Correlates of opium use: retrospective analysis of a survey of tribal communities in Arunachal Pradesh, India

BMC Public Health

Arvind Pandey¹  Ram C Bajpai¹  Jagadish Mahanta²  Himanshu K Chaturvedi¹ 

[1] National Institute of Medical Statistics, ICMR, Ansari Nagar, New Delhi, India;Regional Medical Research Centre, N. E. Region, Dibrugarh, Assam, India

关键词: Sex factors;    Opium;    India;    Ethnic factors;    Epidemiology;    Drug abuse;   

Others  :  1162356
DOI  :  10.1186/1471-2458-13-325

 received in 2012-12-17, accepted in 2013-04-04,  发布年份 2013

【 摘 要 】

Background

Household survey data of Changlang district, Arunachal Pradesh, were used in the present study to assess the prevalence of opium use among different tribes, and to examine the association between sociodemographic factors and opium use.

Methods

A sample of 3421 individuals (1795 men and 1626 women) aged 15 years and older was analyzed using a multivariate logistic regression model to determine factors associated with opium use. Sociodemographic information such as age, education, occupation, religion, ethnicity and marital status were included in the analysis.

Results

The prevalence of opium use was significantly higher (10.6%) among men than among women (2.1%). It varied according to age, educational level, occupation, marital status and religion of the respondents. In both sexes, opium use was significantly higher among Singpho and Khamti tribes compared with other tribes. Multivariate logistic regression indicated that opium use was significantly associated with age, occupation, ethnicity, religion and marital status of the respondents of both sexes. Multivariate rate ratios (MRR) for opium use were significantly higher (4–6 times) among older age groups (≥35 years) and male respondents. In males, the MRR was also significantly higher in respondents of Buddhist and Indigenous religion, while in females, the MRR was significantly higher in Buddhists. Most of the female opium users had taken opium for more than 5 years and were introduced to it by their husbands after marriage. Use of other substances among opium users comprised mainly tobacco (76%) and alcohol (44%).

Conclusions

The study reveals the sociodemographic factors, such as age, sex, ethnicity, religion and occupation, which are associated with opium use. Such information is useful for institution of intervention measures to reduce opium use.

【 授权许可】

   
2013 Chaturvedi et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Galea S, Nandi A, Vlahov D: The social epidemiology of substance use. Epidemiol Review 2004, 26:36-52.
• [2]Stevenson JS: Alcohol use, misuse, abuse, and dependence in later adulthood. Annu Rev Nurs Res 2005, 23:245-280.
• [3]Pawan M, Choudhary R, Mathur R, Choudhary MR, Kamla M: Study on harmful effects of opium on liver and lungs in chronic opium addicts of western Rajasthan. J Bangladesh Soc Physiol 2011, 6:122-126.
• [4]Kato I, Zeleniuch-Jacquotte A, Toniolo PG, Akhmedkhanov A, Koenig K, Shore RE: Psychotropic medication use and risk of hormone-related cancers: the New York University Women’s Health Study. J Public Health Med 2000, 22:155-160.
• [5]Challier B, Chau N, Predine R, Choquet M, Legras B: Associations of family environment and individual factors with tobacco, alcohol, and illicit drug use in adolescents. Eur J Epidemiol 2000, 16:33-42.
• [6]Torrens M, Domingo-Salvany A, Alonso J, Castillo C, Luís S: Methadone and quality of life. Lancet 1999, 353:1101.
• [7]Virk S, Schwartz TL, Jindal S, Nihalani N, Jones N: Psychiatric medication induced obesity: an aetiologic review. Obes Rev 2004, 5:167-170.
• [8]Baumann M, Spitz E, Guillemin F, Ravaud JF, Choquet M: Associations of social and material deprivation with tobacco, alcohol, and psychotropic drug use, and gender: a population-based study. Int J Health Geogr 2007, 6:50. BioMed Central Full Text
• [9]Suwanwela C, Poshyachinda V: Drug abuse in Asia. Bull Narc 1986, 38:41-53.
• [10]Mahanta J, Chaturvedi HK, Phukan RK: Opium addiction in Assam: a trend analysis. Indian J Psychiatry 1997, 39:143-146.
• [11]Mohan D, Sundaram KR, Sharma HK: A study of drug abuse in rural areas of Punjab (India). Drug Alcohol Depend 1986, 17:57-66.
• [12]Chaturvedi HK, Mahanta J: Sociocultural diversity and substance use pattern in Arunachal Pradesh, India. Drug Alcohol Depend 2004, 74:97-104.
• [13]Lakshminarayana J, Singh MB: Opium addiction among rural population in desert districts of Western Rajasthan: some observations from the study. J Hum Ecol 2009, 25:1-4.
• [14]Wairagkar NS, Das J, Kumar S, Mahanta J, Satyanarayana K: Codeine containing cough syrup addiction in Assam and Nagaland. Indian J Psychiatry 1994, 36:129-132.
• [15]Kumar S, Wairagkar NS, Mahanta J, Satyanarayan K, Chetia M: Profile of heroin addicts in Nagaland, India. Southeast Asian J Trop Med Public Health 1996, 27:768-771.
• [16]Khant U: Measures to prevent and reduce drug abuse among young people in Burma. Bull Narc 1985, 37:81-89.
• [17]Poshyachinda V: Drug injecting and HIV infection among the population of drug abusers in Asia. Bull Narc 1993, 45:77-90.
• [18]Panchani CS: Arunachal Pradesh: Religion. Culture and Society: Delhi, Konark Publication; 1989.
• [19]Nair PT: Tribes of Arunachal Pradesh. Michigan: Spectrum publication; 1985.
• [20]Hosmer DW, Lemeshow S: Applied logistic regression. New York: John Wiley & Sons; 2000.
• [21]Miller PM, Martin P: Drinking, smoking, and illicit drug use among 15 and 16 year olds in the United Kingdom. BMJ 1996, 313:394-397.
• [22]Charles M, Masihi EJ, Siddiqui HY, Jogarao SV, D’Lima H: Culture, drug abuse and some reflection on the family. Bull Narc 1994, 46:67-86.
• [23]Seck B, Choquet M, Sarr L, Gueye M: Attitude and behaviour of the youth of Senegal towards drugs. Dakar Med 1994, 39:17-22.
• [24]Neumark YD, Rahav G, Jaffe H: Socio-economic status and binge drinking in Israel. Drug Alcohol Depend 2003, 69:15-21.
• [25]Westermeyer J: Sex differences in drug and alcohol use among ethnic groups in Laos, 1965–1975. Am J Drug Alcohol Abuse 1988, 14:443-461.
• [26]Chaturvedi HK, Phukan RK, Mahanta J: The association of selected sociodemographic factors and differences in pattern of substance use: a pilot study in selected areas of Northeast India. Subst Use Misuse 2003, 38:1305-1322.
• [27]Gureje O, Degenhardt L, Olley B, Uwakwe R, Udofia O: A descriptive epidemiology of substance use and substance use disorders in Nigeria during the early 21st century. Drug Alcohol Depend 2007, 91:1-9.
• [28]Tominaga M, Kawakami N, Ono Y, Nakane Y, Tachimori YH: Prevalence and correlates of illicit and non-medical use of psychotropic drugs in Japan: findings from the World Mental Health Japan Survey 2002–2004. Soc Psychiatry Epidemiol 2009, 44:777-783.
• [29]Back SE, Payne RL, Simpson AN, Brady KT: Gender and prescription opioids: findings from the National Survey on Drug Use and Health. Addict Behav 2010, 35:1001-1007.
• [30]Ahmadi J, Arabi H, Mansouri Y: Prevalence of substance use among offspring of opioid addicts. Addict Behav 2003, 28:591-595.
• [31]Zarnaghash M, Goodarzi MA: Study of the effect of family patterns style on opium abusers, cigarette abusers and normal group. Procedia Social and Behavioral Sciences 2010, 5:78-81.
• [32]Barrett ME: Correlates of illicit drug use in Karen villages in Northern Thailand. Subst Use Misuse 2003, 38:1615-1649.
• [33]Ghulam R, Rahman I, Naqvi S, Gupta SR: An epidemiological study of drug abuse in urban population of Madhya Pradesh. Indian J Psychiatry 1996, 38:160-165.
• [34]Lapeyre-Mestre M, Sulem P, Niezborala M: Taking drugs in the working environment: a study in a sample of 2106 workers in the Toulouse metropolitan area. Therapie 2004, 59:615-623.
• [35]Tolone WL, Dermott D: Some correlates of drug use among high school youth in mid western rural community. Int J Addict 1975, 10:761-777.