Social determinants of addiction in population Middle age in the city of Yazd

Background: There are several factors involved in drug abuse and since some of these effective factors, especially social factors, can be changed and corrected; By recognizing them, more effective prevention programs can be implemented.This case study was performed with the aim of determining the social factors of addiction in people middle age  living in the city of Yazd. Methods: In this case-control study during 2019- 2020, 150 Substance user who referred to methadone maintenance treatment centers (MMTC) were involved in a case group and 150 subjects, matched in terms of sex and age, were selected as a control group during 2019. The cases were selected by cluster sampling method from Yazd methadone maintenance treatment centers. The selection of witnesses was done from the neighbors of the cases.  Data collection tool was a researcher-made questionnaire that includes three parts: demographic questions, economic and social factors and Substance use-related questions. The content validity of the questionnaire was affirmed by experts and its reliability, obtained by Cronbach's alpha coefficient, was 0.75. The cases were selected by cluster sampling from MMTC. The data were analyzed using SPSS software and logistic regression model was used to find the related characteristics. Results: The results of logistic regression model show that individuals working in non-organizational jobs had the highest share in relation to Substance user , with an odds ratio of 4.65. The use of drugs, Substance user first-degree relatives, and Substance user friends were with the odds ratio of 3.4, 2.97, and 2.6, respectively are significantly related to Substance user  and have the highest risk for Substance user (P = 0.0001). Conclusion: The results of this study indicate that Substance user individuals had more social risk factors compared to the general population. Therefore, planned measures to reduce these risk factors among the community, especially young people and their friends, by family and community officials are necessary. And the family plays a decisive role in choosing a friend for their children.