基于三元影响理论的中等职业学校学生毒品使用倾向相关因素分析  

Factors associated with illicit drug use intention in secondary vocational school students based on theory of triadic influence

作　　者：王云翠[1,2] 余金聪 陈家言[1] 王增珍[4] Wang Yuncui;Yu Jincong;Chen Jiayan;Wang Zengzhen(Department of Epidemiology and Health Statistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China;School of Nursing, Hubei University of Chinese Medicine, Wuhan 430065, China;Psychological Health Education and Counseling Center, Zhongnan University of Economics and Law, Wuhan 430073, China;Mental Health Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China)

机构地区：[1]华中科技大学同济医学院公共卫生学院流行病与卫生统计学系,武汉430030 [2]湖北中医药大学护理学院,武汉430065 [3]中南财经政法大学心理健康教育咨询中心,武汉430073 [4]华中科技大学同济医学院心理卫生中心,武汉430030

出　　处：《中华流行病学杂志》2018年第7期925-930,共6页Chinese Journal of Epidemiology

基　　金：国家自然科学基金（81273152）

摘　　要：目的探索基于三元影响理论（TTI）的中等职业学校学生（中职学生）毒品使用倾向的相关因素，为毒品预防教育提供理论依据。方法2013年9月至2014年12月采用多阶段整群抽样的方法从5个城市共抽取8870名中职学生进行自填式问卷调查，调查内容包括感觉寻求、父母监管、毒品可及性、社会效益期待、拒绝效能、社会规范及毒品使用倾向。以TTI为基础，运用logistic回归模型探索中职学生毒品使用倾向的相关因素。结果TTI个体内影响流中，高感觉寻求是毒品使用倾向的危险因素（OR=1．71，95％CI：1．22～2．41，P〈0．01），中等拒绝效能（OR=0．18，95％CI：0．14～0．23，P〈0．001）和高拒绝效能（OR=0．17，95％CI：0．13～0．22，P〈0．001）均为毒品使用倾向的保护因素；TTI人际间影响流中，父母中等监管（OR=0．46，95％CI：0．37—0．56，P〈O．001）和高监管（OR=0．33，95％CI：0．24。0．46，P〈0．001）均为毒品使用倾向的保护因素，觉知他人吸毒和觉知他人赞同其吸毒为毒品使用倾向的危险因素（均P〈0．001）；TTI社会文化环境影响流中，认为毒品获得容易（OR=3．47，95％CI：2．69～4．48，P〈0．001）、具有毒品社会效益期待（OR=2．04，95％CI：1．69—2．46，P〈0．001）是毒品使用倾向的危险因素。结论高感觉寻求、毒品容易获得、高社会效益期待、觉知他人吸毒、觉知他人赞同其吸毒可正向预测中职学生的毒品使用倾向，青少年毒品预防教育应重视对上述因素的监控，并重视提高父母监管力度及传授中职学生毒品拒绝技能。Objective To explore the factors associated with illicit drug use （IDU） intention in secondary vocational school students based on theory of triadic influence （TTI）, and provide theoretical foundation for IDU prevention education. Methods A total of 8 870 students were selected from secondary vocational schools in 5 cities in China through multistage cluster sampling. A self-administered questionnaire was used to collect the information about students＇ sensation seeking （SS）, parental monitoring （PM）, perceived availability of drug （PAD）, social benefit expectancies （SBE）, refusal efficacy （RE） and social norms and IDU intention. Based on the TTI, the logistic regression model was used to analyze the factors associated with IDU. Results Among the intrapersonal stream of influence, the higher levels of SS was the risk factor associated with IDU （OR= 1.71, 95%CI： 1.22-2.41, P〈0.01）, medium RE level （OR=0.18, 95%CI： 0.14-0.23, P〈0.001） and high RE level （OR=0.17, 95% CI： 0.13-0.22, P〈0.001） were the protective factors for IDU intention. Among the interpersonal stream of influence, medium PM level （OR=0.46, 95%CI： 0.37- 0.56, P〈0.001） and high PM level （OR=0.33, 95% CI： 0.24-0.46, P〈0.001） were the protective factors for IDU intention, perceived others＇ drug use as well as perceived others＇ approval of substance use were risk factors for IDU intentions （P〈0.001）; Among sociocultural environmental stream of influence, perceived easy availability of drugs （OR= 3.47, 95%CI： 2,69-4.48, P〈 0.001） and perceived SBE of drugs （OR=2.04, 95%CI： 1.69-2.46, P〈0.001） were risk factors for IDU intentions （P〈0.001）. Conclusions High levels of SS and SBE, perceived easier availability of substance, perceived others＇ substance use and perceived others＇ approval of substance use positively predict the students＇ intention of IDU. IDU prevention education for adolescents should be focused on the above factors, and parental supervi

关 键 词：毒品 三元影响理论 青少年 

分 类 号：R749.64[医药卫生—神经病学与精神病学]