title: An exploratory study on association between family relationship and relapse among methamphetamine users in Compulsory Treatment System of Khon Kaen and Yasothon Provinces.
abstract: BACKGROUND
  It was estimated that 3.5 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 of Khon Kaen and Yasothon Provinces, and family relationship as well as other contextual factors.
  
  
  METHODS
  An exploratory study was conducted from all cases of post-treatment methamphetamine users in the databases of Khon Kaen Drug Dependence Treatment Center and Yasothorn Provincial Probation Office during October 2007 and February 2008. 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)].
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Community Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand.
authors.forename: Pritsana
authors.initials: P
authors.lastname: Rodseeda
authors.forename: Amornrat
authors.initials: A
authors.lastname: Ratanasiri
authors.forename: Manop
authors.initials: M
authors.lastname: Kanato
authors.forename: Somdej
authors.initials: S
authors.lastname: Pinitsoontorn
authors.forename: Isara
authors.initials: I
authors.lastname: Chiawiriyabunya
mesh_terms: D019969:Amphetamine-Related Disorders / Q000628:therapy*; D000697:Central Nervous System Stimulants / Q000008:administration & dosage*; D005195:Family Relations; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008694:Methamphetamine / Q000008:administration & dosage*; D012008:Recurrence; D012307:Risk Factors; D012309:Risk-Taking; D013785:Thailand
chemical_list: D000697:Central Nervous System Stimulants; D008694:Methamphetamine