■\“局部性\”是物质启动的重要因素,维护,和复发。农村和城市人口的物质依赖模式因研究而异,几乎没有研究过,保证进一步的研究。比较呈现模式(社会人口统计学和药物相关变量),物质使用的原因,和精神病合并症(患病率,type,和严重程度)在农村和城市物质依赖群体之间。
■这项研究是政府戒毒中心的一项横断面分析研究,包括18-65岁的农村和城市患者群体。国际疾病分类,第十次修订(ICD-10)标准,和依赖严重程度量表用于诊断物质依赖。戒毒后,使用简短的精神病学评定量表评估精神病合并症,杨氏躁狂症评定量表,和患者健康问卷-躯体,焦虑,和抑郁症状量表。进行后分析以评估社会经济变量和戒毒服务的获取。
■最终样本为500个(250个农村和250个城市)。分析后样本量为386(农村211例,城市175例)。平均年龄为38.2±12.4岁,男性居多(n=495,99%)。物质频率为阿片类药物(92%)>苯二氮卓类药物(24.8%)>酒精(22%)>大麻(1.6%),农村和阿片类药物(91.2%)>酒精(29.6%)>苯二氮卓类药物(14.8%)>城市患者的大麻(2%)。超过一半的患者有尼古丁依赖共病。农村患者更依赖苯二氮卓类药物(P=0.007),和城市更依赖阿片类药物+酒精(P=0.001)。农村患者年龄较高(P=0.012),受教育程度较低(P<0.001),物质家族史阳性(P=0.028),每日投注,农民(P<0.001)比城市患者年轻,学生(P=0.002),商人和政府雇员(P<0.001)。城市患者在药物上花费更多(P<0.001),有较高的治疗尝试(P=0.008),戒毒服务的可获得性和可及性较好(P<0.001)。更多的农村用户开始使用物质来提高性能,“而城市的人发起了“缓解压力/新奇”(P<0.001)。为了寻求治疗,“外部压力”是城市患者中更常见的原因(P<0.001),谁也有更多的精神病合并症(P=0.026)。
■农村和城市物质依赖者之间存在显著的模式差异,保证强调适当干预的地方特定因素。
UNASSIGNED: \"Locality\" is a significant factor in substance initiation, maintenance, and relapse. The pattern of substance dependence among rural and urban populations varies across studies and is scarcely studied, warranting further research. To compare presenting patterns (sociodemographic and drug-related variables), reasons for substance use, and psychiatric comorbidities (prevalence, type, and severity) between rural and urban substance-dependent groups.
UNASSIGNED: This
study was a cross-sectional analytical
study in a government de-addiction center, including rural and urban patient groups aged 18-65. International Classification of Diseases, Tenth Revision (ICD-10) criteria, and severity of dependence scale were used for diagnosing substance dependence. After detoxification, psychiatric comorbidity was assessed using brief psychiatric rating scale, Young\'s mania rating scale, and patient health questionnaire - somatic, anxiety, and depression symptoms scale. Post-analysis was performed to assess socioeconomic variables and access to de-addiction services.
UNASSIGNED: The final sample was 500 (250 rural and 250 urban). The post-analysis sample size was 386 (211 rural and 175 urban). The mean age was 38.2 ± 12.4 years, mostly males (n = 495, 99%). Substance frequency was opioids (92%)> benzodiazepines (24.8%) > alcohol (22%) > cannabis (1.6%) for rural and opioids (91.2%) > alcohol (29.6%) > benzodiazepines (14.8%) > cannabis (2%) for urban patients. More than half of patients had comorbid nicotine dependence. Rural patients were more benzodiazepine dependent (P = 0.007), and urban were more opioid + alcohol dependent (P = 0.001). Rural patients had higher age (P = 0.012), less education (P < 0.001), positive family history of substance (P = 0.028), daily wagers, and farmers (P < 0.001) than urban patients who were younger, students (P = 0.002), businessmen and government employed (P < 0.001). Urban patients expended more on drugs (P < 0.001), had higher treatment attempts (P = 0.008), and had better availability and accessibility of de-addiction services (P < 0.001). More rural users initiated substances to \"enhance performance,\" whereas urban ones initiated for \"stress relief/novelty\" (P < 0.001). For treatment seeking, \"External pressure\" was a more common reason in urban patients (P < 0.001), who also had more psychiatric comorbidities (P = 0.026).
UNASSIGNED: Significant pattern differences exist between rural and urban substance dependents, warranting emphasis on locality-specific factors for appropriate intervention.