在撒哈拉以南非洲的年轻人中吸毒:系统性审查和元分析
Jemal Ebrahim1,2, Jon Adams1, Daniel Demant1,3
1School of Public Health, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia.
Frontiers in psychiatry
|September 26, 2024
概括
吸毒是撒哈拉以南非洲 (SSA) 年轻人日益关注的问题. 这项审查发现,超过四分之一的SSA年轻人使用至少一种物质,男性和社区环境中患病率更高.
科学领域:
- 公共卫生 公共卫生
- 青少年健康 青少年健康
- 药物滥用研究 药物滥用研究
背景情况:
- 年轻人吸毒是全球公共卫生问题.
- 在低收入和中等收入环境中,包括撒哈拉以南非洲 (SSA),患病率很高.
- 社会文化和经济因素在解决SSA中物质使用方面提出了独特的挑战.
研究的目的:
- 总结有关SSA年轻人中物质使用流行情况的当前文献.
- 确定有关青年在SSA中使用物质的现有文献的空白.
主要方法:
- 搜索了七个数据库和谷歌,查找有关SSA (2010-2024) 中物质使用流行率的研究.
- 包括观察性研究,评估方法质量,并检查偏差.
- 使用随机效应模型来估计物质使用的综合流行率.
主要成果:
- 包括60项研究,共计83,859名受访者.
- 任何物质使用的终身总流行率为21.0%,12个月流行率为18%,当前流行率为15%.
- 酒精使用最为普遍 (40%),其次是卡特 (25%),兴奋剂 (20%) 和吸烟 (16%). 在男性,南非和社区研究中,患病率更高.
结论:
- 在SSA中,超过四分之一的年轻人一生至少使用过一种物质.
- 药物使用在男性和社区研究中更为普遍.
- 干预措施应针对一般年轻人群和高风险小组,以提供量身定制的支持和改善健康结果.
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