背景:甲基苯丙胺(MA)(Mkpurummiri)被认为是最常见的,尼日利亚东南部的可获得和新的使用/滥用药物。尽管有大量证据表明这种药物对使用者造成了可怕的后果,缺乏经验研究来确定其在该地区的流行程度,在该地区,使用被认为是普遍的。本研究旨在确定MA使用的患病率,用户的特点和控制措施。
方法:从2023年5月至11月,在东南五个州15-64岁的青少年/成年人中进行了描述性横断面调查研究设计,尼日利亚。使用目的性/便利性抽样方法招募了三百七十一(371)名受访者。半结构化问卷是使用的工具。数据分析使用百分比,双变量和多变量物流回归统计。MA的患病率使用百分比确定,而与MA使用相关的因素使用多元物流回归统计AORs和95CIs表示。显著性水平设定为P<0.05。
结果:甲基苯丙胺(Mkpurummiri)的患病率为(21.8%)。使用MA的最常见原因是抑郁症(86.5%),最常见的给药途径是吸入(64.9%).MA(Mkpurummiri)用户最常见的特征是攻击性/暴力行为(94.1%)。控制措施为自我控制(92.2%),家长监护(85.7%),药物教育(83.1%)和法律控制(80.8%)。多元物流回归统计AOR显示校外是校外的3倍(AOR=0.298;CI=0.12-0.73P=0.008),家庭住宅预测MA使用的可能性比校内低4倍(AOR=0.241;CI=0.09-0.65;P=0.005≤0.05)。最近结婚的人是3.25次(aOR=3.25;CI=1.47-7.18),离婚3.45次(AOR=3.45;CI=1.23-9.58),一夫多妻制2.3倍(aOR=2.3;CI=1.08-4.90;P=0.031≤0.05),传统4.44倍(AOR=4.44;CI=1.77-11.15;P=0.001≤0.05),比其他人更有可能使用MA。
结论:MA使用率相对较高,和婚姻状况,生活安排,家庭类型和宗教是预测因素。这些发现强调了相关政府机构之间需要共同努力,社区利益相关者,家庭,宗教团体和学校当局设计MA使用政策/法律,特别侧重于采取检查可卡因使用者的惩罚性措施。这可能有助于逮捕和起诉制造商,MA的分销商和用户。
BACKGROUND: Methamphetamine (MA) (Mkpurummiri) is seen as the most common, accessible and new drug of use/abuse in south east Nigeria. Despite the overwhelming evidence of the dire consequences of this drug to the users, there is lack of empirical research to determine its prevalence in this area where use is assumed to be common. This study aimed to determine the prevalence of MA use, characteristics of the users and the control measures.
METHODS: A descriptive cross-sectional survey research design was conducted from May through November 2023 among adolescents/adults at the age bracket of 15-64 years in the five states of south east, Nigeria. Three hundred and seventy-one (371) respondents were recruited using purposive/convenience sampling methods. A semi structured questionnaire was the instrument used. Data were analyzed using percentage, bivariate and multivariate logistics regression statistics. The Prevalence of MA was determined using percentages whereas the factors that are associated with MA use were expressed using multivariate logistics regression statistics AORs and 95%CIs. The level of significance was set at P < 0.05.
RESULTS: The prevalence of Methamphetamine (Mkpurummiri) was (21.8%). The most common reason for MA use was depression (86.5%), the most common route of administration was inhalation (64.9%). The most common characteristic of MA (Mkpurummiri) user was aggressive/violent behaviour (94.1%).The control measures were self-control (92.2%), parental monitoring (85.7%), drug education (83.1%) and legal control (80.8%). The multivariate logistics regression statistics AOR shows that off-campus were 3 times (AOR = 0.298; CI = 0.12-0.73 P = 0.008), family house 4 times (AOR = 0.241; CI = 0.09-0.65; P = 0.005 ≤ 0.05 ) less likely than on-campus to predict MA use. Recently married were 3.25 times (aOR = 3.25; CI = 1.47-7.18), divorced 3.45 times (aOR = 3.45; CI = 1.23-9.58), polygamy 2.3 times (aOR = 2.3; CI = 1.08-4.90; P = 0.031 ≤ 0.05 ), tradition 4.44 times (aOR = 4.44; CI = 1.77-11.15; P = 0.001 ≤ 0.05 ) , more likely than others to use MA.
CONCLUSIONS: MA use prevalence was relatively high, and marital status, living arrangements, family type and religion were the predictors. These findings underscore the need for concerted effort among the relevant government agencies, community stakeholders, families, religious bodies and school authorities to designing MA use policy/laws with special focus on adopting the punitive measure used in checking cocaine users. This may help to arrest and prosecute the manufacturers, distributors and users of MA.