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Perceived Discrimination and Social Identity as Adolescents' Pathways to Early Substance Use 感知歧视和社会认同是青少年早期物质使用的途径
Q4 Medicine Pub Date : 2014-01-01 DOI: 10.4314/AJDAS.V13I1.31-42
I. Ottu, Aao Oladejo
This study investigated the influence of discrimination and social identity on adolescent’s substance use in selected secondary schools in Ibadan – an investigation predicated on the argument that angry, maladaptive and externalizing behaviours such as substance use could emerge from sustained social hostility and one’s identity confusion. Three hundred and forty-six (346) adolescents were randomly selected from four schools to take part in the study. Results of univariate analysis show that social stress associated with perceived and actual discrimination led highly discriminated adolescents to report high levels of substance use compared to adolescents who  experienced low levels of discrimination (F=8.84, df=1, 338, p<.001). Also, adolescents’  social  identity did not show significant influence on substance use but a tendency to use drugs among adolescents with low social identity compared to those with high social identity reported. This situation suggests the experience of identity confusion by adolescents who experience group hostility and discrimination. Also, a comparison of gender on drug use reveals males using more drugs than females (F=14.10, df=1, 338, p<.001). Based on these outcomes it was  recommended that several social and governmental organizations starting from families should work together in the enlightenment of adolescents and the general populace on the need to respect the rights of every individual and live harmoniously. With this, adolescents will share more social acceptance and reduce the frequency of involvement in emotion-regulated substance use and other maladaptive and externalizing behaviours. Key Words : Discrimination, Social Identity, Adolescents, Substance Use
本研究调查了在伊巴丹选定的中学中歧视和社会认同对青少年物质使用的影响——这项调查基于以下论点:愤怒、适应不良和外化行为(如物质使用)可能源于持续的社会敌意和个人身份困惑。从四所学校随机抽取了346名青少年参加了这项研究。单变量分析结果显示,与遭受低水平歧视的青少年相比,与感知和实际歧视相关的社会压力导致高度歧视的青少年报告高水平的物质使用(F=8.84, df= 1,338, p<.001)。社会认同对物质使用没有显著影响,但与社会认同高的青少年相比,社会认同低的青少年有吸毒倾向。这种情况表明,经历群体敌意和歧视的青少年经历了身份困惑。此外,性别吸毒情况的比较显示,男性吸毒多于女性(F=14.10, df= 1,338, p<.001)。根据这些结果,有人建议,从家庭开始的几个社会和政府组织应共同努力,使青少年和一般民众认识到必须尊重每一个人的权利和和谐地生活。这样,青少年将分享更多的社会接受,减少参与情绪调节物质使用和其他适应不良和外化行为的频率。关键词:歧视,社会认同,青少年,物质使用
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引用次数: 1
Patterns and determinants of alcohol use among Nigerian university students: an overview of recent developments 尼日利亚大学生饮酒的模式和决定因素:近期发展概况
Q4 Medicine Pub Date : 2013-11-13 DOI: 10.4314/AJDAS.V12I1.29-51
Emeka W. Dumbili
Use of licit and illicit drugs among students is a growing global phenomenon. Studies from different western countries reveal that students use and misuse substances such as alcohol and tobacco more than non-students. In Nigeria, cultural restraints prevented young people from consuming alcohol in the traditional era. However, recent studies show that many now consume alcohol and other substances in harmful ways. Findings from this recent literature indicate that while some Nigerian university students use alcohol to enhance sexual performance, boost confidence and reduce stress, others use heavy episodic drinking as means of constructing social identity. Other findings reveal that a majority combine alcohol with other drugs and that anxiety, depression, injury to self and others and failing examinations are some of the alcohol-related problems among users. It can be argued that factors such as lack of policy, aggressive advertisements, brewer-sponsored promotions and sponsorship of youth-oriented programmes are some of the facilitators of students’ alcohol use. The paper discusses the implications of these developments for contemporary Nigerian society and recommends that alcohol policies should be formulated and implemented. Keywords : alcohol misuse, alcohol-related problems, determinants of alcohol use, Nigerian university students, patterns of alcohol use
在学生中使用合法和非法药物是一个日益严重的全球现象。来自不同西方国家的研究表明,学生使用和滥用物质,如酒精和烟草比非学生更多。在尼日利亚,传统时代的文化限制阻止了年轻人饮酒。然而,最近的研究表明,现在许多人以有害的方式消费酒精和其他物质。最近的研究结果表明,一些尼日利亚大学生利用酒精来增强性能力、增强自信和减轻压力,而另一些人则将间歇性的大量饮酒作为构建社会身份的手段。其他调查结果显示,大多数人将酒精与其他药物结合使用,焦虑、抑郁、伤害自己和他人以及考试不及格是使用者中与酒精有关的一些问题。可以认为,缺乏政策、咄咄逼人的广告、啤酒商赞助的促销活动和赞助面向青年的方案等因素是促进学生饮酒的一些因素。本文讨论了这些发展对当代尼日利亚社会的影响,并建议制定和实施酒精政策。关键词:酒精滥用,酒精相关问题,酒精使用的决定因素,尼日利亚大学生,酒精使用模式
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引用次数: 23
Representations sociales de la consommation de tramadol au Niger, perceptions et connaissances des communautes : enjeux pour les actions de lutte 尼日尔曲马多消费的社会代表性、社区的认知和知识:应对行动的挑战
Q4 Medicine Pub Date : 2013-11-13 DOI: 10.4314/AJDAS.V12I1.53-61
D. Maiga, H. Seyni, Amadou Sidikou
Full article is French Le chlorhydrate de Tramadol est un antalgique de palier II sur la classification de l’OMS des medicaments anti douleurs. Son trafic illicite et utilisation detournee et abusive sont devenus un probleme social au Niger. L’objectif de cette etude etait de decrire les representations sociales du tramadol evaluees a travers les connaissances et les attitudes des communautes - representees par les elus locaux, les vendeurs ambulants de produits pharmaceutiques et les administrateurs - et de mettre ces representations en lien avec les pratiques de sa consommation. L’etude etait qualitative, transversale et descriptive. Il ressort une dualite dans la dynamique representationnelle du Tramadol passant du «Tramadol-medicament» au «Tramadol-drogue» responsable respectivement d’une consommation naive et d’une consommation abusive et dependante. Toute mesure de lutte contre ce phenomene doit promouvoir des connaissances et attitudes communautaires en lien avec les consequences sociales et sanitaires de la consommation de cette substance. Mots cles : Representations sociales, Tramadol, drogue, medicament, prevention Tramadol hydrochloride is a Level II analgesic on the WHO classification of anti-pain medications. Its smuggling, diversion and abuse have become a social problem in Niger. The objective of this study was to describe the social representations of tramadol evaluated through the knowledge and attitudes of communities -- represented by the local officials, vendors of pharmaceuticals and administrators -- and to these representations in connection with practices of consumption. The study was qualitative, cross-sectional and descriptive. It follows a duality in the representational  dynamics of Tramadol from the “Tramadol-medication” to “Tramadol-drug” responsible for respectively naive consumption and abuse/dependent consumption. Any control measures against this phenomenon must promote community knowledge and attitudes in relation to the social and health consequences of the use of this substance. Key words : Social representations, Tramadol, drug, prevention
盐酸曲马多是世界卫生组织止痛药分类的二级止痛药。它的非法贩运和滥用已成为尼日尔的一个社会问题。这项研究的目的是描述的评估已经通过曲马多的非社会共同体的知识和态度- 82年12月31日止的地方,街头小贩的医药品和管理者——并将这些雅与消费的做法。该研究是定性的、横向的和描述性的。曲马多从“药物曲马多”到“药物曲马多”的表征动态具有二元性,分别导致naive、滥用和依赖使用。任何与这一现象作斗争的措施都必须促进社区对使用这一物质的社会和健康后果的认识和态度。关键词:社会表征,曲马多,药物,药物,预防盐酸曲马多是世界卫生组织抗疼痛药物分类中的二级止痛药。它的走私、转移和滥用已成为尼日尔的一个社会问题。本研究的目的是描述以当地官员、药品供应商和管理人员为代表的社区的知识和态度所评估的曲马多的社会代表性,以及这些与消费实践有关的代表性。这项研究是定性的、横断面的和描述性的。它遵循曲马多从“曲马多药物”到“曲马多药物”的表征动态的二元性,分别负责naive消费和滥用/依赖消费。针对这一现象采取的任何控制措施都不应促进社区对使用这一物质所造成的社会和健康后果的认识和态度。关键词:社会表征,曲马多,药物,预防
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引用次数: 1
Alcohol marketing in Africa: not an ordinary business 非洲的酒类营销:不是普通的生意
Q4 Medicine Pub Date : 2013-11-13 DOI: 10.4314/AJDAS.V12I1.63-73
I. Obot
Alcohol was the cause of nearly five million deaths globally in 2010, an increase of over one million deaths recorded ten years earlier. It was the leading risk factor for disease in southern sub-Saharan Africa (SSA), fifth in the East and West, and sixth in the Central African region. Several factors account for the increasing harm associated with alcohol in Africa among which are the availability of a wide variety of alcoholic beverages, rising urban populations, more disposable income to purchase alcohol, and unrestrained marketing and promotion of alcohol. Using a variety of strategies, producers of alcohol target young people and women with aspirational messages and other exhortations in an unprecedented onslaught of marketing and promotion which is increasingly being recognized as detrimental to public health and social welfare. Missing in the discussion on alcohol in most African countries is a clear understanding that alcohol marketing is not an ordinary economic activity and that the business of alcohol (an addictive substance with high potential for harm) can subvert the rights of individuals and the principles of democracy which many African societies are struggling to enthrone. This paper discusses these issues with particular attention to the harms caused by alcohol (to drinkers and non-drinkers alike), the potential for far-reaching harms to individuals and the society at large if the present scenario continues, and how these harms can be averted or minimized with the implementation of evidence-based policies. Key words : Alcohol marketing, alcohol promotion, Africa, alcohol advertising
2010年,酒精导致全球近500万人死亡,比十年前记录的死亡人数增加了100多万人。它是撒哈拉以南非洲南部(SSA)的主要疾病风险因素,在东部和西部排名第五,在中部非洲区域排名第六。在非洲,与酒精有关的危害越来越大有几个因素,其中包括各种酒精饮料的可得性、城市人口的增加、购买酒精的可支配收入增加以及酒精的无限制营销和促销。酒精生产商利用各种战略,以年轻人和妇女为目标,在前所未有的市场营销和促销攻势中发出鼓舞人心的信息和其他劝诫,人们越来越认识到这种做法有害于公共健康和社会福利。在大多数非洲国家关于酒精的讨论中,没有一个明确的认识,即酒精营销不是一种普通的经济活动,酒精业务(一种极有可能造成伤害的成瘾物质)可能破坏个人权利和许多非洲社会正在努力维护的民主原则。本文讨论了这些问题,特别关注酒精造成的危害(对饮酒者和非饮酒者都一样),如果目前的情况继续下去,对个人和整个社会的潜在深远危害,以及如何通过实施循证政策来避免或最小化这些危害。关键词:酒类营销,酒类促销,非洲,酒类广告
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引用次数: 38
A systematic review of evidence-based workplace prevention programmes that address substance abuse and HIV risk behaviours 对针对药物滥用和艾滋病毒风险行为的循证工作场所预防规划进行系统审查
Q4 Medicine Pub Date : 2013-11-13 DOI: 10.4314/AJDAS.V12I1.1-21
N. H. Burnhams, A. Musekiwa, C. Parry, L. London
The purpose of the systematic review was to determine the effectiveness of workplace substance abuse prevention programmes that also address substance-related HIV risks. A search of major electronic databases was conducted. Two authors independently applied eligibility criteria, assessed study quality, and extracted data using a standardised data extraction form. Due to the heterogeneity of study results, a qualitative approach was applied in assessing the effectiveness of the programmes. The search yielded 14 studies. All studies presented mixed results, with the majority reporting improvements in selfreported substance abuse measures. The review highlighted paucity in the availability of good quality workplace prevention programmes and none that addressed substance abuse and HIV risk behaviours in such settings. Keywords : Substance abuse, evidence-based, prevention programmes, workplace, industry
系统审查的目的是确定工作场所药物滥用预防方案的有效性,这些方案也处理与药物有关的艾滋病毒风险。对主要电子数据库进行了检索。两位作者独立应用资格标准,评估研究质量,并使用标准化数据提取表提取数据。由于研究结果的异质性,在评估方案的有效性时采用了定性方法。这项搜索产生了14项研究。所有的研究都给出了不同的结果,大多数报告在自我报告的药物滥用措施方面有所改善。审查强调了高质量工作场所预防方案的缺乏,没有一个解决这种环境中的药物滥用和艾滋病毒风险行为。关键词:药物滥用,循证,预防方案,工作场所,行业
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引用次数: 6
Taboo of alcohol and road safety policies in Algeria 阿尔及利亚的酒精禁忌和道路安全政策
Q4 Medicine Pub Date : 2013-11-13 DOI: 10.4314/AJDAS.V12I1.23-28
H. Bencherif, F. Boubakour
The objective of this work is to show the real dimension of drunk driving in Algeria through the statistics of road accidents, the evolution of the legislative framework concerning driving while drunk and road preventive actions undertaken to fight against this risk factor. We first analyzed the statistics published by the National Centre for Road Safety (NCRS) in recent years to present the part of driving while drunk in the national data of road accidents. Then we retraced the evolution of the legislative framework for road safety particularly the laws governing driving while drunk. Finally, an overview of how the mass media process and disseminate information related to road traffic accidents, especially one devoted to driving while drunk and that has been achieved to show the part of the means of information in road safety. The results show that driving under the influence of alcohol is behind a significant number of road traffic accidents in Algeria. The results also show that the legislative framework concerning this risk is limited to the fixing of rates of blood alcohol concentrations authorized for driving. These same results reveal the absence of sensitization actions, information and research for this risk factor particular by the mass media. Driving while drunk is a real problem for road safety in Algeria which preserves an unclear representation in the society and constitutes a taboo subject which slows down road safety policies. Key words : Alcohol, driving while drunk, driving under influence of alcohol, road safety, Algeria
这项工作的目的是通过对道路事故的统计、关于酒后驾驶的立法框架的演变以及为打击这一危险因素而采取的道路预防行动,显示阿尔及利亚醉酒驾驶的真实情况。我们首先分析了国家道路安全中心(NCRS)近年来公布的统计数据,提出了在国家道路交通事故数据中酒驾的部分。然后,我们回顾了道路安全立法框架的演变,特别是关于酒后驾驶的法律。最后,概述了大众传媒如何处理和传播与道路交通事故有关的信息,特别是关于醉酒驾驶的信息,以显示信息手段在道路安全方面的作用。结果表明,在酒精影响下驾驶是阿尔及利亚大量道路交通事故的原因。研究结果还表明,有关这一风险的立法框架仅限于确定允许驾驶的血液酒精浓度。这些同样的结果表明,缺乏关于这一危险因素的宣传行动、信息和研究,特别是大众传播媒介。酒后驾车是阿尔及利亚道路安全的一个真正问题,它在社会中保留了一个不明确的代表性,构成了一个禁忌话题,减缓了道路安全政策。关键词:酒精,酒后驾驶,酒后驾驶,道路安全,阿尔及利亚
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引用次数: 2
Need for needle and syringe programmes in Africa 非洲针头和注射器规划的需求
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.4314/AJDAS.V12I2.137-144
S. Derrick, N. Clark
A narrative review was conducted, drawing on peer reviewed literature and relevant grey literature on injecting drug use in African countries and ethical dilemmas facing harm reduction especially the provision of sterile needles and syringes to injecting drug users. This review aimed at highlighting evidence and the arguments for and against the provision of sterile injecting equipment to people who inject drugs (PWID), and to consider the implications for the African context. The narrative established that high risk injecting drug  practices are common among PWID in many African communities, and so are HIV and hepatitis. Current services for this population in Africa are less pragmatic and inadequate. Needle and syringe programmes are both effective and ethical and should be part of the response to injecting drug use in Africa. Key words : Needle and syringe programmes, injecting drug use, ethics, HIV
利用同行评议的文献和有关非洲国家注射吸毒的灰色文献,以及减少危害特别是向注射吸毒者提供无菌针头和注射器方面面临的伦理困境,进行了叙述性审查。本综述旨在强调支持和反对向注射吸毒者提供无菌注射设备的证据和论据,并考虑其对非洲环境的影响。这一叙述表明,在许多非洲社区,高风险的注射毒品做法在艾滋病毒感染者中很常见,艾滋病毒和肝炎也是如此。目前在非洲为这一人口提供的服务不够务实,也不够充分。针头和注射器规划既有效又合乎道德,应成为非洲应对注射吸毒问题的一部分。关键词:针头和注射器规划;注射吸毒;道德规范
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引用次数: 3
Prevalence and consequences of substance use among high school and college students in Ethiopia: A review of the literature 流行和物质使用的后果在高中和大学生在埃塞俄比亚:文献综述
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.4314/AJDAS.V12I2.107-118
W. Abebe
This paper is an overview of mind-altering substance use among high school and college students in Ethiopia in the past two decades. Alcohol, khat and cigarettes were commonly used by both high school and college students in urban as well as rural areas. While the use patterns of the substances were related to the gender, education/age and religion of the users, no clear-cut patterns were observed in relation to several other factors including geographic locations. Further, cannabis was used in selected high schools, and its abuse prevalence was greater in urban private schools, as it was for alcohol and tobacco use. Students who used khat, alcohol or cigarettes also displayed increased violent behaviours towards women and enhanced sexual activity, with increased risks for  negative consequences. However, as a limited number of studies have been reported in the literature, this review provides only limited information on such substance use. Nonetheless, despite this limitation, the review can be a useful source of information for designing future research directions and for considering actions directed towards tackling this important problem. Keywords : alcohol, khat, tobacco, cannabis, students, Ethiopia
这篇论文概述了在过去的二十年中,在埃塞俄比亚的高中生和大学生中使用改变思维的物质。无论是在城市还是农村地区,高中和大学生都普遍使用酒精、阿拉伯茶和香烟。虽然这些物质的使用模式与使用者的性别、教育/年龄和宗教有关,但在包括地理位置在内的其他几个因素方面没有观察到明确的模式。此外,在某些高中使用大麻,城市私立学校滥用大麻的情况更严重,因为它是用于饮酒和吸烟。使用阿拉伯茶、酒精或香烟的学生对妇女的暴力行为增多,性活动增多,产生负面后果的风险增加。然而,由于文献中报道的研究数量有限,本综述仅提供了有关此类物质使用的有限信息。尽管如此,尽管存在这些限制,该综述可以成为设计未来研究方向和考虑针对解决这一重要问题的行动的有用信息来源。关键词:酒精,阿拉伯茶,烟草,大麻,学生,埃塞俄比亚
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引用次数: 11
The "War on drugs" in Nigeria: How effective and beneficial is it in dealing with the problem? 奈及利亚的“反毒战争”:在处理毒品问题上成效如何?
Q4 Medicine Pub Date : 2013-01-01 DOI: 10.4314/AJDAS.V12I2.119-135
Se Otu
Since drugs became both a public and social issue in Nigeria, fear about both the real and imagined catastrophic effects of  sale and use has led to a reliance on extreme measures to control supply and discourage demand. The traditional ‘prohibitive’ attitude has been the preferred option in a sustained ‘drug war’. This analysis draws from extant research literature, published documents and media reports on drug policy matters. Although the age-long war on drug policy in Nigeria may be producing some desired results, there is evidence of negative consequences and unresolved issues associated with the war. These issues include economic, crime, human rights, development and security, public health, discrimination and environment. The paper calls for a shift from the over-reliance on law enforcement to harm reduction and treatment for people addicted to drugs. The shift will provide far more cost-effective drug control results and guarantee the rights of Nigerians as enshrined in the U. N. Human Rights Declaration and the constitution of Nigeria. Key words : war on drugs, Nigeria, drug policy, harm reduction
自从毒品在尼日利亚成为一个公共和社会问题以来,人们对毒品销售和使用的真实和想象的灾难性后果的恐惧,导致人们依赖极端措施来控制供应和抑制需求。在一场持续的“毒品战争”中,传统的“禁止”态度一直是首选的选择。这一分析借鉴了现有的研究文献、已发表的文件和媒体对毒品政策问题的报道。尽管尼日利亚长期以来的毒品政策战争可能正在产生一些预期的结果,但有证据表明,与战争有关的负面后果和未解决的问题。这些问题包括经济、犯罪、人权、发展和安全、公共卫生、歧视和环境。该报告呼吁从过度依赖执法转向减少危害和治疗吸毒成瘾者。这一转变将带来更具成本效益的药物控制结果,并保障尼日利亚人的权利,正如联合国人权宣言和尼日利亚宪法所规定的那样。关键词:毒品战争;尼日利亚;毒品政策
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引用次数: 12
COMPARISON OF BASELINE DRINKING PRACTICES, KNOWLEDGE, AND ATTITUDES OF ADULTS RESIDING IN COMMUNITIES TAKING PART IN THE FAS PREVENTION STUDY IN SOUTH AFRICA. 比较南非参加法斯预防研究的社区成年人的饮酒习惯、知识和态度基线。
Q4 Medicine Pub Date : 2012-07-01
Charles D H Parry, J Phillip Gossage, Anna-Susan Marais, Ronel Barnard, Marlene de Vries, Jason Blankenship, Soraya Seedat, Philip A May

Foetal Alcohol Syndrome (FAS) has been identified as among the most serious consequences associated with hazardous and harmful drinking in the Western Cape province, South Africa. Community surveys were conducted in two wine growing regions in this province to assess drinking behaviour, guide interventions and serve as a baseline for assessing the impact of population-level interventions. As part of a cross-sectional comparative study interviews were conducted with 384 and 209 randomly selected adults in the prevention (PC) and comparison communities (CC) respectively. Over 80% of respondents resided in urban areas, except in the CC, where 61% of males resided on farms. Symptoms of hazardous or harmful drinking were reported by 16.0% of females and 32.5% of males in the PC, while 19.3% of females and 56.2% of males in the CC reported such drinking. Over two-thirds of respondents indicated that it was equally harmful for a woman to drink during any of the trimesters of pregnancy, but more than 30% of the women interviewed had never had a health worker speak to them about the effects of drinking during pregnancy. Over 10% had never heard of fetal alcohol syndrome. The findings reinforce the need for interventions to address hazardous/harmful use of alcohol in both communities and also to address gaps in knowledge regarding the effects of drinking during pregnancy.

在南非西开普省,胎儿酒精综合症(FAS)被认为是与危险和有害饮酒相关的最严重后果之一。在该省的两个葡萄酒产区开展了社区调查,以评估饮酒行为,指导干预措施,并作为评估人群干预措施影响的基线。作为横断面比较研究的一部分,分别对预防社区(PC)和对比社区(CC)中随机抽取的 384 名和 209 名成年人进行了访谈。80%以上的受访者居住在城市地区,但在对比社区,61%的男性居住在农场。在 PC 社区,16.0% 的女性和 32.5% 的男性报告了危险或有害饮酒的症状,而在 CC 社区,19.3% 的女性和 56.2% 的男性报告了此类饮酒症状。超过三分之二的受访者表示,妇女在怀孕的任何三个月内饮酒都是有害的,但超过 30% 的受访妇女从未让卫生工作者向她们介绍过怀孕期间饮酒的影响。10%以上的人从未听说过胎儿酒精综合症。调查结果表明,有必要在这两个社区采取干预措施,解决危险/有害使用酒精的问题,同时解决有关孕期饮酒影响的知识缺口问题。
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引用次数: 0
期刊
African Journal of Drug and Alcohol Studies
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