Ferguson Saapiire, Godfrey Namillah, Vincent Tanye, Abdulai Abubakari
{"title":"吉拉帕市最活跃人群中曲马多滥用的暴动:一项评估滥用程度及其促成因素的研究。","authors":"Ferguson Saapiire, Godfrey Namillah, Vincent Tanye, Abdulai Abubakari","doi":"10.1155/2021/3026983","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Tramadol has gained popularity among the drugs of the most active population especially the respondents in Ghana abuse especially farmers who nicknamed as \"farm and buy cow.\" It has recently become a public health concern, and stakeholders are worried about tramadol abuse and its implications on health in the Upper West Region. The study sought to measure the prevalence of tramadol/related substance abuse and the associated factors.</p><p><strong>Methods: </strong>A community-based analytic cross-sectional study involving 420 respondents was conducted. The participants were selected using a multistage sampling technique. Semistructured questionnaire was used to generate the data.</p><p><strong>Results: </strong>About 77.6% of the respondents abuse tramadol while 83.9% of the participants take at least one other related substance or drug. Participants with history of any substance abuse were 5 times more likely to abuse tramadol [AOR = 5.15; 95% CI (1.501-17.656); <i>p</i> = 0.009], compared to respondents with no history of any substance abuse. Respondents who take tramadol to enhance sex were 4 times more likely to abuse tramadol [AOR = 3.776; 95% CI (1.352-10.545); <i>p</i> = 0.011]. Formal sector employment was protective against tramadol abuse [AOR = 0.100; 95% CI (0.017-0.595); <i>p</i> = 0.011] compared to self-employment and the unemployed. In addition, use of nonopioid prescription drugs for posttraumatic/pain management reduced the risk of tramadol abuse [AOR = 0.237; 95% CI (0088-0.640); <i>p</i> = 0.004] compared to the posttraumatic/pain management dependence on prescription of only opioid like tramadol.</p><p><strong>Conclusion: </strong>An infantile municipality like Jirapa is challenged with high level of tramadol and related substance which has serious repercussion on the health system in the Jirapa district. It is important that measures are taken by the stakeholders to stop tramadol and related substance and mitigate the impact of drug abuse in the district.</p>","PeriodicalId":30537,"journal":{"name":"Psychiatry Journal","volume":null,"pages":null},"PeriodicalIF":0.0000,"publicationDate":"2021-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7884175/pdf/","citationCount":"9","resultStr":"{\"title\":\"The Insurgence of Tramadol Abuse among the Most Active Population in Jirapa Municipality: A Study to Assess the Magnitude of the Abuse and Its Contributory Factors.\",\"authors\":\"Ferguson Saapiire, Godfrey Namillah, Vincent Tanye, Abdulai Abubakari\",\"doi\":\"10.1155/2021/3026983\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Tramadol has gained popularity among the drugs of the most active population especially the respondents in Ghana abuse especially farmers who nicknamed as \\\"farm and buy cow.\\\" It has recently become a public health concern, and stakeholders are worried about tramadol abuse and its implications on health in the Upper West Region. The study sought to measure the prevalence of tramadol/related substance abuse and the associated factors.</p><p><strong>Methods: </strong>A community-based analytic cross-sectional study involving 420 respondents was conducted. The participants were selected using a multistage sampling technique. Semistructured questionnaire was used to generate the data.</p><p><strong>Results: </strong>About 77.6% of the respondents abuse tramadol while 83.9% of the participants take at least one other related substance or drug. Participants with history of any substance abuse were 5 times more likely to abuse tramadol [AOR = 5.15; 95% CI (1.501-17.656); <i>p</i> = 0.009], compared to respondents with no history of any substance abuse. Respondents who take tramadol to enhance sex were 4 times more likely to abuse tramadol [AOR = 3.776; 95% CI (1.352-10.545); <i>p</i> = 0.011]. Formal sector employment was protective against tramadol abuse [AOR = 0.100; 95% CI (0.017-0.595); <i>p</i> = 0.011] compared to self-employment and the unemployed. In addition, use of nonopioid prescription drugs for posttraumatic/pain management reduced the risk of tramadol abuse [AOR = 0.237; 95% CI (0088-0.640); <i>p</i> = 0.004] compared to the posttraumatic/pain management dependence on prescription of only opioid like tramadol.</p><p><strong>Conclusion: </strong>An infantile municipality like Jirapa is challenged with high level of tramadol and related substance which has serious repercussion on the health system in the Jirapa district. 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引用次数: 9
摘要
背景:曲马多在最活跃的人群中，特别是加纳的受访者滥用药物，特别是绰号为“农场买牛”的农民中，受到欢迎。它最近已成为一个公共卫生问题，利益攸关方担心曲马多滥用及其对上西部地区健康的影响。该研究旨在衡量曲马多/相关药物滥用的流行程度及其相关因素。方法:以社区为基础，对420名调查对象进行横断面分析研究。参与者采用多阶段抽样技术进行选择。采用半结构化问卷法生成数据。结果:77.6%的受访者滥用曲马多，83.9%的受访者至少服用一种其他相关物质或药物。有任何药物滥用史的参与者滥用曲马多的可能性是其5倍[AOR = 5.15;95% ci (1.501-17.656);P = 0.009]，与没有任何药物滥用史的受访者相比。服用曲马多进行性行为的被调查者滥用曲马多的可能性是服用曲马多的4倍[AOR = 3.776;95% ci (1.352-10.545);P = 0.011]。正规部门就业对曲马多滥用有保护作用[AOR = 0.100;95% ci (0.017-0.595);P = 0.011]。此外，使用非阿片类处方药进行创伤后/疼痛管理可降低曲马多滥用的风险[AOR = 0.237;95% ci (0088-0.640);P = 0.004]与单纯依赖曲马多等阿片类药物的创伤后/疼痛管理相比。结论:吉拉帕市存在高水平曲马多及相关物质的问题，对吉拉帕区卫生系统造成严重影响。重要的是，利益攸关方应采取措施，停止使用曲马多和相关物质，并减轻该地区药物滥用的影响。
The Insurgence of Tramadol Abuse among the Most Active Population in Jirapa Municipality: A Study to Assess the Magnitude of the Abuse and Its Contributory Factors.
Background: Tramadol has gained popularity among the drugs of the most active population especially the respondents in Ghana abuse especially farmers who nicknamed as "farm and buy cow." It has recently become a public health concern, and stakeholders are worried about tramadol abuse and its implications on health in the Upper West Region. The study sought to measure the prevalence of tramadol/related substance abuse and the associated factors.
Methods: A community-based analytic cross-sectional study involving 420 respondents was conducted. The participants were selected using a multistage sampling technique. Semistructured questionnaire was used to generate the data.
Results: About 77.6% of the respondents abuse tramadol while 83.9% of the participants take at least one other related substance or drug. Participants with history of any substance abuse were 5 times more likely to abuse tramadol [AOR = 5.15; 95% CI (1.501-17.656); p = 0.009], compared to respondents with no history of any substance abuse. Respondents who take tramadol to enhance sex were 4 times more likely to abuse tramadol [AOR = 3.776; 95% CI (1.352-10.545); p = 0.011]. Formal sector employment was protective against tramadol abuse [AOR = 0.100; 95% CI (0.017-0.595); p = 0.011] compared to self-employment and the unemployed. In addition, use of nonopioid prescription drugs for posttraumatic/pain management reduced the risk of tramadol abuse [AOR = 0.237; 95% CI (0088-0.640); p = 0.004] compared to the posttraumatic/pain management dependence on prescription of only opioid like tramadol.
Conclusion: An infantile municipality like Jirapa is challenged with high level of tramadol and related substance which has serious repercussion on the health system in the Jirapa district. It is important that measures are taken by the stakeholders to stop tramadol and related substance and mitigate the impact of drug abuse in the district.
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