辽宁省在校中学生精神活性物质滥用情况及影响因素  

Psychoactive substance abuse and associated factors among middle school students in Liaoning

作　　者：杨月明 杨红玉 杨洋 耿凤英 廖剑波 金丹 YANG Yueming;YANG Hongyu;YANG Yang;GENG Fengying;LIAO Jianbo;JIN Dan(Liaoning Inspection,Examination and Certification Centre,Shenyang(110036),China)

机构地区：[1]辽宁省检验检测认证中心,沈阳110036

出　　处：《中国学校卫生》2021年第8期1165-1168,共4页Chinese Journal of School Health

摘　　要：目的了解辽宁省在校中学生精神活性物质滥用情况及行为特征,探讨其影响因素,为相关部门提出政策建议和参考意见。方法采用多阶段分层整群抽样方法,对辽宁省10座城市的12598名在校中学生进行问卷调查。采用多因素Logistic回归模型分析精神活性物质滥用的影响因素。结果有0.94%(118名)的在校中学生有精神活性物质滥用行为,滥用比例最高的为职业中学三年级学生(2.04%),滥用最多的物质是“笑气球”(0.57%)。多因素Logistic回归分析显示,女生、学习负担一般与中学生精神活性物质滥用呈负相关(OR值分别为0.57,0.58,P值均<0.05),学习成绩班级排名后10名、每月零花钱≥500元、需要借助药物入眠与中学生精神活性物质滥用呈正相关(OR值分别为1.93,2.52,4.29,P值均<0.05)。结论中学生精神活性物质滥用问题不容忽视,应通过学生自身、家庭、学校、政府、社会多方联动,采取宣传、教育、提高青少年认识、早期干预、咨询、治疗等多措并举的方式,以有效预防和控制滥用行为。Objective To investigate psychoactive substance abuse and associated factors among middle school students in Liaoning,and to provide policy suggestions and reference opinions for relevant departments.Methods A questionnaire survey was conducted among 12598 middle school students in 10 cities of Liaoning by multi-stage stratified cluster sampling.Multivariate Logistic regression model was used to analyze associated factors of psychoactive substance abuse.Results About 0.94%(n=118)of all participants reported substance abuse behavior,the highest abuse rate was in the third grade students in vocational middle school,the most common psychoactive substance was"laughing balloon",accounting for 0.57%.Multivariate Logistic regression analysis revealed that girls,moderate academic burden were generally negatively associated with more psychoactive substance use(OR=0.57,0.58,P<0.05).Academic performance class was ranked in the last ten,monthly pocket money more than 500 yuan and sleep with medication were generally positively associated with more psychoactive substance use(OR=1.93,2.52,4.29,P<0.05).Conclusion The problem of psychoactive substance abuse among middle school students can not be ignored.Effective prevention and control of psychoactive substance abuse can be achieved through publicity,education,awareness-raising,early intervention,counseling and treatment,and through coordination of adolescents,families,schools,government and the society.

关 键 词：物质滥用 静脉内 回归分析 健康教育 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] G478[医药卫生—公共卫生与预防医学]