Prevalence and sociodemographic factors associated with polysubstance use: analysis of a population-based survey in Jamaica.
Household survey
Jamaica
Polysubstance use
Prevalence
Sociodemographic factors
Journal
BMC psychiatry
ISSN: 1471-244X
Titre abrégé: BMC Psychiatry
Pays: England
ID NLM: 100968559
Informations de publication
Date de publication:
29 07 2022
29 07 2022
Historique:
received:
26
04
2022
accepted:
20
07
2022
entrez:
28
7
2022
pubmed:
29
7
2022
medline:
2
8
2022
Statut:
epublish
Résumé
In Latin America and the Caribbean, there is a dearth of research exploring polysubstance use. This study aims to determine the prevalence, varying combinations and associated sociodemographic characteristics of polysubstance use in Jamaica. This study involved a secondary data analysis of the Jamaica National Drug Prevalence Survey 2016 dataset where 4,623 participants between the age of 12 and 65 years from each household were randomly selected as respondents. Statistical analysis was performed to determine the prevalence and the sociodemographic correlates of polysubstance use among Jamaicans. 19.6% of respondents used two or more drugs in their lifetime. Of this amount 68.7% reported past year use and 61.9% reported past month use. Bivariate analyses reported polysubstance use was statistically significantly higher amongst males (U = 54,579, p = 0.000), those living in rural areas (U = 91,892, p = 0.003), non-Christian (U = 89,514, p = 0.014), and married persons (U = 74,672, p = 0.000). Past month polysubstance use was statistically significantly higher among employed persons than unemployed persons were (U = 81,342, p = 0.001). Surprisingly, there was a lack of significant differences between education level, household income and past month concurrent polysubstance use (p = 0.609; p = 0.115 respectively). Logistic regression model indicated males were 3.076 times more likely than females to report past month polysubstance use than females. Also, when compared to those 55-65 years old, participants 35-54 years were 2.922 times more likely and those 18-34 years were 4.914 times more likely to report past month polysubstance use. Additionally, those living in rural areas were 1.508 times more likely than participants living in urban areas to report past month polysubstance use. As it relates to occupational status, when compared to armed forces, skilled workers were 4.328 times more likely and unskilled workers were 7.146 times more likely to report past month polysubstance use. One in five Jamaicans identified as polysubstance users, predominated by marijuana as the most common factor amongst the polysubstance combinations examined, signalling the need for early marijuana interventions.
Sections du résumé
BACKGROUND
In Latin America and the Caribbean, there is a dearth of research exploring polysubstance use. This study aims to determine the prevalence, varying combinations and associated sociodemographic characteristics of polysubstance use in Jamaica.
METHODS
This study involved a secondary data analysis of the Jamaica National Drug Prevalence Survey 2016 dataset where 4,623 participants between the age of 12 and 65 years from each household were randomly selected as respondents. Statistical analysis was performed to determine the prevalence and the sociodemographic correlates of polysubstance use among Jamaicans.
RESULTS
19.6% of respondents used two or more drugs in their lifetime. Of this amount 68.7% reported past year use and 61.9% reported past month use. Bivariate analyses reported polysubstance use was statistically significantly higher amongst males (U = 54,579, p = 0.000), those living in rural areas (U = 91,892, p = 0.003), non-Christian (U = 89,514, p = 0.014), and married persons (U = 74,672, p = 0.000). Past month polysubstance use was statistically significantly higher among employed persons than unemployed persons were (U = 81,342, p = 0.001). Surprisingly, there was a lack of significant differences between education level, household income and past month concurrent polysubstance use (p = 0.609; p = 0.115 respectively). Logistic regression model indicated males were 3.076 times more likely than females to report past month polysubstance use than females. Also, when compared to those 55-65 years old, participants 35-54 years were 2.922 times more likely and those 18-34 years were 4.914 times more likely to report past month polysubstance use. Additionally, those living in rural areas were 1.508 times more likely than participants living in urban areas to report past month polysubstance use. As it relates to occupational status, when compared to armed forces, skilled workers were 4.328 times more likely and unskilled workers were 7.146 times more likely to report past month polysubstance use.
CONCLUSIONS
One in five Jamaicans identified as polysubstance users, predominated by marijuana as the most common factor amongst the polysubstance combinations examined, signalling the need for early marijuana interventions.
Identifiants
pubmed: 35902836
doi: 10.1186/s12888-022-04160-2
pii: 10.1186/s12888-022-04160-2
pmc: PMC9334544
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
513Informations de copyright
© 2022. The Author(s).
Références
Hum Psychopharmacol. 2017 Sep;32(5):
pubmed: 28750478
J Stud Alcohol. 2005 May;66(3):313-22
pubmed: 16047520
Psychol Addict Behav. 2006 Dec;20(4):496-500
pubmed: 17176186
Health Educ Res. 2001 Aug;16(4):457-69
pubmed: 11525392
Subst Use Misuse. 2006;41(13):1817-35
pubmed: 17118818
Health Policy Plan. 2020 Mar 1;35(2):180-185
pubmed: 31778181
Thorac Surg Clin. 2013 May;23(2):103-12
pubmed: 23566962
Subst Use Misuse. 2008;43(10):1476-86
pubmed: 18615320
J Stud Alcohol Drugs. 2014 May;75(3):378-89
pubmed: 24766749
Front Behav Neurosci. 2022 Jan 27;15:797473
pubmed: 35153693
Drug Alcohol Depend. 2012 Mar 1;121(3):231-9
pubmed: 21955362
West J Emerg Med. 2015 Jan;16(1):76-9
pubmed: 25671013
Health Educ Res. 2010 Feb;25(1):83-96
pubmed: 19959564
J Stud Alcohol. 2006 Jul;67(4):529-37
pubmed: 16736072
Curr Drug Abuse Rev. 2011 Mar;4(1):4-27
pubmed: 21466502
Asian Pac J Cancer Prev. 2012;13(9):4733-8
pubmed: 23167411
J Rural Health. 2007 Fall;23 Suppl:79-83
pubmed: 18237329
Drug Alcohol Depend. 2010 Jan 15;106(2-3):119-25
pubmed: 19758770
Drug Alcohol Depend. 2008 Jun 1;95(3):199-208
pubmed: 18339491
Med J Islam Repub Iran. 2020 Mar 14;34:20
pubmed: 32551309
West Indian Med J. 2010 Dec;59(6):641-9
pubmed: 21702236
Front Psychiatry. 2013 Aug 07;4:79
pubmed: 23966956
Front Public Health. 2013 Nov 28;1:61
pubmed: 24350230
J Subst Use. 2012 Feb 1;71(1):72-83
pubmed: 23258960
Alcohol Alcohol. 2016 Jul;51(4):465-73
pubmed: 26873982
Braz J Psychiatry. 2013 Jul-Sep;35(3):221-30
pubmed: 24068301
Addiction. 1997 Oct;92(10):1327-37
pubmed: 9489049
J Subst Abuse Treat. 2015 Mar;50:26-31
pubmed: 25456092
Addict Behav. 2013 Mar;38(3):1616-9
pubmed: 23254207
Drug Alcohol Depend. 2007 Mar 16;87(2-3):303-11
pubmed: 17074449
Addict Behav. 2009 Mar;34(3):258-63
pubmed: 19008050
Alcohol Clin Exp Res. 2015 May;39(5):872-9
pubmed: 25872596
Addict Behav. 2011 Jul;36(7):785-8
pubmed: 21429672
PLoS One. 2017 May 18;12(5):e0177922
pubmed: 28542366
J Subst Abuse Treat. 2014 Feb;46(2):219-26
pubmed: 24035555
J Behav Health Serv Res. 2004 Oct-Dec;31(4):418-29
pubmed: 15602142
Rev Bras Epidemiol. 2012 Sep;15(3):582-94
pubmed: 23090305
Int J Drug Policy. 2011 Sep;22(5):366-73
pubmed: 21840699
J Child Adolesc Subst Abuse. 2017;26(1):60-65
pubmed: 28890649
Curr Opin Psychiatry. 2014 Jul;27(4):269-75
pubmed: 24852056
Prev Sci. 2008 Jun;9(2):129-37
pubmed: 18516682
Drug Alcohol Depend. 2011 Jan 15;113(2-3):222-8
pubmed: 20863629
Soc Psychiatry Psychiatr Epidemiol. 2010 Aug;45(8):827-36
pubmed: 19714282
J Can Acad Child Adolesc Psychiatry. 2006 Aug;15(3):126-34
pubmed: 18392182
J Rural Health. 2008 Summer;24(3):221-8
pubmed: 18643798
Pain. 2017 Jun;158(6):1138-1144
pubmed: 28267061
Natl Vital Stat Rep. 2018 Dec;67(9):1-14
pubmed: 30707673
Am J Drug Alcohol Abuse. 2001 May;27(2):265-80
pubmed: 11417939
Mil Med. 2010 Jun;175(6):390-9
pubmed: 20572470
Am J Public Health. 2004 Jan;94(1):96-102
pubmed: 14713705
Am J Prev Med. 2007 Jun;32(6 Suppl):S182-94
pubmed: 17543710
J Public Health Policy. 2015 Nov;36(4):469-83
pubmed: 26424204
Addiction. 2013 Jul;108(7):1188-93
pubmed: 23075415
Respir Care. 2004 Oct;49(10):1171-4
pubmed: 15447798
J Rural Health. 2014 Summer;30(3):292-9
pubmed: 24702675
J Stud Alcohol Drugs. 2010 Jul;71(4):526-34
pubmed: 20553660
Int Rev Psychiatry. 2018 Jun;30(3):226-237
pubmed: 29944032
Natl Vital Stat Rep. 2016 Dec;65(10):1-15
pubmed: 27996932
Health Econ. 1998 May;7(3):229-45
pubmed: 9639336
Ann Epidemiol. 2013 Oct;23(10):636-45
pubmed: 23953948
J Subst Abuse. 1998;10(3):233-53
pubmed: 10689657
Addiction. 2006 Apr;101(4):556-69
pubmed: 16548935
Alcohol Res Health. 2006;29(3):162-71
pubmed: 17373404
Drug Alcohol Depend. 2007 Sep 6;90(1):72-80
pubmed: 17446013