Background:

There is a high prevalence of substance use disorders, especially among men, in Iran and is associated with a high burden on families. We aimed to systematically review the association between illicit drug use and spouse and child abuse in Iran.

Method:

Comprehensive terms were used to search three international databases (ISI, Medline, and Scopus) and a national database of Scientific Information Database up to September 2019. The retrieved citations were screened based on the eligibility criteria and then data were extracted, and the risk of bias was assessed by two independent investigators. Data were analyzed using random-effects model to estimate pooled odds ratios (ORs) and the heterogeneity of studies.

Results:

The search yielded 18 articles that met the inclusion criteria. Illicit substance use in husbands was associated with increased odds of current violence (OR = 3.50; 95% CI [2.09, 5.86]), current physical violence (OR = 5.41; 95% CI [3.50, 8.35]), current psychological violence (OR = 6.20; 95% CI [3.74, 10.30]), and current sexual violence (OR = 7.23; 95% CI [4.06, 12.87]) against spouse. In studies on child abuse, the odds of current physical child abuse by parents who used an illicit substance was 3.88 times (95% CI [1.50, 10.01]) higher than parents who did not use any illicit substance.

Conclusion:

The results of the current study showed that illicit substance use is associated with an increased risk of spouse and child abuse. This is an important social and health consequence of drug use and should be addressed in all drug control plans.

中文翻译：

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伊朗与非法药物使用相关的配偶和儿童虐待：系统回顾和荟萃分析

背景：

在伊朗，物质使用障碍的患病率很高，尤其是在男性中，这给家庭带来了沉重的负担。我们旨在系统地审查非法药物使用与伊朗配偶和儿童虐待之间的关联。

方法：

使用综合术语检索三个国际数据库（ISI、Medline 和 Scopus）和一个国家科学信息数据库，截至 2019 年 9 月。检索到的引文根据合格标准进行筛选，然后提取数据，风险偏倚由两名独立调查员评估。使用随机效应模型分析数据以估计合并比值比 ( OR ) 和研究的异质性。

结果：

搜索产生了 18 篇符合纳入标准的文章。丈夫使用非法药物与当前暴力行为 ( OR = 3.50; 95% CI [2.09, 5.86])、当前身体暴力 ( OR = 5.41; 95% CI [3.50, 8.35])、当前心理暴力 ( OR = 6.20；95% CI [3.74, 10.30]），以及当前针对配偶的性暴力（OR = 7.23；95% CI [4.06, 12.87]）。在对儿童虐待的研究中，使用非法物质的父母目前虐待儿童的几率是不使用任何非法物质的父母的 3.88 倍 (95% CI [1.50, 10.01])。

结论：

当前研究的结果表明，非法药物使用与虐待配偶和儿童的风险增加有关。这是吸毒的重要社会和健康后果，应在所有药物控制计划中加以解决。