摘要
目的 了解男性戒毒所内新型毒品使用者的抑郁症情况及相关因素。方法 于2017年3月在长沙市某男性强制戒毒所内，选取单纯吸食新型毒品者或同时使用传统毒品者进行横断面调查，共250名。采用自制调查问卷收集一般情况和毒品使用情况等，采用自填式《病人健康问卷抑郁量表》（PHQ-9）评价调查对象抑郁症情况，采用《匹兹堡睡眠质量指数量表》（PISQ）评价睡眠情况。采用多因素logistic回归模型分析新型毒品使用者患抑郁症的相关因素。结果 调查对象年龄的P50（P25，P75）为30（26，35）岁，抑郁症患病率为32.8%（82例）。与进入戒毒所前每天毒品量≤0.4 g相比，每天毒品量〉0.4 g者患抑郁症的OR（95%CI）值为3.18（1.71~5.90）；与睡眠质量好者相比，睡眠质量差者患抑郁症的OR（95%CI）值为6.07（3.31~11.12）；与吸毒前无抑郁者相比，吸毒前有抑郁者患抑郁症的OR（95%CI）值为2.39（1.12~5.10）。结论 戒毒所内新型毒品使用者抑郁症患病率较高；进入戒毒所前每天毒品量〉0.4 g、睡眠质量差、吸毒前有抑郁症是男性新型毒品使用者患抑郁症的相关因素。
Objective To understand the depressive disorders prevalence and related risk factors among new drug users in a male drug rehabilitation center.Methods The cross-sectional study was used. A total of 250 new drug users from a male drug rehabilitation center were recruited during March, 2017. The drug users who only use new type of drugs single or use traditional drugs at the same time were collected as the new drug users. Their general information and drug-related information were collected by self-made questionnaire, and depressive disorders and sleep quality information were collected by the self-reported Patient Health Questionnaire-9 （PHQ-9） and the self-reported Pittsburgh Sleep Quality Index Questionnaire respectively. Logistic regression test was used to establish associations between variables.Results Of all 250 drug users, the mean age （P25, P75） was 30 （26, 35） years old, and 32.8% （82） had the depressive disorders. The individuals taking drug dose over 0.4 g daily before entering drug rehabilitation center had significantly more risk of the depressive disorders for 3.18 （1.71-5.90） than those not over 0.4 g daily.The individuals who bad sleep quality had significantly more risk of the depressive disorders for 6.07 （95%CI：3.31-11.12） than those had good sleep quality.The individuals who were depressive patients before the first drug use for 2.39 （95%CI： 1.12-5.10） than those were not depressive patients before the first drug use.Conclusion There were a high rate of the depressive disorders among new drug users in the rehabilitation center; In addition, several risk factors including the individuals taking drug dose over 0.4 g daily and bad sleep quality, history of the depressive disorders were negatively associated with depressive disorders.
作者
张平芳
陈曦
赵俊仕
贺健梅
Zhang Pingfang;Chen Xi;Zhao Junshi;He Jianmei(School of Public Health,the University of South China,Hengyang 421000,China)
出处
《中华预防医学杂志》
CAS
CSCD
北大核心
2018年第7期722-726,共5页
Chinese Journal of Preventive Medicine
基金
湖南省医药卫生科研计划项目（B2014-133）
关键词
吸毒人群
抑郁症
新型毒品使用者
横断面研究
Drug Users
Depressive disorder
New Drug User
Cross-sectional studies
