Introduction: Violence in its different forms increases the risk of mental disorders and the use of drugs. Objectives: To assess the prevalence of mental disorders, and the use and abuse of drugs, as well as associated factors in victims of forced displacement in three cities in Colombia. Materials and methods: We conducted a prevalence study with 1.026 participants between 13 and 65 years old. Participants completed four surveys: the World Health Organization World Mental Composite International Diagnostic Interview, the World Health Organization Alcohol Use and Disorders Identification Test, a survey on drug use based on the Inter-American System of Uniform Drug-Use Data under the Inter-American Drug Abuse Commission of the Organization of American States, and a survey on aspects related to forced displacement. Data were analyzed using the SPSS™, version 21, software. Results: Lifetime prevalence of mental disorders was 17.7% for specific phobia, 16.4% for major depression, 9.9% for post-traumatic stress disorder, 8.9% for oppositional defiant disorder, 7.2% for separation anxiety disorder, 5.8% for conduct disorder, and 5.6% for attention deficit disorder. The lifetime prevalence of alcohol use was 68.7%; 31,3% for tobacco; 11,2% for marihuana; 3.5% for cocaine; 2.0% for coca paste (basuco); 2.5% for non-prescription anxiolytic drugs, 2.3% for inhalants, and 0.7% of participants had injected drugs. Presenting any mental disorder was associated with being female (OR=1,61 IC95%: 1,21-2,14) and experiencing more than one forced displacement (OR=1,47 IC95%: 1,05-2,05). The use of any drug was associated with being male (OR=5,38 IC95%: 2,35-12,34). Conclusions: Compared to the general population, our study population exhibited high prevalence of mental disorders and drug use, emerging as a public health issue that calls for the design of plans and the implementation of programs aimed at recovering the mental health and well-being of this population.
Salud y drogas • Vol. 6 • nº 2 • 2006 128y las nuevas tendencias que están apareciendo en el medio, muchas de ellas todavía sin evaluar, pero que por su novedad son importantes seguirlas y tenerlas en cuenta. Entre las revisadas por este articulo, se encuentran: las intervenciones culturalmente apropiadas relacionadas con el consumo de alcohol; los videojuegos y los juegos interactivos; el cine y la lectura de cuentos; la prevención a través de teléfonos móviles; la prevención en entornos recreativos, las unidades móviles de prevención y el Internet.Palabras clave: prevención, drogodependencias, criterios mínimos de calidad, estrategias, nuevas tendencias. ABSTRACTPrevention of psychoactive substances use and abuse is one of the priorities in Public Health and an important need for many communities and groups in risk.The results that have been obtained with the programs already developed are not representative, since prevalence and incidence indexes of consumption-abuse of alcohol and other drugs have increased.People insist permanently on the need of evaluating proposals and supporting them on a scientific theoretical basis. Everyday more and more programs follow these recommendations, however something is still not working. The answer could be found in the strategies and methodologies that are used for specific groups of people and adequate to social and cultural contexts. The search for these new and successful experiences, strategies and methodologies has become a worry of the experts on the topic.The aim of this article is to review some non-conventional methodologies and strategies that have been used in prevention of consumption and abuse of alcohol and other psychoactive substances, and the new trends that are showing up, some of them still without being evaluated, but that because of being a novelty are worth to be followed and taken into account.In this article, the following strategies are reviewed: culturally appropiate interventions related to alcohol consumption, video games and interactive games, movies and short story readings, prevention through cell phones, prevention in recreation environments, prevention mobile units and internet. ORIGINALES • NUEVAS TENDENCIAS EN PREVENCIÓN DE LAS DROGODEPENDENCIAS Salud y drogas • Vol. 6 • nº 2 • 2006129
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