Factors affecting substance use relapse among Iranian addicts
نویسندگان
1 Department of Public Health, School of Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2 Department of Public Health, School of Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3 Department of Psychiatry, School of Medicine, Research Center for Behavioral Disorders and Substance Abuse, Hamadan University of Medical Sciences, Hamadan, Iran, 4
4 Department of Behavioral and Environmental Health, School of Public Health, Jackson State University, Jackson, MS, USA
5 Department of Epidemiology, School of Health, Modeling of Noncommunicable Diseases Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
6 Department of Public Health, School of Health, Social Determinants of Health Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
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doi
چکیده
BACKGROUND: Substance use relapse after treatment is one of the most important aspects ofaddiction. The present study aimed to investigate the factors affecting the substance use relapseamong Iranian addicts.MATERIALS AND METHODS: This cross‑sectional study was conducted in 2019 on 396 addictsreferring to the addiction treatment centers in Hamadan, who were selected using a cluster randomsampling method. The data were collected by a two‑section questionnaire (demographic variablesand risk factors for substance abuse recurrence). The collected data were analyzed using descriptivestatistics and logistic regression analysis.RESULTS: The participants’ mean (standard deviation) age was 36.56 (8.8) years, and 84.6%of the participants had a history of relapse. The logistic regression analysis revealed thatmarital status (odds ratio [OR] = 2.594; 95% confidence interval [CI]: 1.472–4.570), personalwillingness (OR = 8.186; 95% CI: 1.875–35.738), pleasure (OR = 2.738; 95% CI: 1.122–6.679), drugavailability (OR = 3.392; 95% CI: 1.023–11.247), family disputes (OR = 4.583; 95% CI: 1.345–15.609),an addicted friend (OR = 2.693; 95% CI: 1.014–7.157), and close addicted relatives (OR = 3.513;95%CI: 1.193–10.348) were the main predictors of addiction relapse (P < 0.05).CONCLUSION: The present study confirmed the effect of several factors (namely demographic,individual, interpersonal, environmental, and behavioral) on the substance use relapse. Accordingly,designing and implementing some interventions based on the findings of the present study maycontribute to preventing substance use relapse.
