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عضویت

جستجوی مقالات مرتبط با کلیدواژه « alcohol abuse » در نشریات گروه « پزشکی »

  • Seyyed Hosein Mortazavi, Abdorreza Naser Moghadasi, Amir Almasi-Hashiani, MohammadAli Sahraian, Hooman Goudarzi, Sharareh Eskandarieh *
    Background

    Multiple sclerosis (MS) is a chronic central nervous system disease, and primary progressive multiple sclerosis (PPMS) is one the main types of MS, which has unknown environmental risk factors.   The present study was conducted with the aim to identify the association of waterpipe and cigarette smoking, substance abuse, and alcohol consumption with the risk of PPMS development.

    Methods

    A population-based, case-control study was conducted in Tehran, Iran, on 146 PPMS cases and 294 controls. PPMS cases were diagnosed and confirmed by neurologists. Standard random digit dialing was used to select sex-matched healthy control participants from the same source population as the cases. Logistic regression analysis was used to estimate unadjusted and adjusted odds ratios (OR).

    Results

    In total, 440 subjects participated in the study. PPMS was associated with ever smoking cigarettes [OR = 2.48; confidence interval (CI) = 1.44-4.27], and passive smoking (OR = 2.20; CI = 1.34-3.62). However, having ever smoked waterpipe was not significantly associated with PPMS risk (OR = 1.19; CI = 0.62-2.26). Those who had all 3 types of smoking had an accumulative OR that was 10.45 times higher than that in individuals without any type of smoking (OR: 10.45; 95% CI = 3.5-31.2). We did not find any significant association between PPMS risk and substance abuse and alcohol consumption.

    Conclusion

    Cigarette smoking and being exposed to passive smoking are important risk factors for developing PPMS; in addition, the use of 3 types of smoking, showed an OR higher than that in those without any smoking. Considering the global increase in tobacco smoking, this finding emphasizes the importance of interventional programs for the prevention of tobacco smoking.

    Keywords: Primary Progressive Multiple Sclerosis, Cigarette, Waterpipe, Alcohol Abuse, Substance-Related Disorders, Risk Factors}
  • Hamid Mohammadi Kojidi *, Morteza Rahbar Taramsari, MirSaeed Attarchi, Habib Eslami Kenarsari, Marzieh Shamshiri, Zahra Gholizadeh
    Introduction

     According to the high prevalence of alcohol poisoning, we aimed to study the demographical and clinical characteristics of patients with alcohol abuse, and the frequency of alcohol poisoning in hospitalized patients with alcohol consumption..

    Materials and Methods

     In this cross-sectional study, a total number of 513 patients who were referred to the Razi Hospital, Rasht, Iran, from 2015 to 2019, were tested for alcohol consumption. A checklist including demographic and clinical data of patients was completed by the researchers. Statistical analysis was performed via SPSS software version.22.

    Results

     Data analysis revealed that 85% of patients were male and the mean age of patients was 31.13±21.6 (12-18 years). 83.4% of the patients were residents of the city, and 52.8% were married. Self-employee had the highest frequency with 52.8%. 70.6% of the patients had alcohol abuse, and 49.7% of the patients had a history of smoking. In 96% of patients, the alcohol abuse was ethanol and in 4% of patients, it was methanol. 95.1% of the studied patients had symptoms of poisoning. 47% of patients had decreased level of consciousness. 58.9% of patients experienced nausea and vomiting. The majority of patients (96.7%) did not need dialysis. Studies showed that 95.5% of patients fully recovered.

    Conclusion

     Alcohol consumption is increasing in all different age groups, genders and social classes in Guilan province, but this rate has been higher in men and young people than in others, as well as lower educational levels, family income, unemployed, and lower social status can be considered as main factors that result in a higher risk of alcohol abuse.

    Keywords: Alcohol consumption, Alcohol poisoning, Alcohol abuse, Social harms}
  • Zahra Pourmovahed, Seyed Saeed Mazloomy Mahmoodabad, Seyed Mojtaba Yassini Ardekani, Hassan Zareei Mahmoodabadi, Hossein Tavangar, Mojtaba Kaviani, Amin Salehi Abargouei, NourMohammad Bakhshani, ShahabAldin Akbarian *
    Context

    It is proposed that family structure influences adolescent alcohol use; however, the findings are mixed, and no systematic review has been conducted to summarize the evidence.

    Objectives

    We aimed to identify the association between family structures and adolescent alcohol consumption through a systematic review and meta-analysis of observational studies.

    Evidence Acquisition

    PubMed, Scopus, and Google Scholar were searched until June 2017 for observational studies, which examined the relationship between family structure and adolescent alcohol use. A random-effects model was used to derive the overall odds ratio (OR) for the likelihood of alcohol use in different non-intact families compared with intact families (adolescents growing up with both biological parents).

    Results

    Fifty-seven articles met the eligibility criteria for the systematic review, and 29 were included in the meta-analysis. The meta-analysis revealed a significant increase in alcohol use among adolescents with non-intact families (OR = 1.27, 95% confidence interval: 1.19, 1.36) compared with adolescents with intact families in which both biological parents were present. Living with one biological parent, living in a divorced family, loss of parents, and other types of the non-intact family also significantly increased the odds of alcohol use in adolescents (P < 0.05).

    Conclusions

    All types of the non-intact family were linked to adolescents' alcohol use. The family structure could have an essential role in reducing high-risk behaviors, including alcohol use and its consequences in adolescents.

    Keywords: Meta-analysis, Systematic Review, Adolescent, Alcoholism, Alcohol Abuse, Family Structure}
  • Forouzan Ganji *, Ali Ahmadi, Salehe Zare, Jafar Nasiri
    Background and aims
    The aim of the present study was to investigate the pattern of alcohol consumption and its related factors in the patients referring to hospitals. 
    Methods
    A hospital-based case control study was carried out in Shahrekord during 2016-2017. A total of 150 individuals who had self-report of alcohol consumption and history of alcoholism entered into the case group based on the convenience sampling method. Likewise, 300 individuals who did not have self-report of alcohol consumption entered into the control group. Group matching was performed based on the date of admission to the hospital, type of disease, complications, and duration of the disease. This study explored the pattern of alcohol consumption variables, spiritual health, quality of life, and general health. Odds ratios (ORs) with a 95% confidence interval (CI) were calculated as well. 
    Results
    The causes of onset of alcohol consumption were curiosity (41.40%), social class and imitation of others (17.40%), and life problems (15.30%). Further, the causes of continued alcohol consumption were attributed to the interest in taste and smelling (23.30%), emotional problems (20%), as well as loneliness feeling and life problems (12.60%). The mean of general health scores in the case and control groups were 29.8± 5 and 29.3± 4, respectively (P = 0.296). The mean of the quality of life in the case group and control group were 32.13± 7 and 32.11± 5, respectively (P = 0.98). The differences in the scores of spiritual health in two groups were not statistically significant (P = 0.96). 
    Conclusion
    An attempt should be made to improve the strategies to satisfy the emotional sense and health recreations of society.
    Keywords: Alcoholic beverages, Alcohol Abuse, Offenses, Alcoholism, Case Control Study}
  • Bharathnag Nagappa, Yamini Marimuthu*, Gokul Sarweswaran, Manikandanesan Sakthivel, Yuvaraj Krishnamoorthy, Tanveer Rehman
    CONTEXT

    Harmful use of alcohol has led to 1.7 million deaths from noncommunicable diseases and 1 million injury deaths including road traffic accidents, self‑harm, and interpersonal violence. The opportunistic screening can be used to screen for substance abuse in outpatient department (OPD) attendees of primary health‑care (PHC) settings in India.

    AIMS

    This study was conducted to determine the prevalence of willingness to quit alcohol use among alcohol users and factors associated with it. SUBJECTS AND

    METHODS

    A facility‑based cross‑sectional study was conducted in urban PHCs and willingness to quit alcohol was assessed among the alcohol users. Alcohol Use Disorder Identification Test (AUDIT) scale was used to assess the alcohol use disorder score. Data were entered using Epidata version 3.1 and analyzed using STATA version 14.

    RESULTS

    It is found that two‑third of the male OPD patients are using alcohol and 59% of the alcohol users were willing to quit alcohol. Education (adjusted prevalence rate ratio [aPR] = 1.9; 95% confidence interval [CI]: 1.2–2.9), occupation (aPR = 1.4; 95% CI: 1.1–1.8), higher AUDIT scores (aPR = 2.7; 95% CI: 2.2–3.5), frequency of alcohol use (aPR = 1.6; 95% CI: 1.2–2.0), and positive family history of alcohol‑related illness times (aPR = 1.6; 95% CI: 1.3–2.0) were significantly associated with willingness to quit alcohol.

    CONCLUSION

    Two‑third of the male OPD patients are using alcohol and 59% of the alcohol users were willing to quit alcohol. Education, occupation, higher AUDIT scores, frequency of alcohol use, and positive family history of alcohol‑related illness were significantly associated with willingness to quit alcohol.

    Keywords: Alcohol abuse, Alcohol Use Disorder Identification Test, intention to quit, operational research, willingness to quit}
  • Ahmad Ali NOORBALA, Armita SALJOUGHIAN, Seyed Abbas BAGHERI YAZDI, Elham FAGHIHZADEH, Mohammad Hadi FARAHZADI, Koorosh KAMALI, Soghrat FAGHIHZADEH, Ahmad HAJEBI, Shahin AKHONDZADEH, Mir Taher MOUSAVI
    Background

    Drug addiction is known as one of the health, medical and social problems of the present century. Beyond the harmful physical and mental consequences for addicts, drug abuse can cause serious social problems. The aim of this study was to evaluate drug and alcohol abuse in individuals aged 15 yr and over in Iran in 2015.

    Methods

    This descriptive cross-sectional study was done on individuals aged 15 yr and older who lived in urban and rural areas of Iran. Overall, 36,600 individuals were selected by systematic and cluster random sampling. The postal code was used to access the samples in 31 provinces of Iran. In each province 1200 individuals (50% men, 50% women) were evaluated. The used instrument was the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST), and data were analyzed using SPSS software.

    Results

    The results showed 4.6% of individuals used Opium and its derivatives, 0.4% used Cannabis, 0.4% used Amphetamine stimulants, 6.1% used Sedative drugs, and 2.6% used Alcoholic beverages on a regular basis. Within the last 12 months, 3.9% of individuals used Opium and its derivatives, 0.4% used Cannabis, 0.3% used Amphetamine stimulants, 5.8% used Sedative drugs, and 1.9% used Alcoholic beverages. With the exception of Sedatives drugs men used more drugs than women and residents of rural areas used more opium and its derivatives than other groups of drugs. Based on the provincial distribution, Kerman and Qom used the highest and lowest prevalence percentage of Opium and its derivatives respectively.

    Conclusion

    Overall, 2340000 individuals were addicts used Opium and its derivatives in 2015, therefore, medical and health officials should take all necessary measures to deal with these serious social problems.

    Keywords: Drug, alcohol abuse, Smoking, Iran}
  • وحیده نصر، نفیسه نصر، زینب ملک زاده، فاطمه ملک زاده مبارکی*، مرضیه کرمخانی
    سابقه و هدف

    الکل یکی از شایع ترین مواد اعتیادآور در دنیا است. امروزه با وجود مطالعات گسترده در این زمینه، درمان های نگهدارنده برای جلوگیری از بازگشت پس از ترک، چندان موفقیت آمیز عمل نکرده است. دین که یکی از ارکان اصلی فرهنگ یک ملت محسوب می شود، دارای ظرفیت قدرتمند در پیشگیری از اختلالات روانی و عامل بازدارنده موثر در جلوگیری از بازگشت مصرف الکل است. هدف پژوهش حاضر تعیین اثربخشی آموزش مضرات الکل مبتنی بر آموزه های اسلامی بر کاهش ولع مصرف آن و بازگشت در افراد با سابقه اعتیاد به الکل در انجمن الکلی های گمنام شهر تهران در سال 1396 بود.

    روش کار

    این پژوهش به شیوه شبه آزمایشی و طرح آن از نوع پیش آزمون و پس آزمون با گروه کنترل است. جامعه آماری شامل کلیه اعضای انجمن الکلی های گمنام شهر تهران در سال 1396 بود که تعداد 30 نفر از آنان به شیوه نمونه گیری دردسترس و مبتنی بر هدف انتخاب شدند و به صورت تصادفی در دو گروه مداخله و کنترل قرار گرفتند. ابزار گردآوری داده ها پرسش نامه سنجش ولع مصرف مواد پس از ترک بود. مداخله به صورت شش جلسه آموزش دو ساعته با موضوع بیان نگرش دین اسلام به مصرف الکل و انطباق با یافته های علمی برگزار شد و برای تعیین اثربخشی آموزش از آزمون تحلیل واریانس استفاده شد. در این پژوهش همه موارد اخلاقی رعایت شده و مولفان مقاله هیچ گونه تضاد منافعی گزارش نکرده اند.

    یافته ها

    یافته ها اثربخشی این نوع آموزش را بر کاهش ولع مصرف الکل و بازگشت آن را در افراد با سابقه اعتیاد به الکل در مقدار 0/05>P نشان داده است.

    نتیجه گیری

    به نظر می رسد آموزش مضرات الکل مبتنی بر آموزه های اسلامی می تواند موجب کاهش ولع مصرف الکل در افراد با سابقه اعتیاد به آن شود. ازاین رو، توصیه می شود با توجه به موثر و به صرفه بودن این روش و اهمیت آن، افراد و سازمان های مربوط و رسانه ها آن را به کار گیرند.

    کلید واژگان: آموزش, آموزه های اسلامی, اعتیاد به الکل, ترک الکل, مضرات الکل, ولع مصرف}
    Vahideh Nasr, Nafiseh Nasr, Zeinab Malakzadeh, Fatemeh Malekzadeh Mobaraki*, Marzieh Karamkhani
    Background and Objective

    Alcohol is one of the most commonly abused drugs in the world. Today, despite extensive studies, preservative treatments to prevent recurrence of alcohol addiction have not been successful. Religion, as one of the main pillars of a nation's culture, has a powerful potential in preventing mental disorders and could be effective to prevent relapsing into alcohol consumption. The purpose of the present study was to evaluate the effectiveness of the Islamic-based training of the harms of taking alcohol on reducing alcohol craving and relapse into alcohol consumption in individuals with a history of alcohol addiction in the Alcoholics Anonymous Association (AA) in Tehran, 1396.

    Methods

    This study was quasi-experimental in nature and used a pre-test and post-test control group design. The statistical population was composed of all the members of Alcoholics Anonymous Association (AA) in Tehran. Thirty individuals were selected by available sampling method. They were randomly assigned to intervention and control groups. Data was collected using the craving questionnaire. The course was presented in six two-hour sessions of training in which the attitude of Islam to alcohol consumption and the relevant scientific findings were discussed. ANOVA was used to determine the effect of Islamic-based training of the harms of alcohols on reducing alcohol craving and relapse. In this study, all the ethical considerations have been observed and no conflict of interest was reported by the authors.

    Results

    The findings showed the effectiveness of this kind of training on reducing alcohol craving and relapse at a significant level (P<0.05) in individuals with a history of alcohol addiction.

    Conclusion

    It seems that Islamic-based training of the harms of alcohol could be potentially considered as an appropriate option to decrease alcohol craving in individuals with a history of alcohol addiction. Therefore, considering the effectiveness and cost-effectiveness of this method and its importance, it is recommended that individuals, organizations and the media use this method.

    Keywords: Alcohol Disorders, Alcohol Abuse, Alcoholism, Craving, Education, Islamic teachings}
  • Abedin Iranpour, Nouzar Nakhaee *
    In the early decades of the 20th century, discussions regarding alcohol were dominantly directed toward itstherapeutic uses, but authorities now state that any level of alcohol consumption poses negative effects onhealth. Over recent months, increased attention has been devoted to disease burdens attributable to alcoholuse worldwide. As more and more studies are conducted to illuminate the harmful effects of alcohol ondifferent body systems, the mounting evidence generated requires documentation and publication. Thecurrent review was aimed at providing an overview of the recent literature on the adverse consequences ofalcohol consumption.
    Keywords: Alcohol abuse, Alcohol-related disorders, Humans, Health}
  • Fahimeh Mohseni, Raheleh Rafaiee *
     
    Background
    Alcoholics Anonymous (AA) is the largest non-governmental organization (NGO) for alcoholics in the world. During the recent decades, Iran has suffered from alcohol abuse and its consequences. Alcoholism is a taboo subject in Iran and there are few studies in this area. This is the first study in Iran to investigate the results of the activity of anonymous alcoholics.
    Methods
    Data were collected from the improved members of the AA in Iran (n = 6197). Findings: The obtained results included members’ demographic characteristics, age of sobriety, average attendance in weekly meetings, status of the sponsor, status of relapse, and the way of entering each member into AA groups.
    Conclusion
    The activity of the AA in Iran is facing limitations and obstacles. The number of individuals with sobriety age above 20 years is not available because of the short-age activity of the AA in Iran. The number of men using this program is higher compared to women. Most members are individuals aging 31 to 40 years who are considered active members of the society
    Keywords: Alcohol abuse, Anonymous alcoholics, Iran}
  • Sajad Aminimanesh *, Javad Khodadadi Sangdeh, Khodabakhsh Ahmadi, Alimohammad Nazari, Mostafa Khanzade
    Aims: This study aimed to determine the attitudes toward alcohol abuse among students in Tehran and to develop and test a model of the relationships among parental monitoring and affiliation with deviant peers as they predict youth alcohol abuse.
    Materials And Methods
    In this cross-sectional study, 1266 adolescents were recruited from high schools in Tehran and three scales of alcohol abuse, parental monitoring, and adolescent affiliation with deviant peers were completed for them. Data were analyzed using independent sample t-test, Pearson correlation coefficient, and structural equations modeling.
    Results
    The results of this study indicated that 7.4% of individuals had a positive attitude toward alcohol abuse. The percentage of positive attitude among males was nearly 2 times more than females. The study model was confirmed and explained 0.42 of attitudes toward alcohol abuse variance. Moreover, affiliation with deviant peers had a mediating role in the relationship between Parental Monitoring and attitude toward alcohol abuse.
    Conclusion
    According to the results, parental monitoring and affiliation with deviant peers could explain the alcohol abuse among adolescents. Therefore, it is suggested to include these factors in prevention programs aimed at reducing alcohol abuse.
    Keywords: Adolescence, alcohol abuse, deviant peers, parental monitoring}
  • Sergei V. Jargin *
    Context: Many studies on alcohol misuse and related topics such as the use of condoms are based on surveys. However, some surveys are not free from biases. There are international differences in the attitudes of people to surveys, which should be taken into account reviewing the literature.
    Evidence Acquisition: The search of the international literature was performed predominantly using PubMed. Russian-language professional publications were searched in the internet and the electronic library of eLIBRARY.ru. The literature was reviewed and summarized on the basis of the author’s observations since 1970.
    Results
    The use of condoms in relation with alcohol drinking is largely dependent on personal characteristics; but, taken on overage, heavy binge drinking and alcohol consumption in sexual relations are risk factors for the nonuse of condoms. Besides, slowly progressing personality changes after a prolonged alcohol abuse and heavy binge drinking interfere with the risk perception and may contribute to the nonuse of condoms.
    Conclusions
    Surveys and opinion polls are valuable research tools and feedback mechanisms for administrative decisions; they should not be discredited by obtrusive questioning or asking for private information, with commercial or other purposes.
    Keywords: Alcohol Abuse, Condoms, Sexually Transmitted Infections}
  • فاطمه رمضان زاده، صدیقه سادات طوافیان
    مقدمه
    استفاده از داروهای غیر مجاز و مواد مخدر و الکل در دوران بارداری هنوز بصورت یک معمای طبی و اخلاقی برای پزشکان وجود دارد و علیرغم افزایش پایگاه های بهداشت و سلامت عمومی و افزایش آگاهی و اطلاعات در مورد تاثیر داروها روی جنین در دوران بارداری، استفاده از این داروها در این دوران در حال افزایش است و لذا همواره سوال در مورد اینکه شیوع مصرف اینگونه داروها و مواد مخدر در زنان باردار به چه میزان می باشد برای پزشکان وجود دارد.
    مواد و روش ها
    در همین راستا مطالعه ای مقطعی روی 2189 زن باردار مراجعه کننده به درمانگاه های پره ناتال دانشگاه های علوم پزشکی تهران، شهید بهشتی و ایران که واجد شرایط مطالعه بودند انجام شد.
    یافته ها
    اطلاعات لازم جهت انجام این پژوهش نشان داد که 5.29% از مادران مورد مطالعه در سه ماهه اول بارداری بطور خودسر دارو مصرف کرده اند که 0.9% آنها یکی از داروهای مجاز از دسته دارویی A و 5.2% آنها یکی از داروهای غیرمجاز از دسته دارویی B و C و D و X مصرف نموده بودند و بیشترین درصد مصرف داروهای خودسر (23.4%) مربوط به استامینوفن بوده است. همچنین 0.9% از مادران مورد مطالعه در سه ماهه اول بارداری از ماده مخدر و 0.2% آنان الکل مصرف کرده بودند. شیوع مصرف الکل در همسران مادران 11% و در نزدیکان مادر 15.7% و شیوع مصرف مواد مخدر در همسران مادران 29.3% و در نزدیکان آنها 34.4% بوده است. طبق نتایج این پژوهش مادرانی که همسرانشان از تحصیلات بالاتری برخوردار بودند نسبت به گروه با تحصیلات کمتر همسر و مادرانی که سابقه نازایی داشتند نیز نسبت به گروه با سابقه عدم نازایی، بیشتر دارو مصرف نموده بودند که این اختلاف بترتیب با (P<0.004) و (P<0.049) معنی دار شد و مادرانی که خود یا همسرانشان تمایلی به بارداری فعلی نداشتند بطور معنی داری نسبت به گروهی که بارداری با تمایل آنان بوده است نیز بیشتر دارو مصرف کرده بودند.
    نتیجه گیری و توصیه ها: نتایج این پژوهش لزوم آموزش و ارتقا سطح آگاهی مادران و انجام مشاوره های لازم در جهت عوارض و خطرات حاصل از مصرف داروهای غیر مجاز در دوران بارداری و همچنین عوارض ناشی از مصرف مواد مخدر توسط همسر و نزدیکان مادر روی جنین را آشکار می سازد.
    Ramezanzadeh F., Tavafian S. S
    Illicit drug abuse is a major area of interest for clinicians, as well as for public health and social authorities, but one of the major concerns is the illicit drug abuse during the periconceptional period and throughout pregnancy, because of its potential effects on the embryo and fetus. In this study we investigated the prevalence of illicit drug abuse in the first trimester of pregnancy in women who referred to Iran, Tehran and Shahid Beheshti universities of medical sciences, for prenatal care.
    Materials And Methods
    In this descriptive cross sectional study, a non-randomized sample of 2000 pregnant women that were in their second and third trimester of their pregnancy, were interviewed about drug abuse in their first trimester. Collected data were analyzed by SPSS software.
    Results
    The prevalence of illicit drug abuse in the first trimester was 2.5% which the majority of these drugs were in group B. The prevalence of drug abuse was 0.9% and alcohol usage and alcohol abuse was 0.2%, cigarette smoking was the most common drug abusing phenomena. Variables such as husband education, infertility and satisfaction with pregnancy have significant relation with drug abuse.
    Conclusion
    The results of this study support the need for continued education and this education must end in by itself to make dramatic changes in behavior. So results of this study showed that, improving education and knowledge of mothers and consultation with them in regard to risks and complications of drug abuse during pregnancy, would make dramatic changes in their behavior.
    Keywords: Illicit drug abuse, periconceptional period, alcohol abuse}
نکته
  • نتایج بر اساس تاریخ انتشار مرتب شده‌اند.
  • کلیدواژه مورد نظر شما تنها در فیلد کلیدواژگان مقالات جستجو شده‌است. به منظور حذف نتایج غیر مرتبط، جستجو تنها در مقالات مجلاتی انجام شده که با مجله ماخذ هم موضوع هستند.
  • در صورتی که می‌خواهید جستجو را در همه موضوعات و با شرایط دیگر تکرار کنید به صفحه جستجوی پیشرفته مجلات مراجعه کنید.
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