湖南省阿片类物质滥用的流行病学调查Ⅰ 方法学、样本人口学特征、使用率及首末次用药时间  

The Survey on Opiate Abuse at Six Areas in Hunan Province, Part I: Methodology,Social Characteristics of the Sample,Prevalent Rates and the Time of First Abuse and Last Abuse

作　　者：苏中华[1] 周旭辉[2] 谌红献[2] 郝伟[2] 

机构地区：[1]济宁医学院第二附属医院山东省行为医学重点实验室,济宁272051 [2]中南大学湘雅二医院精神卫生研究所,长沙410011

出　　处：《中国心理卫生杂志》2007年第3期142-146,共5页Chinese Mental Health Journal

基　　金：国家973项目(2003C515400);国家自然科学基金(30370522);国家禁毒委专项基金

摘　　要：目的：了解湖南省普通人群阿片类物质的使用现状。方法：采用分层整群抽样、入户调查与线索调查相结合的方法，应用自编问卷对湖南省6地区68192名15岁～50岁普通居民进行阿片类物质使用情况调查。结果：370人报告在其一生中使用过阿片类物质，一生使用率为0．55％，男性明显高于女性（0．92％／0．14％，）（χ^2=189．744，P=0．000）；海洛网是各地区滥用人数最多的物质，滥用率为0．52％；除1例滥用者首次使用于1976年外，余者均在1989年后首次使用，每年新发数逐年上升，2001年开始稳定。结论：湖南省阿片类物质滥用形势不容乐观。Objective： To understand the prevalent rates of opiate abuse at six areas in Hunan Province. Methods： With stratified and clustered sampling method combined with household survey and cue investigation, 68192 community residents aged between 15 and 50 years were sampled and interviewed in the period of August to September, 2004 by trained investigators using questionnaire developed by authors. Results： 370 residents reported that they had used opiates before the survey. The life-time prevalent rate of opiate abuse in the whole sample was 0. 55%, in which heroin abuse rate was 0. 52%. The rate was significantly higher in male than in female （0. 92% vs. 0. 14% ） . Most abusers initially abused opiates since 1989. The number of new abusers in each year escalated steadily since 1989, and tended to stabilize since 2001. Conclusion： Opiate abuse has become a serious problem at six areas in Hunan Province.

关 键 词：精神病学 成瘾行为 流行病调查 阿片类物质 滥用 一生使用率 

分 类 号：R595.5[医药卫生—内科学] R181.35[医药卫生—临床医学]