title: Personal, familial and environmental determinants of drug abuse: a causal-comparative study.
abstract: OBJECTIVE
  Two purposes were followed in this study: 1) comparing case and control group in eight factors separately and 2) performing a multivariate analysis for identifying risk and protective factors in relation to drug abuse.
  
  
  METHODS
  A casual-comparative study was conducted to investigate the study goals. Fifty Cases in a convenient sampling of addicts referring to addiction withdrawal centers and fifty eligible controls (recruited in a randomly sampling) were identified. One-sample independent T-Test for a univariate and Logistic regression model for a multivariate was conducted.
  
  
  RESULTS
  Univariate analysis: addicted group compared with control group, in terms of aggression, easy access to drugs and depression had higher scores and of other factors (self-esteem, religious affiliation, socioeconomic status, family environment and responsibility) cases had lower scores (p<0.05). Multivariate analysis: Easy access to drugs and depression identified as risk factors (OR>1) and high self-esteem, family socioeconomic status and responsibility as protective (OR<1).
  
  
  CONCLUSIONS
  Addiction is a multivariate phenomenon and before any intervention, we have to consider personal, familial and environmental factors and separate subjects by them. We can't give all of addicts the same prescription and follow a drug therapy approach to treat them. Any addict has a unique profile that should be taken into consideration.
authors.affiliation: social determinants of health research centre. ho.sajjadi@uswr.ac.ir.
authors.forename: Homeira
authors.initials: H
authors.lastname: Sajjadi
authors.forename: Gholamreza
authors.initials: G
authors.lastname: Ghaedamini Harouni
authors.forename: Maryam
authors.initials: M
authors.lastname: Sharifian Sani
mesh_terms: D000293:Adolescent; D000328:Adult; D001008:Anxiety Disorders / Q000453:epidemiology / Q000523:psychology; D015897:Comorbidity; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology; D005190:Family / Q000523:psychology*; D006801:Humans; D007492:Iran / Q000453:epidemiology; D016017:Odds Ratio; D065840:Protective Factors; D012067:Religion; D012307:Risk Factors; D012649:Self Concept; D012931:Social Environment; D012959:Socioeconomic Factors; D019966:Substance-Related Disorders / Q000453:epidemiology* / Q000523:psychology*; D055815:Young Adult