بررسی روند 32 ساله سوء مصرف مواد در ایران بر اساس مطالعه بار جهانی بیماریها در سال 2021

نوع مقاله : مقاله پژوهشی

نویسندگان
1 مرکز تحقیقات عوامل اجتماعی موثر بر سلامت، دانشگاه علوم پزشکی جهرم، جهرم، ایران
2 مرکز تحقیقات طب سنتی و تاریخ پزشکی، دانشگاه علوم پزشکی شیراز، شیراز، ایران
چکیده
مقدمه: مصرف الکل، تنباکو و مواد مخدر غیرقانونی در سراسر جهان فراگیر شده و در حال حاضر به عنوان یک مشکل بهداشتی جدی برای نظام های سلامت جهان مطرح است. هدف از مطالعه حاضر بررسی روند 32 ساله سوءمصرف مواد در ایران بود.
روش کار: در این مطالعه اکولوژیک اطلاعات مربوط به روند 32 ساله سوءمصرف مواد در ایران بر اساس شاخص های بروز و سال های عمر تطبیق شده بر اساس ناتوانی (دالی) با استفاده از اطلاعات گزارش بار جهانی بیماری ها 2021 توصیف گردیده است. همچنین با استفاده از روش Model Joinpoint معنی داری روند درصد تغییر سالانه شاخص ها مورد بررسی قرار گرفت.
نتایج: یافته های مطالعه نشان داد درصد تغییرات سالانه میزان بروز و دالی منتسب به مصرف الکل در کشور ایران طی بازه 32 ساله در کل جمعیت و در جمعیت زنان و مردان روند کاهشی داشته است (P<0.001). از سویی، درصد تغییرات سالانه میزان دالی منتسب به سوء مصرف مواد در کشور ایران طی روند 32 ساله صرفا در جمعیت زنان کاهشی بود (P<0.001). در حالی که درصد تغییرات سالانه میزان بروز سوء مصرف مواد در کل جمعیت و در جمعیت مردان و زنان افزایشی بود (P<0.001).
نتیجه گیری: نتایج مطالعه نشان داد میزان دالی و میزان بروز سوء مصرف مواد در کشور ایران طی سال های گذشته روند افزایشی داشته است. بنابراین نیاز فوری به مداخلات اثربخش پیشگیرانه و درمانی در نظام سلامت ایران جهت رسیدگی به بحران رو به افزایش سوء مصرف ضروری است.
کلیدواژه‌ها

عنوان مقاله English

Reviewing the 32-year trend of substance abuse in Iran, guided by the 2021 global burden of diseases study

نویسندگان English

Yaser Sarikhani 1
Tahereh Rahimi 1
Seyede Maryam Najibi 2
1 Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
2 Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran
چکیده English

Introduction: The increasing consumption of alcohol, tobacco, and illegal drugs has become a major health issue for health systems across the globe. This study aimed to assess the 32-year trend of substance abuse in Iran.
Materials & Methods: In this ecological investigation, the 32-year trend of drug abuse in Iran is examined through the lens of incidence and disability-adjusted life years (DALY) indicators, utilizing data from the 2021 Global Burden of Disease Report. Additionally, the significance of the annual percentage change (APC) of the indicators was examined using the Joinpoint Model.
Results: The study's findings revealed a significant decrease in the APC in the incidence rate and DALYs linked to alcohol consumption in Iran over a 32-year period, observed in the overall population as well as in both male and female populations (P<0.001). Alternatively, the APC of DALYs attributed to drug abuse in Iran during the 32-year span exhibited a significant decrease that was limited to the female population (P<0.001). Furthermore, the data revealed a significant increasing trend in the APC for substance abuse across the entire population, including both male and female groups (P<0.001).
Conclusion: According to the results of the study, there has been an increase in both the DALY and incidence of drug abuse in Iran in recent years. This situation underscores the urgent need for effective preventive and therapeutic interventions within the health system of Iran to combat the worsening crisis of drug abuse.

کلیدواژه‌ها English

Substance Abuse
Alcohol
Disease Burden
Iran
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