西非物质使用的流行和模式:系统性审查和元分析
Godwin Omokhagbo Emmanuel1, Folahanmi Tomiwa Akinsolu2,3, Olunike Rebecca Abodunrin2,3,4
1Mozuk Future Solutions, Nigeria.
PLOS global public health
|December 31, 2024
概括
西非的物质使用是一个重要的公共卫生问题,酒精和特拉马多尔的流行率很高. 本次审查强调,迫切需要有针对性的干预措施和政策来应对这种日益严重的危机.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 药物使用研究研究 药物使用研究
背景情况:
- 药物使用在西非是一个日益严重的公共卫生挑战,导致严重的发病率,死亡率和社会经济问题.
- 关于该地区物质使用模式和影响因素的综合数据有限.
- 这次系统性审查和元分析解决了这一差距,综合了现有研究,以告知干预和政策.
研究的目的:
- 系统地审查和对西非物质使用的流行率和模式进行元分析.
- 确定影响该地区不同人口中物质使用的关键因素.
- 为制定有针对性的公共卫生战略提供基于证据的见解.
主要方法:
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 在PubMed,科学网,CINAHL和Scopus的系统搜索 (2000年1月 - 2024年6月).
- 对22项研究 (43,145名参与者) 的随机效应元分析与灵敏度分析.
主要成果:
- 综合的流行率:酒精 (44%),胡卜 (39%),特拉马多尔 (30%),可代因 (11%),大麻 (6%).
- 观察到高异质性 (I2 = 98-99%),与同行影响,物质可用性,社会经济地位和人口统计相关.
- 敏感性分析证实了总体流行率估计的可靠性.
结论:
- 毒品使用在西非普遍存在,由多方面的因素驱动.
- 酒精和特拉马多尔使用率高,需要立即采取公共卫生干预措施.
- 调查结果支持制定监管框架,预防计划和公共教育活动,以打击物质使用.
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