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Published in: BMC Psychiatry 1/2024

Open Access 01-12-2024 | Research

Epidemiology of substance and opium use among adult residents of Tehran; a comprehensive report from Tehran cohort study (TeCS)

Authors: Farzad Masoudkabir, Akbar Shafiee, Amirhossein Heidari, Negin Sadat Hosseini Mohammadi, Kiarash Tavakoli, Arash Jalali, Sepehr Nayebirad, Farshid Alaeddini, Soheil Saadat, Ali Vasheghani-Farahani, Saeed Sadeghian, Vicente Artola Arita, Mohamamdali Boroumand, Abbasali Karimi

Published in: BMC Psychiatry | Issue 1/2024

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Abstract

Background

The prevalence and burden of substance and opium use have increased worldwide over the past decades. In light of rapid population changes in Tehran, we aimed to evaluate the prevalence of opium and other substance use among adult residents in Tehran, Iran.

Method

From March 2016 to March 2019, we utilized data from 8 296 participants in the Tehran Cohort Study recruitment phase (TeCS). We calculated the age-sex-weighted prevalence of substance use and the geographic distribution of substance use in Tehran. We also used logistic regression analysis to determine possible determinants of opium use.

Result

We analyzed data from 8 259 eligible participants with complete substance use data and the average age of participants was 53.7 ± 12.75 years. The prevalence of substance use was 5.6% (95% confidence interval [CI]: 4.6- 7.1%). Substance use was more common in males than females (Prevalence: 10.5% [95% CI: 8.6- 12.6%] vs. 0.5% [95% CI: 0.2- 1.2%], respectively). The age-sex weighted prevalence of substance use was 5.4% (95% CI: 4.6-7.1%). Moreover, opium was the most frequently used substance by 95.8% of substance users. Additionally, we found that male gender (Odds ratio [OR]: 12.1, P < 0.001), alcohol intake (OR: 1.3, P = 0.016), and smoking (OR: 8.5, P < 0.001) were independently associated with opium use.

Conclusions

We found that the prevalence of substance use in Tehran was 5.6%, and opium was the most frequently used substance. In addition, male gender, lower levels of education, alcohol, and tobacco consumption are the main risk factors for substance use in Tehran. Healthcare providers and policymakers can utilize our results to implement preventive strategies to minimize substance use in Tehran.
Literature
1.
go back to reference Network GBDC. Global burden of disease study 2017 (GBD 2017) results. Seattle, United States: Institute for health metrics and evaluation (IHME). 2018. Network GBDC. Global burden of disease study 2017 (GBD 2017) results. Seattle, United States: Institute for health metrics and evaluation (IHME). 2018.
2.
go back to reference Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of Disease Study 2010. Lancet. 2012;380(9859):2224–60.PubMedPubMedCentralCrossRef Lim SS, Vos T, Flaxman AD, Danaei G, Shibuya K, Adair-Rohani H, Amann M, Anderson HR, Andrews KG, Aryee M, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the global burden of Disease Study 2010. Lancet. 2012;380(9859):2224–60.PubMedPubMedCentralCrossRef
3.
go back to reference Heidari N, Hajikarim-Hamedani A, Heidari A, Ghane Y, Sadat-Shirazi M-S, Ashabi G, Zarrindast M-R. Alcohol: Epigenome Alteration and Transgenerational Effect. In: Preprintsorg Preprints.org; 2023. Heidari N, Hajikarim-Hamedani A, Heidari A, Ghane Y, Sadat-Shirazi M-S, Ashabi G, Zarrindast M-R. Alcohol: Epigenome Alteration and Transgenerational Effect. In: Preprintsorg Preprints.org; 2023.
4.
go back to reference Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223–33.PubMedCrossRef Rehm J, Mathers C, Popova S, Thavorncharoensap M, Teerawattananon Y, Patra J. Global burden of disease and injury and economic cost attributable to alcohol use and alcohol-use disorders. Lancet. 2009;373(9682):2223–33.PubMedCrossRef
6.
go back to reference Alcohol GBD, Drug Use C. The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990–2016: a systematic analysis for the global burden of Disease Study 2016. Lancet Psychiatry. 2018;5(12):987–1012.CrossRef Alcohol GBD, Drug Use C. The global burden of disease attributable to alcohol and drug use in 195 countries and territories, 1990–2016: a systematic analysis for the global burden of Disease Study 2016. Lancet Psychiatry. 2018;5(12):987–1012.CrossRef
7.
go back to reference Mohebbi E, Kamangar F, Rahimi-Movaghar A, Haghdoost AA, Etemadi A, Amirzadeh S, Najafi F, Shafeie F, Fakhari A, Ghaleban K, et al. An Exploratory Study of Units of Reporting Opium Usein Iran: implications for epidemiologic studies. Arch Iran Med. 2019;22(10):541–5.PubMed Mohebbi E, Kamangar F, Rahimi-Movaghar A, Haghdoost AA, Etemadi A, Amirzadeh S, Najafi F, Shafeie F, Fakhari A, Ghaleban K, et al. An Exploratory Study of Units of Reporting Opium Usein Iran: implications for epidemiologic studies. Arch Iran Med. 2019;22(10):541–5.PubMed
9.
go back to reference Jack H, Masterson AR, Khoshnood K. Violent conflict and opiate use in low and middle-income countries: a systematic review. Int J Drug Policy. 2014;25(2):196–203.PubMedCrossRef Jack H, Masterson AR, Khoshnood K. Violent conflict and opiate use in low and middle-income countries: a systematic review. Int J Drug Policy. 2014;25(2):196–203.PubMedCrossRef
10.
go back to reference Soroosh D, Neamatshahi M, Zarmehri B, Nakhaee S, Mehrpour O. Drug-induced prolonged corrected QT interval in patients with methadone and opium overdose. Subst Abuse Treat Prev Policy. 2019;14(1):8.PubMedPubMedCentralCrossRef Soroosh D, Neamatshahi M, Zarmehri B, Nakhaee S, Mehrpour O. Drug-induced prolonged corrected QT interval in patients with methadone and opium overdose. Subst Abuse Treat Prev Policy. 2019;14(1):8.PubMedPubMedCentralCrossRef
11.
go back to reference Eskandarieh S, Jafari F, Yazdani S, Hazrati N, Saberi-Zafarghandi MB. Compulsory maintenance treatment program amongst Iranian injection drug users and its side effects. Int J High Risk Behav Addict. 2014;3(4):e21765.PubMedPubMedCentralCrossRef Eskandarieh S, Jafari F, Yazdani S, Hazrati N, Saberi-Zafarghandi MB. Compulsory maintenance treatment program amongst Iranian injection drug users and its side effects. Int J High Risk Behav Addict. 2014;3(4):e21765.PubMedPubMedCentralCrossRef
12.
go back to reference Sommers I, Baskin D, Baskin-Sommers A. Methamphetamine use among young adults: health and social consequences. Addict Behav. 2006;31(8):1469–76.PubMedCrossRef Sommers I, Baskin D, Baskin-Sommers A. Methamphetamine use among young adults: health and social consequences. Addict Behav. 2006;31(8):1469–76.PubMedCrossRef
13.
go back to reference Shariatirad S, Maarefvand M, Ekhtiari H. Methamphetamine use and methadone maintenance treatment: an emerging problem in the drug addiction treatment network in Iran. Int J Drug Policy. 2013;24(6):e115–6.PubMedCrossRef Shariatirad S, Maarefvand M, Ekhtiari H. Methamphetamine use and methadone maintenance treatment: an emerging problem in the drug addiction treatment network in Iran. Int J Drug Policy. 2013;24(6):e115–6.PubMedCrossRef
14.
go back to reference Fronczak CM, Kim ED, Barqawi AB. The insults of illicit drug use on male fertility. J Androl. 2012;33(4):515–28.PubMedCrossRef Fronczak CM, Kim ED, Barqawi AB. The insults of illicit drug use on male fertility. J Androl. 2012;33(4):515–28.PubMedCrossRef
15.
go back to reference Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. The global burden of mental, neurological and substance use disorders: an analysis from the global burden of Disease Study 2010. PLoS ONE. 2015;10(2):e0116820.PubMedPubMedCentralCrossRef Whiteford HA, Ferrari AJ, Degenhardt L, Feigin V, Vos T. The global burden of mental, neurological and substance use disorders: an analysis from the global burden of Disease Study 2010. PLoS ONE. 2015;10(2):e0116820.PubMedPubMedCentralCrossRef
16.
go back to reference Momtazi S, Noroozi A, Rawson R. An overview of Iran drug treatment and harm reduction programs. Textbook Addict Treatment: Int Perspect Milano: Springer 2015:543–54. Momtazi S, Noroozi A, Rawson R. An overview of Iran drug treatment and harm reduction programs. Textbook Addict Treatment: Int Perspect Milano: Springer 2015:543–54.
17.
go back to reference Amin-Esmaeili M, Rahimi-Movaghar A, Sharifi V, Hajebi A, Radgoodarzi R, Mojtabai R, Hefazi M, Motevalian A. Epidemiology of illicit drug use disorders in Iran: prevalence, correlates, comorbidity and service utilization results from the Iranian Mental Health Survey. Addiction. 2016;111(10):1836–47.PubMedCrossRef Amin-Esmaeili M, Rahimi-Movaghar A, Sharifi V, Hajebi A, Radgoodarzi R, Mojtabai R, Hefazi M, Motevalian A. Epidemiology of illicit drug use disorders in Iran: prevalence, correlates, comorbidity and service utilization results from the Iranian Mental Health Survey. Addiction. 2016;111(10):1836–47.PubMedCrossRef
18.
go back to reference Mohebbi E, Haghdoost AA, Noroozi A, Molavi Vardanjani H, Hajebi A, Nikbakht R, Mehrabi M, Jabbarinejad Kermani A, Salemianpour M, Baneshi MR. Awareness and attitude towards opioid and stimulant use and lifetime prevalence of the drugs: a study in 5 Large Cities of Iran. Int J Health Policy Manag. 2019;8(4):222–32.PubMedCrossRef Mohebbi E, Haghdoost AA, Noroozi A, Molavi Vardanjani H, Hajebi A, Nikbakht R, Mehrabi M, Jabbarinejad Kermani A, Salemianpour M, Baneshi MR. Awareness and attitude towards opioid and stimulant use and lifetime prevalence of the drugs: a study in 5 Large Cities of Iran. Int J Health Policy Manag. 2019;8(4):222–32.PubMedCrossRef
19.
go back to reference Kok G, Gottlieb NH, Peters GJ, Mullen PD, Parcel GS, Ruiter RA, Fernández ME, Markham C, Bartholomew LK. A taxonomy of behaviour change methods: an intervention mapping approach. Health Psychol Rev. 2016;10(3):297–312.PubMedCrossRef Kok G, Gottlieb NH, Peters GJ, Mullen PD, Parcel GS, Ruiter RA, Fernández ME, Markham C, Bartholomew LK. A taxonomy of behaviour change methods: an intervention mapping approach. Health Psychol Rev. 2016;10(3):297–312.PubMedCrossRef
20.
go back to reference Khademi H, Malekzadeh R, Pourshams A, Jafari E, Salahi R, Semnani S, Abaie B, Islami F, Nasseri-Moghaddam S, Etemadi A. Opium use and mortality in Golestan Cohort Study: prospective cohort study of 50 000 adults in Iran. BMJ 2012, 344. Khademi H, Malekzadeh R, Pourshams A, Jafari E, Salahi R, Semnani S, Abaie B, Islami F, Nasseri-Moghaddam S, Etemadi A. Opium use and mortality in Golestan Cohort Study: prospective cohort study of 50 000 adults in Iran. BMJ 2012, 344.
21.
go back to reference Fallahzadeh MA, Salehi A, Naghshvarian M, Fallahzadeh MH, Poustchi H, Sepanlou SG, Gandomkar A, Malekzadeh R. Epidemiologic study of Opium Use in Pars Cohort Study: a study of 9000 adults in a rural Southern Area of Iran. Archives Iran Med (AIM) 2017, 20(4). Fallahzadeh MA, Salehi A, Naghshvarian M, Fallahzadeh MH, Poustchi H, Sepanlou SG, Gandomkar A, Malekzadeh R. Epidemiologic study of Opium Use in Pars Cohort Study: a study of 9000 adults in a rural Southern Area of Iran. Archives Iran Med (AIM) 2017, 20(4).
23.
go back to reference Moradinazar M, Najafi F, Jalilian F, Pasdar Y, Hamzeh B, Shakiba E, Hajizadeh M, Haghdoost AA, Malekzadeh R, Poustchi H, et al. Prevalence of drug use, alcohol consumption, cigarette smoking and measure of socioeconomic-related inequalities of drug use among Iranian people: findings from a national survey. Subst Abuse Treat Prev Policy. 2020;15(1):39.PubMedPubMedCentralCrossRef Moradinazar M, Najafi F, Jalilian F, Pasdar Y, Hamzeh B, Shakiba E, Hajizadeh M, Haghdoost AA, Malekzadeh R, Poustchi H, et al. Prevalence of drug use, alcohol consumption, cigarette smoking and measure of socioeconomic-related inequalities of drug use among Iranian people: findings from a national survey. Subst Abuse Treat Prev Policy. 2020;15(1):39.PubMedPubMedCentralCrossRef
24.
go back to reference Heydari Z, Baneshi MR, Sharifi H, Zamanian M, Haji-Maghsoudi S, Zolala F. Evaluation of the treatment failure ratio in individuals receiving methadone maintenance therapy via the network scale up method. Int J Drug Policy. 2019;73:36–41.PubMedCrossRef Heydari Z, Baneshi MR, Sharifi H, Zamanian M, Haji-Maghsoudi S, Zolala F. Evaluation of the treatment failure ratio in individuals receiving methadone maintenance therapy via the network scale up method. Int J Drug Policy. 2019;73:36–41.PubMedCrossRef
25.
go back to reference Shokoohi M, Baneshi MR, Haghdoost A-A. Size estimation of groups at high risk of HIV/AIDS using network scale up in Kerman, Iran. Int J Prev Med. 2012;3(7):471.PubMedPubMedCentral Shokoohi M, Baneshi MR, Haghdoost A-A. Size estimation of groups at high risk of HIV/AIDS using network scale up in Kerman, Iran. Int J Prev Med. 2012;3(7):471.PubMedPubMedCentral
26.
go back to reference Shafiee A, Saadat S, Shahmansouri N, Jalali A, Alaeddini F, Haddadi M, Tajdini M, Ashraf H, Omidi N, Masoudkabir F. Tehran cohort study (TeCS) on cardiovascular diseases, injury, and mental health: design, methods, and recruitment data. Global Epidemiol. 2021;3:100051.CrossRef Shafiee A, Saadat S, Shahmansouri N, Jalali A, Alaeddini F, Haddadi M, Tajdini M, Ashraf H, Omidi N, Masoudkabir F. Tehran cohort study (TeCS) on cardiovascular diseases, injury, and mental health: design, methods, and recruitment data. Global Epidemiol. 2021;3:100051.CrossRef
27.
go back to reference Muntner P, Shimbo D, Carey RM, Charleston JB, Gaillard T, Misra S, Myers MG, Ogedegbe G, Schwartz JE, Townsend RR, et al. Measurement of blood pressure in humans: A Scientific Statement from the American Heart Association. Hypertension. 2019;73(5):e35–e66.PubMedCrossRef Muntner P, Shimbo D, Carey RM, Charleston JB, Gaillard T, Misra S, Myers MG, Ogedegbe G, Schwartz JE, Townsend RR, et al. Measurement of blood pressure in humans: A Scientific Statement from the American Heart Association. Hypertension. 2019;73(5):e35–e66.PubMedCrossRef
28.
go back to reference Oraii A, Shafiee A, Jalali A, Alaeddini F, Saadat S, Masoudkabir F, Vasheghani-Farahani A, Heidari A, Sadeghian S, Boroumand M, et al. Prevalence, awareness, treatment, and control of type 2 diabetes mellitus among the adult residents of tehran: Tehran Cohort Study. BMC Endocr Disord. 2022;22(1):248.PubMedPubMedCentralCrossRef Oraii A, Shafiee A, Jalali A, Alaeddini F, Saadat S, Masoudkabir F, Vasheghani-Farahani A, Heidari A, Sadeghian S, Boroumand M, et al. Prevalence, awareness, treatment, and control of type 2 diabetes mellitus among the adult residents of tehran: Tehran Cohort Study. BMC Endocr Disord. 2022;22(1):248.PubMedPubMedCentralCrossRef
29.
go back to reference Oraii A, Shafiee A, Jalali A, Alaeddini F, Saadat S, Sadeghian S, Poorhosseini H, Boroumand M, Karimi A, Franco OH. Prevalence, awareness, treatment, and Control of Hypertension among adult residents of Tehran: the Tehran Cohort Study. Glob Heart. 2022;17(1):31.PubMedPubMedCentralCrossRef Oraii A, Shafiee A, Jalali A, Alaeddini F, Saadat S, Sadeghian S, Poorhosseini H, Boroumand M, Karimi A, Franco OH. Prevalence, awareness, treatment, and Control of Hypertension among adult residents of Tehran: the Tehran Cohort Study. Glob Heart. 2022;17(1):31.PubMedPubMedCentralCrossRef
30.
go back to reference Shafiee A, Oraii A, Jalali A, Alaeddini F, Saadat S, Masoudkabir F, Tajdini M, Ashraf H, Omidi N, Heidari A, et al. Epidemiology and prevalence of tobacco use in Tehran; a report from the recruitment phase of Tehran cohort study. BMC Public Health. 2023;23(1):740.PubMedPubMedCentralCrossRef Shafiee A, Oraii A, Jalali A, Alaeddini F, Saadat S, Masoudkabir F, Tajdini M, Ashraf H, Omidi N, Heidari A, et al. Epidemiology and prevalence of tobacco use in Tehran; a report from the recruitment phase of Tehran cohort study. BMC Public Health. 2023;23(1):740.PubMedPubMedCentralCrossRef
31.
go back to reference Carapetis J, Dadi AF. Erratum: Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016 (The Lancet (2017) 390 (10100)(1211–1259)(S0140673617321542)(10.1016/S0140-6736 (17) 32154-2)). The Lancet 2017, 390(10106):e38. Carapetis J, Dadi AF. Erratum: Global, regional, and national incidence, prevalence, and years lived with disability for 328 diseases and injuries for 195 countries, 1990–2016: a systematic analysis for the Global Burden of Disease Study 2016 (The Lancet (2017) 390 (10100)(1211–1259)(S0140673617321542)(10.1016/S0140-6736 (17) 32154-2)). The Lancet 2017, 390(10106):e38.
32.
go back to reference Seth P, Scholl L, Rudd RA, Bacon S. Overdose deaths involving opioids, Cocaine, and psychostimulants - United States, 2015–2016. MMWR Morb Mortal Wkly Rep. 2018;67(12):349–58.PubMedPubMedCentralCrossRef Seth P, Scholl L, Rudd RA, Bacon S. Overdose deaths involving opioids, Cocaine, and psychostimulants - United States, 2015–2016. MMWR Morb Mortal Wkly Rep. 2018;67(12):349–58.PubMedPubMedCentralCrossRef
33.
go back to reference Moazen B, Shokoohi M, Noori A, Rahimzadeh S, Saeedi Moghaddam S, Rezaei F, Lotfizadeh M, Kazemi MR, Jamshidi HR, Pazhuheian F, et al. Burden of Drug and Alcohol Use disorders in Iran: findings from the global burden of Disease Study 2010. Arch Iran Med. 2015;18(8):480–5.PubMed Moazen B, Shokoohi M, Noori A, Rahimzadeh S, Saeedi Moghaddam S, Rezaei F, Lotfizadeh M, Kazemi MR, Jamshidi HR, Pazhuheian F, et al. Burden of Drug and Alcohol Use disorders in Iran: findings from the global burden of Disease Study 2010. Arch Iran Med. 2015;18(8):480–5.PubMed
34.
go back to reference Schalkoff CA, Lancaster KE, Gaynes BN, Wang V, Pence BW, Miller WC, Go VF. The opioid and related drug epidemics in Rural Appalachia: a systematic review of populations affected, risk factors, and Infectious diseases. Substance Abuse. 2020;41(1):35–69.PubMedCrossRef Schalkoff CA, Lancaster KE, Gaynes BN, Wang V, Pence BW, Miller WC, Go VF. The opioid and related drug epidemics in Rural Appalachia: a systematic review of populations affected, risk factors, and Infectious diseases. Substance Abuse. 2020;41(1):35–69.PubMedCrossRef
35.
go back to reference Azizi H, Buhler A, Bussink C, Campello G, Carpentier C, Eichinger N, Hariga F, Kamminga J, Korenblik A, Koutsenok I. The World Drug Report 2015. 2015. Azizi H, Buhler A, Bussink C, Campello G, Carpentier C, Eichinger N, Hariga F, Kamminga J, Korenblik A, Koutsenok I. The World Drug Report 2015. 2015.
36.
go back to reference Kamali M, Tajadini H, Mehrabani M, Moghadari M. Consequences of opioid abuse and their treatments in Persian Medicine: a review study. Addict Health. 2020;12(1):46–57.PubMedPubMedCentral Kamali M, Tajadini H, Mehrabani M, Moghadari M. Consequences of opioid abuse and their treatments in Persian Medicine: a review study. Addict Health. 2020;12(1):46–57.PubMedPubMedCentral
37.
go back to reference Naghavi M, Shahraz S, Sepanlou SG, Dicker D, Naghavi P, Pourmalek F, Mokdad A, Lozano R, Vos T, Asadi-Lari M, et al. Health transition in Iran toward chronic diseases based on results of global burden of Disease 2010. Arch Iran Med. 2014;17(5):321–35.PubMed Naghavi M, Shahraz S, Sepanlou SG, Dicker D, Naghavi P, Pourmalek F, Mokdad A, Lozano R, Vos T, Asadi-Lari M, et al. Health transition in Iran toward chronic diseases based on results of global burden of Disease 2010. Arch Iran Med. 2014;17(5):321–35.PubMed
38.
go back to reference Narenjiha HRH, Baghestani AR, et al. In: Tehran, editor. Rapid Assessment of Substance Abuse in Iran- second study. Center for Research and Education on abuse and substance abuse. Iran: University of Social Welfare and Rehabilitation Sciences, office of UN Proliferation Control Program; 2005. Narenjiha HRH, Baghestani AR, et al. In: Tehran, editor. Rapid Assessment of Substance Abuse in Iran- second study. Center for Research and Education on abuse and substance abuse. Iran: University of Social Welfare and Rehabilitation Sciences, office of UN Proliferation Control Program; 2005.
39.
go back to reference Noorbala AA, Saljoughian A, Bagheri Yazdi SA, Faghihzadeh E, Farahzadi MH, Kamali K, Faghihzadeh S, Hajebi A, Akhondzadeh S, Mousavi MT. Evaluation of drug and alcohol abuse in people aged 15 years and older in Iran. Iran J Public Health. 2020;49(10):1940–6.PubMedPubMedCentral Noorbala AA, Saljoughian A, Bagheri Yazdi SA, Faghihzadeh E, Farahzadi MH, Kamali K, Faghihzadeh S, Hajebi A, Akhondzadeh S, Mousavi MT. Evaluation of drug and alcohol abuse in people aged 15 years and older in Iran. Iran J Public Health. 2020;49(10):1940–6.PubMedPubMedCentral
40.
go back to reference Damari B, Sarami H, Alikhani S, Mirzaei H. A National survey on substance use among Iranian industrial workers. Med J Islam Repub Iran. 2020;34:20.PubMedPubMedCentral Damari B, Sarami H, Alikhani S, Mirzaei H. A National survey on substance use among Iranian industrial workers. Med J Islam Repub Iran. 2020;34:20.PubMedPubMedCentral
41.
go back to reference Noori R, Daneshmand R, Farhoudian A, Ghaderi S, Aryanfard S, Moradi A. Amphetamine-type stimulants in a group of adults in Tehran, Iran: a rapid situation assessment in twenty-two districts. Iran J Psychiatry Behav Sci 2016, 10(4). Noori R, Daneshmand R, Farhoudian A, Ghaderi S, Aryanfard S, Moradi A. Amphetamine-type stimulants in a group of adults in Tehran, Iran: a rapid situation assessment in twenty-two districts. Iran J Psychiatry Behav Sci 2016, 10(4).
42.
go back to reference Sarani EM, Ahmadi J, Oji B, Mahi-Birjand M, Bagheri N, Bazrafshan A, Manshadi MD, Yaghoubi S, Dezhkam A, Khatami M, et al. Investigating the sequential patterns of methamphetamine use initiation in Iran. Subst Abuse Treat Prev Policy. 2020;15(1):52.PubMedPubMedCentralCrossRef Sarani EM, Ahmadi J, Oji B, Mahi-Birjand M, Bagheri N, Bazrafshan A, Manshadi MD, Yaghoubi S, Dezhkam A, Khatami M, et al. Investigating the sequential patterns of methamphetamine use initiation in Iran. Subst Abuse Treat Prev Policy. 2020;15(1):52.PubMedPubMedCentralCrossRef
43.
go back to reference Fallahzadeh MA, Salehi A, Naghshvarian M, Fallahzadeh MH, Poustchi H, Sepanlou SG, Gandomkar A, Malekzadeh R. Epidemiologic study of Opium Use in Pars Cohort Study: a study of 9000 adults in a rural Southern Area of Iran. Arch Iran Med. 2017;20(4):205–10.PubMed Fallahzadeh MA, Salehi A, Naghshvarian M, Fallahzadeh MH, Poustchi H, Sepanlou SG, Gandomkar A, Malekzadeh R. Epidemiologic study of Opium Use in Pars Cohort Study: a study of 9000 adults in a rural Southern Area of Iran. Arch Iran Med. 2017;20(4):205–10.PubMed
44.
go back to reference Yousefzadeh G, Sheikhvatan M. Age and gender differences in the clustering of metabolic syndrome combinations: a prospective cohort research from the Kerman Coronary Artery Disease Risk Study (KERCADRS). Diabetes Metab Syndr. 2015;9(4):337–42.PubMedCrossRef Yousefzadeh G, Sheikhvatan M. Age and gender differences in the clustering of metabolic syndrome combinations: a prospective cohort research from the Kerman Coronary Artery Disease Risk Study (KERCADRS). Diabetes Metab Syndr. 2015;9(4):337–42.PubMedCrossRef
45.
go back to reference Degenhardt L, Hall W. Extent of illicit drug use and dependence, and their contribution to the global burden of disease. Lancet. 2012;379(9810):55–70.PubMedCrossRef Degenhardt L, Hall W. Extent of illicit drug use and dependence, and their contribution to the global burden of disease. Lancet. 2012;379(9810):55–70.PubMedCrossRef
46.
go back to reference Degenhardt L, Whiteford HA, Ferrari AJ, Baxter AJ, Charlson FJ, Hall WD, Freedman G, Burstein R, Johns N, Engell RE, et al. Global burden of disease attributable to illicit drug use and dependence: findings from the global burden of Disease Study 2010. Lancet. 2013;382(9904):1564–74.PubMedCrossRef Degenhardt L, Whiteford HA, Ferrari AJ, Baxter AJ, Charlson FJ, Hall WD, Freedman G, Burstein R, Johns N, Engell RE, et al. Global burden of disease attributable to illicit drug use and dependence: findings from the global burden of Disease Study 2010. Lancet. 2013;382(9904):1564–74.PubMedCrossRef
47.
go back to reference Khademi H, Malekzadeh R, Pourshams A, Jafari E, Salahi R, Semnani S, Abaie B, Islami F, Nasseri-Moghaddam S, Etemadi A, et al. Opium use and mortality in Golestan Cohort Study: prospective cohort study of 50,000 adults in Iran. BMJ. 2012;344:e2502.PubMedPubMedCentralCrossRef Khademi H, Malekzadeh R, Pourshams A, Jafari E, Salahi R, Semnani S, Abaie B, Islami F, Nasseri-Moghaddam S, Etemadi A, et al. Opium use and mortality in Golestan Cohort Study: prospective cohort study of 50,000 adults in Iran. BMJ. 2012;344:e2502.PubMedPubMedCentralCrossRef
48.
go back to reference Ziaaddini H, Ziaaddini T, Nakhaee N. Pattern and trend of substance abuse in eastern rural Iran: a household survey in a rural community. J Addict. 2013;2013:297378.PubMedPubMedCentralCrossRef Ziaaddini H, Ziaaddini T, Nakhaee N. Pattern and trend of substance abuse in eastern rural Iran: a household survey in a rural community. J Addict. 2013;2013:297378.PubMedPubMedCentralCrossRef
49.
go back to reference Ziaaddini H, Sharifi A, Nakhaee N, Ziaaddini A. The prevalence of at least one-time substance abuse among Kerman Pre-university Male Students. Addict Health. 2010;2(3–4):103–10.PubMedPubMedCentral Ziaaddini H, Sharifi A, Nakhaee N, Ziaaddini A. The prevalence of at least one-time substance abuse among Kerman Pre-university Male Students. Addict Health. 2010;2(3–4):103–10.PubMedPubMedCentral
50.
go back to reference Kheirkhah MT, Mokarrami M, Kazemitabar M, Garcia D. Inequalities in care for Iranian women suffering from the comorbidity of substance use and mental illness: the need for integrated treatment. Health Promot Perspect. 2023;13(3):198–201.PubMedPubMedCentralCrossRef Kheirkhah MT, Mokarrami M, Kazemitabar M, Garcia D. Inequalities in care for Iranian women suffering from the comorbidity of substance use and mental illness: the need for integrated treatment. Health Promot Perspect. 2023;13(3):198–201.PubMedPubMedCentralCrossRef
51.
go back to reference Nolte-Troha C, Roser P, Henkel D, Scherbaum N, Koller G, Franke AG. Unemployment and substance use: an updated review of studies from North America and Europe. Healthc (Basel) 2023, 11(8). Nolte-Troha C, Roser P, Henkel D, Scherbaum N, Koller G, Franke AG. Unemployment and substance use: an updated review of studies from North America and Europe. Healthc (Basel) 2023, 11(8).
Metadata
Title
Epidemiology of substance and opium use among adult residents of Tehran; a comprehensive report from Tehran cohort study (TeCS)
Authors
Farzad Masoudkabir
Akbar Shafiee
Amirhossein Heidari
Negin Sadat Hosseini Mohammadi
Kiarash Tavakoli
Arash Jalali
Sepehr Nayebirad
Farshid Alaeddini
Soheil Saadat
Ali Vasheghani-Farahani
Saeed Sadeghian
Vicente Artola Arita
Mohamamdali Boroumand
Abbasali Karimi
Publication date
01-12-2024
Publisher
BioMed Central
Published in
BMC Psychiatry / Issue 1/2024
Electronic ISSN: 1471-244X
DOI
https://doi.org/10.1186/s12888-024-05561-1

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