青少年精神活性药物滥用行为危险因素分析

Case-control study of the risk factors of psychoactive drug abuse among teenagers

目的探讨青少年精神活性药物滥用行为的危险因素,为制定预防青少年药物滥用措施提供依据。方法以广州市600例青少年药物滥用者作为病例组,按性别、年龄1∶2配对选取1200例正常青少年作照组,进行病例对照研究,通过单因素和多因素条件Logistic回归分析筛选主要危险因素。结果多因素Logistic回归分析显示:青少年药物滥用行为有6个主要危险因素和1个保护因素,他们是:父母药物滥用情况、学习成绩、缺课情况、暴力行为、自觉孤独、家庭关系和与父母交流情况,其OR值分别为:2.752,1.291,1.296,1.232,1.241,3.348和0.549。结论青少年是药物滥用行为预防和控制的重点人群,良好的家庭环境、父母正确的教育方式及健康的学校、社会环境是防治青少年药物滥用行为的重要因素。

Objective To explore the risk factors of the psychoactive drug abusers in order to provide evidences for preventing the drug abuse among teenagers. Methods 600 drug abuse cases and twice number of controis,matched for age and sex. Statistic analysis of single factor and multivariate factor conditional logistic regression were performed to screen the risk factors of the psychoactive drug abuse. Results By using multivariate factor conditional logistic regression showed 6 main risk factors and 1 protective factor for psychoactive drug abuse. Those were the situation of parents＇ drug abuse, academic performance, absence class, violence behavior, loneliness, family relationship and the situation of intercourse with parents. The odds ratio（OR） were 2. 752,1. 291, 1. 296,1. 232,1. 241,3. 348 and 0. 549 respectively. Conclusion Teenagers are the focal target people for preventing psychoactive drug abuse, the nice environment of family, school and society and the correctly feeding-children ways of the parents are the most important factors for teenager to prevent and control drug abuse.