2014年百色市右江区青春前期青少年对烟草和摇头丸“供给”的拒绝方式和情感反应  

Preadolescents' refusal skills and responses emotional reactions to the offer of tobacco and ecstasy in Youjiang District in Baise City in 2014

作　　者：郭蕊 廖建英 梁建成 李阳 邓树嵩 Guo Rui;Liao Jianying;Liang Jiancheng;Li Yang;Deng Shusong(School of Public Health and Management, Youjiang Medical University for Nationalities, Baise 533000, Chin)

机构地区：[1]右江民族医学院公共卫生与管理学院,百色533000

出　　处：《卫生研究》2018年第1期80-84,92,共6页Journal of Hygiene Research

基　　金：国家自然科学基金(No.81260431;81560531);广西自然科学基金(No.2013GXNSFAA019237)

摘　　要：目的分析百色市青春前期青少年对烟草和摇头丸"供给"的拒绝方式和情感反应的关系。方法在自愿参加的基础上,按照整群抽样的原则,以班级为单位,于2014年2—7月抽取百色市右江区2所小学四、五年级的333名学生,平均年龄(10.63±0.78)岁,其中男生181名,女生152名,壮族227名,汉族96名,其他少数民族8名,缺失数据2例。对其进行拒绝行为和情感反应问卷调查,测试受试者面对烟草或摇头丸供给时的拒绝行为和情感反应。结果 (1)学生较多采用"直接说不"和"告诉对方你不想"的拒绝方式,占88.89%~93.39%。(2)析因分析显示,性别在"直接拒绝"(F=8.391,P=0.004)、"借口"(F=156.560,P<0.001)、"委婉拒绝"(F=84.498,P<0.001)、"武力"(F=31.911,P<0.001)四个维度中均显示差异有统计学意义;采用"借口"的拒绝方式里,供给物的差异有统计学意义(F=12.009,P=0.001)。(3)χ~2分析显示,好友和同伴供给"摇头丸"比供给"烟草"会使学生更多出现"好奇"(χ~2=13.76,P=0.0003;χ~2=10.24,P=0.002),好友的"烟草供给"较"摇头丸供给"会使学生更多出现"愉悦"感觉(χ~2=8.33,P=0.006)。结论性别和烟草/摇头丸的供给会影响学生拒绝方式的选择,不同供给者和供给物会使学生出现不同的情感反应。Objective To assess preadolescents＇ emotional reactions and intended use of refusal responses to tobacco and ecstasy. Methods A total of 333 students from two junior schools in Baise City were recruited with cluster-sampling method,filled the questionnaire to assess a respondent＇s emotional reactions and refusal skills in response to an offer of tobacco and MDMA from Feb to Jul 2014. Results 88. 89%-93. 39% of preadolescents would more likely to use ＂say no＂and ＂tell them you don＇t want it＂. A series of 2（ type of drug） × 2（ offerer） × 2（ sex） ANOVAs showed there were main effects for sex in ＂explicit refusal scale ＂（ F = 8. 391,P = 0. 004）,＂excuse scale ＂（ F =156. 560,P〈0. 001）,＂implicit refusal scale ＂（ F = 84. 498,P〈0. 001）,＂aggression scale＂（ F = 31. 911,P〈0. 001）. For the excuse scale,there were main effects for drug（ F = 12. 009,P = 0. 001）. A series of χ^2-tests showed that participants were more＂curious＂to MDMA offers than tobacco offers from close friends and acquaintances（ χ^2=13. 76,P = 0. 0003; χ^2= 10. 24,P = 0. 002）. For the close friends offers,participants were more ＂pleasure ＂ to tobacco offers than MDMA offers（ χ^2= 8. 33,P = 0. 006）.Conclusion There were significant effects of sex and offers in refusal style for drug offers. Preadolescents would show different emotional reaction to type of drug supplier or provider.

关 键 词：青春前期 拒绝 药物供给 青少年 烟草 

分 类 号：R179[医药卫生—妇幼卫生保健] R193[医药卫生—公共卫生与预防医学]