بررسي مصرف اكستازي در بين جوانان 25-15 سال مراجعه كننده به كافي شاپ هاي منطقه پنج منطقه تهران

A survey of Ecstasy use among 15-25 year-olds in five areas of Tehran

Background: To erad icate a problem such as dru g abuse , we ne ed thorou gh knowl edge of the problem and its ep idemiolog ica l as pec ts. In response to increasing ecs tasy abuse among youth, as noted by the increase in related health issu es at emergency cl in ics, we performed this epidemiologic stud y on ecs tasy use in Te hran. Methods: In this cross-sec t iona l s tudy , includ ing 1,903 youth aged 15-25 years, at differ ent co ffee sho ps in Te hran, Iran , subjects filled out quest ionnaires to evaluate the preval ence of ecs tasy use with regard to gender , age, family income, level of education, psychol ogical state (Bec k test), acut e complications of ecs tasy use, as we ll as manner and place of ecs tasy use and reason for repeated ecstasy use. In formation was ga tbered from September 2004 to Janu ary 2005, using simple non prob able sampling . Results: The pre va lence of ecstasy abu se among our study populati on was 1~. 5 %, which meaningfully con-elated wi th ge nder (male), educa tion le vel (undergraduate degree) , famil y income (high), dru g abuse and Beck test score (high) . The mean age of ecstasy abusers was 21.3 years (SD: 2.65), whi ch wasnʹt s ta tistica lly differ ent tha n the study popul ation as a whole and the port ion that did not use ecs tasy . Tablet was the most common form of ecs tasy usage (97 . 1%) , In this study population, 9 1.4% had heard of the ecs tasy name, and 83.7% were familia r with its use. The most commo n site of usage was in parti es (85.7%) and in group form s (84%). Of all the user s, 30% sta ted the reason for rep eat ecs tasy use was their friendsʹ insisten ce, 38.8% expressed emotiona l need, 37.7% had no reaso n, wherea s 6.6% fel t a pbysical need and 1.7% rep eatedl y use d ecs tasy to prevent withdrawal symptoms Conclusion: Som e stud ies have reported that drug abu sing friend s are the basic cause of dru g abuse . In th is stu dy, the ecs tasy user s admi tted that the in fluc nce of frie nds and emo tional need were the ca uses of their repeat lise . Remark ably, these subjects rep ort withdrawal symptoms with ecs tasy use. Most importantly, families have to consi der the rel atio nships and emot ional needs of thei r children. The statistica l di fference between Beck test scores betw een ecs tasy users and the non-users place d them in two cl inic ally different psycholog ica l gro ups . The ecs tasy users were in gro ups that defin itely needed psychol ogical co nsu ltation and non-user s were in the slightly dep ressed gro up. These psychological aspect of dru g ab use exp ressed here is an alarm .