Risk Assessment of Addiction and Tobacco Misuse in Community of the Rural Older Adult, Using Monte Carlo Simulation Sampling

Q4 Medicine

International Journal of High Risk Behaviors and Addiction Pub Date : 2020-12-08 DOI:10.5812/ijhrba.106335

E. Rezaian, M. Karimi, Ebrahim Nazari Far, Mahsa Yarelahi, A. Asadollahi, Atefe Razaian

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引用次数: 0

Abstract

Background: Illegal drug abuse is an important challenge that is not adequately addressed with respect to gerontology in rural areas. Patients and Methods: In this cross-sectional study 641 people aged 60 years or older supported by rural health centers in Southern Iran were investigated (310 and 331 men and women, respectively). To take a sample size of 326, snowball sampling was used. Then, the sample size was developed and simulated to 1.65 million rural elderly using the Monte Carlo simulation and bootstrapping technique (upon the 2016 national census), calculated in SPSS V.25. The ASSIST-WHO, 2017 instrument was used to collect the data. Results: A significant difference was found between the mean sub-variables of marital status using the MANOVA. Widowhood and divorce had more impact on the tendency to addiction compared to the other factors on marital status. Nomads and farmers were more vulnerable to be addicted than those occupied in the public sector. It was also confirmed by the Eta2 coefficient that older men feeling loneliness have a higher tendency to commit risky behaviors. Conclusions: Being a nomad or framer and widowhood and divorce increased the tendency of male elderly towards illegal drugs. Further studies are required to develop guidelines for policy-makers concerning the rural aging community.

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基于蒙特卡罗模拟抽样的农村社区老年人烟瘾和烟草滥用风险评估

背景:非法药物滥用是农村地区老年学面临的一个重要挑战，但尚未得到充分解决。患者和方法:在这项横断面研究中，调查了伊朗南部农村卫生中心支持的641名60岁或以上的人(分别为310名男性和331名女性)。样本量为326，采用滚雪球抽样。然后，使用蒙特卡罗模拟和bootstrapping技术(以2016年全国人口普查为依据)开发并模拟了165万农村老年人的样本量，并在SPSS V.25中进行了计算。使用2017年ASSIST-WHO仪器收集数据。结果:使用方差分析发现婚姻状况的平均子变量之间存在显著差异。与其他影响婚姻状况的因素相比，丧偶和离婚对成瘾倾向的影响更大。游牧民和农民比那些在公共部门工作的人更容易上瘾。Eta2系数也证实，感到孤独的老年男性更容易做出冒险行为。结论:游牧、农牧、丧偶、离婚增加了老年男性吸毒倾向。需要进一步的研究来为政策制定者制定有关农村老龄化社区的指导方针。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of High Risk Behaviors and Addiction Psychology-Clinical Psychology

CiteScore

0.70

自引率

0.00%

发文量

期刊介绍： International Journal of High Risk Behaviors and Addiction is a clinical journal which is informative to all fields related to the high risk behaviors, addiction, including smoking, alcohol consumption and substance abuse, unsafe sexual behavior, obesity and unhealthy eating habits, physical inactivity, and violence, suicidal behavior, and self-injurious behaviors. International Journal of High Risk Behaviors and Addiction is an authentic clinical journal which its content is devoted to the particular compilation of the latest worldwide and interdisciplinary approach and findings including original manuscripts, meta-analyses and reviews, health economic papers, debates, and consensus statements of the clinical relevance of Risky behaviors and addiction. In addition, consensus evidential reports not only highlight the new observations, original research and results accompanied by innovative treatments and all the other relevant topics but also include highlighting disease mechanisms or important clinical observations and letters on articles published in this journal.