我国老年人群药物滥用的特征——北京市区8740名老年居民的流行学研究

DRUG ABUSE AMONG THE ELDERLY-AN EPIDEMIOLOGICAL SURVEY OF 8740 BEIJING URBAN POPULATION

本文为老年人群的大样本调查,采用整群抽样法的流行学专题研究。对人口总数101,407名人口中8,740名的60岁及以上老年人进行了有关药物滥用的流行学调查。旨在探讨当前药物滥用的患病率及其形成的若干相关因素。日常用药在60岁以上人群8,740名中形成的药物依赖患病率占人口总数的0.21‰,占调查老年人口总数的0.24%,占调查所见精神疾病中的4%。21例确诊者分散在六个居委会地区,故不属流行性。药物依赖并非是社会环境适应不良,而多与医源性用药不当引起。本文对各种药物依赖的临床特征进行了分析研究,初步摸索了规律。

An age stratification epidemiological survey was conductedby the authors from June of 1983 to September of 1984 in the residentialareas of 45 neighbourhood committee of the West City of Beijing in searchof the prevalence rate of drug dependence among 8, 740 aged people out of101, 407 population. Irrespective of the non-existence of narcotic drug abuse, result of pre-sent study reveals that the prevalence rate of daily-used drug dependenceis 0.24 % among a sample of 8,740 aged people over 60, and the extent ofdrug abuse seems neither great nor epidemic. In exploring the causation of drug abuse, the authors found that familystructure, economic status, individual social function or stressful life eve-nts are not correlated and the abuse of drug is not a coping method toenvironmental maladaption. On the contrary, mostly attributable to iatro-genic reasons 10 cases with anxiolytic or hypnotic agents, whereas 9 with non-narcotic analgesics. One with tablets of brown mixture anther one withchlopromazine. It is impressive that majority cases possess both psycholo-gical and somatic dependent natures with abstinence syndroms, shortlyafter cessation of medication though their pharmacological tolerance to drugsare not obvious. No social problem emerged among all cases of study, butit is advisable that preventive measures are needed to be taken into consi-deration.