Factors contributing to addiction recurrence with emphasizing on the role of social factors: A study in Rehabilitation Centers of Ilam, in west of Iran

Abstract

Background: High prevalence of addiction recurrence shows that therapeutic method of addiction has not been recognized and it demands more researches in this field. Social factors could be one of the main elements that influence recurrences of drug consumption. This study was conducted to assess the role of social factors in maintaining drug abstinence after treatment. Material and method: In this cross sectional study, we studied 318 subjects that were treated in in Rehabilitation Centers of Ilam by multi stage sampling method in 2019. The social support and social capital questionnaires were used to determine the roles of social factors in addiction recurrence. The data was analyzed by SPSS software using logistic regression and survival analysis including Kaplan-Meier and life table methods. Results: The mean age of the participants was 34.25 +/- 9.13 years. The mean and median times of addiction recurrence were 35.45 +/- 2.53 and 20 +/- 2.62 months after drug withdrawal, respectively. In addition, the social capital components, age, education, marital status, occupation, the type of rehabilitation center, the type of drug, cigarette smoking, methadone use, and the history of previous quitting attempts were significantly associated with addiction recurrence. Conclusion: According to the results, no single factor can effectively predict addiction recurrence. Instead, a multi factorial approach incorporating individual, familiar, social, and cultural factors as lack of social capital in various levels is suggested to predict the risk of addiction recurrence