The relationship between migration and substance use on individuals who are routed to the substance abuse treatment due to probation act/Madde bagimliligi nedeniyle denetimli serbestlik tedavisine yonlendirilen bireylerde madde kullanim oruntusu ile goc arasindaki iliski

• Published in: Anadolu psikiyatri dergisi Vol. 17; no. 5; p. 376
• Main Authors: Kayli, Derya Sasman, Altintoprak, A. Ender, Celikay, Hande, Korkmaz, Yesim Babur, Kabakci, Deniz
• Format: Journal Article
• Language: English
• Published: Anadolu Psikiyatri Dergisi 01.10.2016
• Subjects: Analysis; Comparative analysis; Emigration and immigration; Laws, regulations and rules; Probation; Social aspects; Substance abuse treatment; Turkey
• ISSN: 1302-6631
• DOI: 10.5455/apd.217594

Objective: Izmir, is one of the major metropolises of Turkey has migration in an increasing scale. Migration is an important fact that determining economic, social, cultural conditions and forming social environment of individuals. This study is about the relationship between migration which determines socioeconomic structure and substance use patterns on individuals who applied for the treatment of substance abuse by probation law to the Ege University, Faculty of Medicine and Addiction Clinic. Methods: The study was conducted with 302 people who agree to participate as a volunteer between the date of 01.10.2014-31.03.2015. The questionnaire, developed by the researchers, was used as a data collection tool. The collected data was evaluated in SPSS 15.0 Program and analyzed by chi-square, Fisher's exact test and t test. Findings: According to obtained findings, it has been seen that, comparing with natives, immigrants have higher rates on criteria of lower maternal education level, having more than two children, living as a tenant, high sibling number and interfering other crimes. Established relationships were found to be statistically significant. While, among the natives, the most important reason in starting substance use was detected as 'curiosity', it has been remarkably seen that among the migrating participants, personal matters as a reason of beginning substance use has a higher rate. This finding shows the differentiation among two groups. Result: Immigrants, settle out of the city and continue their lives in worse conditions than the ones who live in the city center. Therefore, they cannot benefit adequately positive opportunities of city because of environment, family and individual factors. This disadvantaged conditions encompasses immigrants increasingly. The higher rate of involving in other crimes among the participants who immigrated to Izmir shows how this situation relates with crime. For this study, it is expected to contribute the detections of risk for substance use, in order to prevent drug use in determining of public policy, development of regulations needs to be done and take the necessary protective measures. Keywords: treatment, probation measures, substance use, migration, crime Amac: Turkiye'nin onemli metropollerinden olan Izmir, artan bir sekilde goc almaktadir. Goc bireyin ekonomik, sosyal, kulturel kosullarini belirleyen ve bicimlendiren, toplumsal yapinin en onemli dinamikleri arasindadir. Bu calismada, denetimli serbestlik yasasiyla madde bagimliligi tedavisi icin Izmir Ege Universitesi Tip Fakultesi Hastanesi Psikiyatri Anabilim Dali Bagimlilik Poliklinigine basvuran bireylerde, sosyoekonomik yapiyi belirleyen goc olgusunun madde kullanim oruntusuyle iliskisi incelenmistir. Yontem: Calisma, kurumumuza 01 Ekim 2014-31 Mart 2015 tarihleri arasinda basvuran ve gonullu olarak calismaya katilmayi kabul eden 302 kisi ile gerceklestirilmistir. Veri toplama araci olarak calismacilarin gelistirdigi anket kullanilmistir. Toplanan veriler, SPSS 15 programinda degerlendirilerek ki-kare, Fisher'in kesin testi ve t testi ile incelenmistir. Bulgular: Elde edilen bulgularda, goc edenlerde goc etmeyenlere gore anne egitim duzeyinin daha dusuk oldugu, ikiden fazla cocuk sahibi olma, kiralik evde oturma, kardes sayisinin fazla olmasi ve baska suca karisma gibi ozelliklerin daha yuksek oranlara ulastigi gorulmus ve degiskenler arasinda kurulan iliskilerin, istatistiksel olarak anlamli oldugu bulunmustur. En onemli maddeye baslama nedeni 'merak' olarak bulunurken, goc eden katilimcilarin 'sorunlar' nedeniyle maddeye baslama oraninin daha yuksek olmasi aradaki farklilasmayi gosteren bulgular arasindadir. Sonuc: Kente goc eden bireyler, sehrin kentin kenar semtlerine yerlesmekte, kentin merkezinde yasayanlara gore daha olumsuz kosullarda yasamlarini surdurmek zorunda kalmakta, aile ve bireysel ozelliklerin de etkisiyle kentin olanaklarindan yeterince yararlanamamaktadir. Bu dezavantajli kosullar sarmallasarak bireyleri kusatmaktadir ki, Izmir'e goc eden katilimcilarda baska suca bulasma oraninin daha yuksek olmasi, bu durumun sucla nasil iliskilendigini gostermektedir. Dolayisiyla bu calismanin, madde kullanimi acisindan riskli durumlarin saptanmasina, madde kullaniminin engellenebilmesi icin kamu politikalarinin belirlenmesine, konuyla ilgili yapilacak duzenlemelerin gelistirilmesine ve gerekli koruyucu onlemlerin alinmasina katki saglayacagi dusunulmektedir. Anahtar sozcukler: Tedavi, denetimli serbestlik onlemi, uyusturucu madde kullanimi, goc, suc