入户调查结合线索调查在社区药物滥用流行病学调查中的可行性分析

Feasibility of household survey combined with cue investigation in community survey on illicit drug abuse

目的了解入户调查结合线索调查在社区选点药物滥用流行病学研究中的可行性。方法与湖南省第五次人口普查资料比较，分析样本的代表性；对370例阿片类物质滥用者信息来源线索进行描述性分析。结果（1）样本资料收集质量较高，有效问卷率高达99．7％，具有较好代表性。（2）新发现阿片类物质滥用者130例，实际吸毒人员数量与登记在册吸毒人员之比是1．49：1。（3）阿片类药物滥用者信息来源以单一渠道为主（55．1％），2种或以上渠道者44．9％。（4）调查仅发现33例新型毒品滥用者，且多为多药滥用者（20／33例）。结论入户调查结合线索调查进行社区居民阿片类物质滥用流行病学调查切实可行，但不适于新型毒品。

Objective To explore the feasibility of household survey combined with cue investigation in epidemiology catchments area on illicit drug abuse. Methods The representativeness of the sample was analyzed by comparing data of the survey with ones of the fifth population census in Hunan Province. The ways to get information of 370 opiate abusers were described. Results （ 1 ） The survey was conducted well, that the sample could represent the population of Hunan Province, and of which, 99.7% of the all respondance were available. （2） The ratio of opiate abusers to registered opiate abusers was 1.49 （370 vs 240）, in which of 130 cases were non-registered abusers. （3） The data on opiate abuse in 55. 1 % of the all abusers came from one source （ such as users themselves, family numbers, the leaders of community, policemen, or other abusers） , and the others came from more than two sources. （4） Of all the responders, only 33 cases reported that they had abused party drugs before the interview, and the polydrug abuse accounted for 60.6% （20/33 cases） among the party drugs abusers. Conclusion Combination of household survey with cue investigation in epidemiology catchments area has good feasibility to get epidemiological information on the opiate abuse, but not amphetamine typed stimulants in communities.