云南省陇川县男性青年吸毒危险因素分析

吴尊友; 张家鹏; 李志荣; 段松; 董勒弄; 程何何; 黄素芬; 贾曼红; 毕秀琼; 赵忠林; 马宗江; 李文可; RogerDetels

文章摘要

吴尊友,张家鹏,李志荣,段松,董勒弄,程何何,黄素芬,贾曼红,毕秀琼,赵忠林,马宗江,李文可,RogerDetels.云南省陇川县男性青年吸毒危险因素分析[J].中华流行病学杂志,1999,20(1):15-18

云南省陇川县男性青年吸毒危险因素分析

Risk factors for initiation of drug use among young males in Longchuan, Yunnan

收稿日期:1998-07-28 出版日期:2014-09-16

DOI：

中文关键词: 吸毒发生率危险因素

英文关键词: Drug use I ncidence Risk factors

基金项目:美国国立卫生研究院 Fogarty 基金

作者	单位
吴尊友	中国预防医学科学院卫生部艾滋病预防与控制中心, 北京 100050美国加州大学洛杉矶分校
张家鹏	云南省卫生防疫站
李志荣	云南省陇川县卫生防疫站
段松	云南省德宏州卫生防疫站
董勒弄	云南省陇川县卫生防疫站
程何何	云南省卫生防疫站
黄素芬	云南省德宏州卫生防疫站
贾曼红	云南省卫生防疫站
毕秀琼	云南省卫生防疫站
赵忠林	云南省陇川县卫生防疫站
马宗江	云南省陇川县卫生防疫站
李文可	云南省陇川县卫生防疫站
RogerDetels	美国加州大学洛杉矶分校

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中文摘要:

目的　探索边境地区男性青年吸毒的危险因素。方法　断面调查基础上建立回顾性队列，观察期为１９９１年１月１日至１９９４年８月１日。被调查对象人口学和行为方面资料采用匿名收集。危险因素的确定采用单因素和多因素分析方法。结果　每年新吸毒者发生率在１９９１～１９９３年间逐年上升。根据多因素分析，吸毒的危险因素包括：未婚、离婚或分居或丧偶（ＯＲ＝８．９）、被朋友或他人鼓励尝试毒品（ＯＲ＝８.８），吸烟（ＯＲ＝２.４），属景颇族（ＯＲ＝１．８）以及１９９１年家庭成员中有人吸毒（ＯＲ＝１．５）。至少上学７年是吸毒的保护因素（ＯＲ＝０．６）。几个主要危险因素的人群归因危险度分别是：被朋友或他人鼓励尝试吸毒为７０．８%，吸烟５０%，属景颇族为２４% 。结论　采取社区干预来改变人们对吸烟及吸毒的看法，可能会大幅度降低新吸毒者发生率。为此，建议尽快开展社区干预项目。

英文摘要:

Objective To identify the risk factors for drug use among young males in Longchuan, Yunnan. Methods　Anon-concurrent cohort study was carried out based on a cross-sectional survey. Demographic, behavioral, and drug-using related information were collected using an anonymous questionnaire.The non-co ncurrent cohort included the period January 11991to August 1,1994. Risk factors were assessed by univariate and multivariate analysis.Results　The annual incidence of drug use increased between 1991and 1993.Multivariate analysis identified the following risk factors for drug use:being born to Jingpo ethnic group (OR=1.8, 95%C.I.1.2-2.5), being divorced/widowed/separated (OR=8.9, 95%C.I.1.8-43.3), smoking cigarettes (OR=2.4, 95%C.I.1.6-3.8), having had pre-/ extra-marital sex (OR=1.5, 95 %C.I.1.1-2.2), having been encouraged by friends to try drugs(OR=8.8, 95%C.I.6.1-12.9), and having a family member who used drugs in 1991 (OR=1.5, 95 %C.I.1.0-2.3).More than six years of education was a protective factor for drug use (OR=0.6, 95 %C.I.0.4-0.98). The population attributable fractions were 70.8 % for being encouraged by friends or others to try drugs, 50% for smoking cigarettes and 24% for being Jingpo ethnic group.Conclusion Results suggested that community based programs to change attitudes towards smoking cigarettes and drug use could drama tically reduce the incidence of new drug users in Longchuan County. We, therefore, recommend a community-based intervention program targeting adolescent.

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