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Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia

BACKGROUND: A growing number of recent literatures have attempted to document the factors related to drug use in different contexts, but limited studies analyzed the factors related to patient’s severity level. OBJECTIVE: We aimed to examine the correlates of behavioral, environmental, socioeconomic...

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Autores principales: Dewabhrata, Wijaya, Ahsan, Abdilah, Bella, Adrianna, Amalia, Nadira, Kusuma, Dian, Pertiwi, Yuyu Buono Ayuning
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10563495/
https://www.ncbi.nlm.nih.gov/pubmed/37822734
http://dx.doi.org/10.1177/11782218231203687
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author Dewabhrata, Wijaya
Ahsan, Abdilah
Bella, Adrianna
Amalia, Nadira
Kusuma, Dian
Pertiwi, Yuyu Buono Ayuning
author_facet Dewabhrata, Wijaya
Ahsan, Abdilah
Bella, Adrianna
Amalia, Nadira
Kusuma, Dian
Pertiwi, Yuyu Buono Ayuning
author_sort Dewabhrata, Wijaya
collection PubMed
description BACKGROUND: A growing number of recent literatures have attempted to document the factors related to drug use in different contexts, but limited studies analyzed the factors related to patient’s severity level. OBJECTIVE: We aimed to examine the correlates of behavioral, environmental, socioeconomic, geographic factors, and severe drug addiction. METHODS: We used a sample of 6790 people who use drugs (PWUD) from rehabilitation centers during 2019 to 2020 in Indonesia. Data were obtained from Drugs Rehabilitation Information System (SIRENA) by the Indonesian National Narcotics Agency (BNN) during 2019 to 2020. SIRENA used the adapted version of WHO’s Addiction Severity Index (ASI), which assesses patient’s addiction severity level and relevant factors. A composite of the ASI factors is classified as “poor” or “serious” if its score is 4 or higher. The data was analyzed using logistic regression model to estimate correlations of severe drug addiction. RESULTS: We found a high prevalence (65.08%) of our sample reported having severe drug addiction, which needed intervention and support. Poor psychiatric condition (OR = 4.02, CI: 2.97-5.44), serious work-related issue (OR = 2.10, 1.75-2.51), poor medical condition (OR = 2.01, 1.32-3.06), and serious family and social problems (OR = 2.56, 2.15-3.05) were significantly associated with severe drug addiction. Male users had higher odds of severe drug addiction (OR = 1.81, 1.55-2.20), compared to female counterparts. Patients in urban areas had higher odds of severe drug addiction (OR = 1.19, 1.1-1.3) than those in rural. Those in less developed regions (eg, Sumatera, Kalimantan, and Sulawesi) had higher odds of severe drug addiction (OR = 2.33, 1.9-2.9), compared to those in the most developed region (eg, Java and Bali). CONCLUSION: This evidence can help policymakers in refining the harm reduction policies in Indonesia and other countries with similar settings.
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spelling pubmed-105634952023-10-11 Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia Dewabhrata, Wijaya Ahsan, Abdilah Bella, Adrianna Amalia, Nadira Kusuma, Dian Pertiwi, Yuyu Buono Ayuning Subst Abuse Original Research BACKGROUND: A growing number of recent literatures have attempted to document the factors related to drug use in different contexts, but limited studies analyzed the factors related to patient’s severity level. OBJECTIVE: We aimed to examine the correlates of behavioral, environmental, socioeconomic, geographic factors, and severe drug addiction. METHODS: We used a sample of 6790 people who use drugs (PWUD) from rehabilitation centers during 2019 to 2020 in Indonesia. Data were obtained from Drugs Rehabilitation Information System (SIRENA) by the Indonesian National Narcotics Agency (BNN) during 2019 to 2020. SIRENA used the adapted version of WHO’s Addiction Severity Index (ASI), which assesses patient’s addiction severity level and relevant factors. A composite of the ASI factors is classified as “poor” or “serious” if its score is 4 or higher. The data was analyzed using logistic regression model to estimate correlations of severe drug addiction. RESULTS: We found a high prevalence (65.08%) of our sample reported having severe drug addiction, which needed intervention and support. Poor psychiatric condition (OR = 4.02, CI: 2.97-5.44), serious work-related issue (OR = 2.10, 1.75-2.51), poor medical condition (OR = 2.01, 1.32-3.06), and serious family and social problems (OR = 2.56, 2.15-3.05) were significantly associated with severe drug addiction. Male users had higher odds of severe drug addiction (OR = 1.81, 1.55-2.20), compared to female counterparts. Patients in urban areas had higher odds of severe drug addiction (OR = 1.19, 1.1-1.3) than those in rural. Those in less developed regions (eg, Sumatera, Kalimantan, and Sulawesi) had higher odds of severe drug addiction (OR = 2.33, 1.9-2.9), compared to those in the most developed region (eg, Java and Bali). CONCLUSION: This evidence can help policymakers in refining the harm reduction policies in Indonesia and other countries with similar settings. SAGE Publications 2023-10-09 /pmc/articles/PMC10563495/ /pubmed/37822734 http://dx.doi.org/10.1177/11782218231203687 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Research
Dewabhrata, Wijaya
Ahsan, Abdilah
Bella, Adrianna
Amalia, Nadira
Kusuma, Dian
Pertiwi, Yuyu Buono Ayuning
Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia
title Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia
title_full Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia
title_fullStr Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia
title_full_unstemmed Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia
title_short Mental Health, Environmental, and Socioeconomic Geographic Factors of Severe Drug Addiction: Analysis of Rehabilitation Center Data in Indonesia
title_sort mental health, environmental, and socioeconomic geographic factors of severe drug addiction: analysis of rehabilitation center data in indonesia
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10563495/
https://www.ncbi.nlm.nih.gov/pubmed/37822734
http://dx.doi.org/10.1177/11782218231203687
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