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Journal of Health Sciences and Surveillance System، جلد ۱۳، شماره ۳، صفحات ۳۰۱-۳۰۷
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عنوان انگلیسی Social Capital as a Predictor of Substance Misuse Relapse: Findings from a Case-Control Study
چکیده انگلیسی مقاله Background: Relapse during substance misuse treatment is common and poses a significant public health challenge. A variety of personal, social, and psychological factors influence it. This study explored the relationship between patients’ social capital, individual traits, and the risk of relapse.
Methods: In this case-control study, 218 relapsed patients (case group, n=109) were compared with 109 abstentious patients (control group, n=109) in the four voluntary outpatient addiction treatment centers and one maintenance addiction treatment center using random cluster sampling in Dezful City, Iran, 2020. The data were obtained from structured interviews to determine personal traits, including age, marital status, family
size, education level, job status, type of substance, smoking, and addiction history in the family. A standard social capital questionnaire was used to assess the participants’ personality. Chi-square test, t-test, and logistic regression were used for data analysis.
Results: All patients were male, aged between 16 and 68 years, with a mean age of 36.84±6.76 years. The three dimensions of social capital —individual trust (OR=0.33, CI=0.11-0.51), cohesion/social support (OR=0.27, CI=0.07-0.48), and social trust/ associative relations (OR=0.65, CI=0.32-0.92) —are significantly associated with substance misuse relapse. In addition, age (OR=0.85, CI=0.65-0.91), educational level of illiterate/ academic (OR=2.87, CI=1.05-4.18), job status, unemployed/employed (OR=1.39, CI=1.11-1.80), and type of drugs (OR=2.71, CI=1.70- 3.73) had a direct association with substance misuse relapse.
Conclusion: The association between social elements and the recurrence of substance misuse in patients receiving Methadone Maintenance Treatment (MMT) is of importance. This study showed that reduced levels of social capital were associated with a higher chance of relapse. To address this issue, it is suggested to introduce inclusive social assistance initiatives that focus on nurturing the community and promoting inclusion among MMT patients.
کلیدواژه‌های انگلیسی مقاله Social capital,Substance-Related Disorders,social support,Relapse
نویسندگان مقاله Ali Solaimani |
Depatement of Public Health, Maragheh University of Medical Sciences, Maragheh, Iran

Abdolvahab Baghbanian |
Adelaide Health Technology Assessment (AHTA), School of Public Health, University of Adelaide, Australia

Mohammad Amin Behmanesh |
Department of Histology, School of Medicine, Dezful University of Medical Sciences, Dezful, Iran

Aziz Kassani |
Department of Community Medicine. School of Medicine, Dezful University of Medical Sciences, Dezful, Iran

نشانی اینترنتی https://jhsss.sums.ac.ir/article_51087_ca0fb44e3d3fe3a0b6bb3b037a1ca900.pdf
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