ASSOCIATION BETWEEN FAMILY RELATIONSHIP AND RELAPSE AMONG METHAMPHETAMINE USERS IN COMPULSORY TREATMENT SYSTEM
Keywords:
Methamphetamine, Relapse, Family relationship, Contextual factorAbstract
Background: It was estimated that 1.6 million Thais have ever used “Yaba (methamphetamine)” at least once in their entire life. The Northeastern region had the highest number of Yaba users with a high relapse rate after treatment.
Objective: The authors aimed to explore the association between relapse, among methamphetamine users in the Compulsory Treatment System and family relationship as well as other contextual factors.
Material and Method: A descriptive study was conducted from 65 cases of post-treatment methamphetamine users in the databases during October 2019 and February 2020. Interviews and observations were done for data collection. Double data entry was applied. Pearson Chi-square, Fisher’s exact test and odds ratio were used to assess the associations.
Results: Sixty-five users were found (13 relapses and 52 abstainers). Family relationship revealed no significant association with relapse of the methamphetamine users. Other contextual factors, however, did. They were social acceptance [acceptance by community leader (p = 0.006), acceptance for working or studying (p = 0.049)], risky community situations [using Yaba of close friend, existence of Yaba users and Yaba trading in community (p = 0.014, p < 0.001 and p = 0.038 respectively)] and risky personal behaviors [ever selling or being a Yaba agent and drinking of alcohol to reduce Yaba desire (p = 0.012 and p = 0.013)].
Conclusion: Effect of family relationship on relapse among post-treatment methamphetamine users could not be demonstrated in the present study. But several contextual factors had significant relationship with the relapse.
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