فهرست مطالب ماریت قازاریان

drug use disorder is one of the main health challenges in Iran, which threatens the quality of life and causes many social issues. Accurate and up-to-date information forms a basis for planning and controlled interventions. Given that accurate estimation of drug use is a long lasting challenge in Iran, this study was conducted to obtain accurate data regarding drug use prevalence and patterns in the population of Lorestan province.

the study was a cross sectional household survey with a sample of 3960 individuals, aged 15 to 64, in Lorestan province in the year 2016. The data collection tool was a checklist, which elicited demographic information and information related to the use of different drugs in the past week, the past month, the past year, and lifelong. Descriptive statistics like mean and standard deviation, frequency and percentage were used to analyze the data.

in total, 3878 individuals participated in the study. The lifelong prevalence of smoking was 13.3%, hookah was 12.68%, alcohol was 4.14% and drug use was 7.3% of the general population in Lorestan Province. The past-week prevalence of smoking was 10.7%, hookah was 7.58%, alcohol was 0.91% and drug use was 3.45%.

this study showed that in Lorestan Province, the lifelong prevalence of smoking, hookah, alcoholic drink and drug use were lower than the average in the country. The prevalence of past-week hookah use was higher than the average in the country and the prevalence of past-week drug use, smoking and consumption of alcohol in Lorestan were lower than the average in the country.

Objective (s): The last evaluation of addiction conditions in Iran in 2008 showed that 70% of the addicts in Iran are employed and about 10% of them have started drug taking in their workplaces. The addiction prevention program in workplaces were practically piloted in 5 provinces in 2003 and generalized to the whole country from 2004. This study was carried out to evaluate the program in order to improve its implementation. This analytical descriptive research has been implemented according to health program evaluation method. Data has been collected through reviewing documents of the program history and monitoring since it was established, intensive group discussion sessions with Welfare Organization local authorities, interviewing 10 well-informed individuals, and interviewing program intermediary experts in 58 workplaces. All data were classified in three general categories as achievements, challenges, and techniques to promote the program; and it was finalized in the project steering committeel, and future trends were proposed to develop and promote the program. The most important achievement of the program from the viewpoint of individuals studied has been awareness and sensitivity increase in employers and employees on addiction. The secondary effect was decline in addiction in workplaces and increase in productivity, absenteeism and leave reduction. The most important challenges of the program have a nearly equal contribution in all three legal-political (macro), operational- structural (middle), and cultural- behavioral (micro) domains. The most important proposed techniques to promote the program were service pack revision, preparing simple and comprehensive style sheet with all stakeholders’ incorporation, signing an agreement with employers and employees representatives, and applying encouraging methods for employers at local levels. Although there was inadequate periodic data to compare indicators of addiction incidence and prevalence in workplaces, evaluation relied upon ideas of three stakeholders (authorities, intermediary experts, and local facilitators) who were satisfied with the program implementation and required it to be continued and amended. Long-term intervention are needed to include addiction prevention program into health promotion programs in work places and attempt to legalize them. However, in short term service pack revision of addiction prevention in workplaces with incorporation of employers’ representatives, employees, workplace intermediary experts, provincial authorities; environmental rehabilitation and justification at local level and workplaces, are recommended.