四川省某地区物质使用情况调查:酒精、烟草和精神活性物质使用相关问题筛查测试(ASSIST)

INVESTIGATING THE SUBSTANCE USE PROBLEM IN THE COMMUNITY OF SICHUAN PROVINCE WITH ASSIST

目的:利用世界卫生组织-酒精、烟草和精神活性物质使用问题筛查测试(ASSIST)工具对四川某地区进行精神活性物质使用情况筛查,了解该地区精神活性物质使用相关情况。方法:使用ASSIST对该地区18个乡镇,1336名居民进行筛查,并收集一般人口学资料。结果:结果显示:被调查人群以使用烟草和酒精为主,未发现非法物质使用情况;381人(28.5%)在烟草使用问题上已达到中、重度风险水平;239人(17.89%)在酒精使用问题上达到中、重度风险水平;男女在一生和近三个月的烟草和酒精使用情况方面存在显著差异;烟草的非危险使用和危险使用在性别、年龄、受教育程度、婚姻状况上均存在显著差异;酒精的非危险使用和危险使用除在上述几个方面存在差异外,就业情况也存在显著差异。结论:该地区烟草和酒精的使用频率较高,应引起相关机构的重视。同时,ASSIST作为一种简便易行的筛查工具,可用于普通人群中对精神活性物质使用情况进行筛查。

Objective：To investigate the substance use problem in the community of Sichuan Province with Alcohol,Smoking and Substance Involvement Screening Test（ASSIST）,with the aim to get the whole picture of substance use in this area.Methods：A total of 1336 residents were recruited from18 towns of this area.All these participants were required to receive ASSIST screening conducted by doctors who worked in primary health care hospitals.Results：The results showed that local residents mainly use tobacco and alcohol,no illegal substances were being used;381 participants（28.5%） with tobacco using problem met the criteria of moderate risk or above.239 participants（17.89%） with alcohol using problem met the criteria of moderate risk or above.There was a significant difference between men and women in the using of tobacco and alcohol in recent 3 months and a life time.There also had significant difference between dangerous use of tobacco/alcohol and non- dangerous use of tobacco/alcohol in gender,age,education level and marital status.Conclusion：The frequency of tobacco and alcohol use was relatively high in this area.More intervention programs targeted tobacco and alcohol use should be developed.Moreover,as a screening tool,ASSIST was easy to use in the community to screen substance use in general population.