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Abstract
The study aims to estimate the prevalence and predictors of not following the gateway theory. Respondents were selected from a multistage stratified clustered sampling of households in five of Nigeria's six geopolitical regions. Interviews were conducted between February 2002 and May 2003 using the CIDI-version.3 with a total sample size (N) of 2,143. Cumulative incidence proportions of not following a gateway pattern were estimated with SUDAAN. Predictors of this were estimated using multivariate logistic regression models. The deviation from the normative sequence of drug use occurs albeit infrequently. The public health implications of this are discussed as well as the limitations of the findings.
RÉSUMÉ
L’Hypothèse de Porte d’Abus de Substance: un Examen de sa Validité d’application dans la Population Générale nigériane
l’étude vise à estimer la prévalence et les prédicteurs de ne pas suivre la “Gateway” théorie. Les répondants ont été choisis d’un multi-stades stratifié clusterisé échantillonnage des ménages dans cinq du Nigéria s six régions géopolitiques. Les entrevues ont été menées entre février 2002 et mai 2003 en utilisant le CIDI-version.3 avec un échantillon total (N) de 2143. Incidence cumulative proportions de ne pas suivre le portail pattern ont été estimés avec SUDAAN. Les prédicteurs de cette ont été estimées en utilisant une régression logistique multivariée modèles. La déviation de la séquence normative d’usage de drogue survenir bien que rarement. La santé publique implications de cette ont été discutées, ainsi que les limites de ses conclusions
RESUMEN
La Hipótesis de la Puerta de Abuso de Sustancia: un Examen de su Aplicabilidad en la Población General nigeriana
El estudio pretende estimar la prevalencia y factores predictivos de no siguiente la teoría de entrance de consumo de drogas. Los encuestados fueron seleccionados de un muestreo polietápico estratificado agrupadas en cinco de los hogares de Nigeria seis regiones geopolíticas. Las entrevistas fueron realizadas entre febrero de 2002 y mayo del 2003, utilizando el CIDI-version.3 con un tamaño total de la muestra (N) de 2143. Las proporciones de frecuencia acumulativas de no siguiente el modelo “de entrada de consumo de drogas” fueron estimadas con SUDAAN. Predictores de la presente se estimaron utilizando modelos de regresión logística multivariante. La desviación de la secuencia normativa de consumo de drogas se produce, aunque con poca frecuencia. La salud pública de la presente se examinan, así como las limitaciones de los resultados.
THE AUTHORS
Dr. Bibilola Damilola Oladeji is a fellow of the West African College of Physicians, a lecturer in the Department of Psychiatry, College of Medicine, University of Ibadan, and a consultant psychiatrist to the University College Hospital, Ibadan, Nigeria. Research interests include epidemiology, rehabilitation psychiatry, and mental health aspects of physical disorders.
Oye Gureje, M.B.B.S., Ph.D., D.Sc., F.R.C.Psych., F.R.A.N.Z.C.P., F.W.A.C.P., is a professor and the head of the Department of Psychiatry at the University of Ibadan, Nigeria, and a consultant psychiatrist at the University College Hospital, Ibadan, Nigeria. He received his medical training in Nigeria and postgraduate training in both Nigeria and England. He was for several years a senior psychiatrist at the Department of Psychiatry, Royal Park Hospital, Parkville, Victoria, Austarila, and an honorary associate professor in the Department of Psychiatry, University of Melbourne, Australia. He is currently the president of the Association of Psychiatrists in Nigeria.
Dr. Victor Adesola Makanjuola, M.B.B.S., M.Sc., F.W.A.C.P., is a lecturer in the Department of Psychiatry, University of Ibadan, and a consultant psychiatrist at the University College Hospital, Ibadan. He attended the University of Ibadan for his medical education, which he completed meritoriously in 1998. His major research interests are in addiction psychiatry and community psychiatry.
Notes
1 The reader is reminded that this nosology, which continues to be used, is unscientific, is based upon a broad range of criteria that mix theoretical, empirical, and “principle of faith” underpinnings, and can and does stigmatize and homogenize a range of types of users. Editor's note.
2 The reader is reminded that this nosology, which continues to be used, is unscientific, mystifies, and empowers selected psychoactive substances and is, at best, associated with consensualized “principles of faith” and not upon theory-based or empirically based underpinnings. Editor's note.
3 The journal's style utilizes the category substance abuse as a diagnostic category. Substances are used or misused; living organisms are and can be abused. Editor's note.