SUBSTANCE ABUSE AMONG AGRICULTURE-RELATED WORKERS: A MULTI-LEVEL ANALYSIS
Keywords:
substance abuse, agriculture-related workers, multi-level analysisAbstract
Objectives: To examine drug use prevalence and to explore the associations of cluster environment characteristics with drug use among agriculture-related workers in Thailand.
Methods: This was a cross-sectional study involving 2936 agriculture-related workers from 10 clusters throughout Thailand. Trained interviewers conducted semi-structured interviews. Additionally, the drug-use patterns and behaviors of current users were structurally observed. A multilevel binary logistic regression model was used to estimate the effects of the cluster environment on drug use.
Results: The annual prevalence was 58.73%. Illicit drugs, non-prescription drugs, or over the counter medicines were widely used. Age, sex, and non-prescription behavior were associated with substance use that was statistically significant. Contextual clustering was found to significantly affect drug use among agriculture-related workers. A 1-unit increase in treatment rate predicted 12.7-times higher illicit drug use and 15.3-times higher methamphetamine use.
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