确定了七个主要主题，即不利的家庭环境，社区成员和当地警察之间的不信任，在学校很容易到达Nyaope，社会服务不足,缺乏宗教或精神动力，不利的社区环境以及Nyaope对用户的影响。
结论：确定的因素，用于构建一个新兴的Nyaope使用在Tshwane中如何驱动的模型。显然，需要涉及卫生和社会服务的多部门对策，基础教育,治安和社区领导。进一步的研究将探索家庭成员和用户的观点，并量化所确定因素的重要性。贡献：这项研究表明，不是简单的线性事件链，Nyaope的使用是由相互连接的元素组成的复杂系统实现的。根据受访者的说法，整个社区的变量，学校,家庭和特定用户都在Nyaope的使用和依赖中发挥作用。
方法：这是一项探索性描述性定性研究，对29名社区成员进行了三次焦点小组访谈。使用最大变化样本。使用框架方法分析数据，由Atlas-ti协助。
结果：确定了七个主要主题，即不利的家庭环境，社区成员和当地警察之间的不信任，在学校很容易到达Nyaope，社会服务不足,缺乏宗教或精神动力，不利的社区环境以及Nyaope对用户的影响。
结论：确定的因素，用于构建一个新兴的Nyaope使用在Tshwane中如何驱动的模型。显然，需要涉及卫生和社会服务的多部门对策，基础教育,治安和社区领导。进一步的研究将探索家庭成员和用户的观点，并量化所确定因素的重要性。贡献：这项研究表明，不是简单的线性事件链，Nyaope的使用是由相互连接的元素组成的复杂系统实现的。根据受访者的说法，整个社区的变量，学校,家庭和特定用户都在Nyaope的使用和依赖中发挥作用。
