摘要
目的 分析西南地区某市甲基苯丙胺类物质使用者多药滥用情况及影响因素,为进一步研究和改善该人群的健康状况提供科学依据。方法 采用分层多阶段抽样方法,调查西南地区某强制隔离戒毒所304例甲基苯丙胺类物质使用者的人口学资料、甲基苯丙胺类多药滥用情况,并进行兴奋剂使用障碍诊断。采用例数、构成比、均数±标准差(x±s)进行描述性分析,采用χ^(2)检验、多因素Logistic回归模型进行影响因素分析。结果甲基苯丙胺类物质使用者多药滥用情况高达39.5%。χ^(2)检验结果显示,21~30岁年龄段甲基苯丙胺类物质使用者多药滥用情况居多,占比为52.4%(P=0.019);无业者多药滥用情况居多,占比为46.2%(P<0.001);毒品使用时间≥6年者多药滥用情况居多,占比为52.3%(P=0.016);兴奋剂使用重度障碍者多药滥用情况居多,占比为62.7%(P<0.001)。多因素Logistic回归分析显示,21~30岁年龄段甲基苯丙胺类物质使用者的多药滥用情况高于≥41岁年龄段,OR值为2.035(95%CI:1.019~4.066);无业者多药滥用情况高于有工作者,OR值为0.473(95%CI:0.246~0.909);毒品使用时间≥6年者多药滥用情况高于使用时间≤1年者,OR值为0.441(95%CI:0.226~0.862);兴奋剂使用重度障碍者多药滥用情况高于诊断为无障碍者或轻度障碍者,OR值分别为0.139(95%CI:0.067~0.286)和0.371(95%CI:0.184~0.749)。结论 多药滥用现象在甲基苯丙胺类物质使用者中较普遍,应重点关注该人群的健康状况。
Objective To determine the proportion of poly drug among amphetamine-type stimulant users and to analyze theirs associated factors.To provide scientific basis for researching and improving the health condition of the population.Methods The stratified cluster sampling method was used to collect a total of 304 amphetamine-type stimulant users,information in the compulsory detoxification center in southwest.The data included demography data,the condition of poly drug use and diagnosis for stimulants use disorders.The descriptive analysis was analyzed by case,ratio and mean standard deviation.Chi-square test and multivariate logistic regression were use to analysis the influencing factors.Results The poly drug use of amphetamine-type stimulant users was 39.5%.In the chi-square test,drug users who were 21 to 31 years old were in the majority(52.4%,P=0.019);the unemployed were more than the employed(46.2%,P<0.001);people who have been use drug more than 6 years were higher than other years(52.3%,P=0.016);those who have been diagnosed drug dependence were more than others(62.7%,P<0.001).In the multivariate logistic regression,the statistical difference was greater on age between 21 and 31 years than older than 41 years(OR:2.035,95%CI:1.019-4.066);the statistical difference was greater on the unemployed than the employees(OR:0.473,95%Cl:0.246-0.909);the statistical difference was great between those who use drugs over 6 years and those who use drugs less than one year(OR:0.441,95%Cl:0.226-0.862);the statistical difference was greater on the diagnostic results of amphetamine-type stimulants disorders was drug dependence than the results was no disorders or mild disorders(OR:0.139,0.371;95%Cl:0.067-0.286,95%Cl:0.184-0.749).Conclusion Multidrug abuse is common among methamphetamine users,and attention should be paid to the health status of this population.
作者
顾悦
段春梅
张从斌
唐晓欢
孟怡然
冯煜
GU Yue;DUAN Chun-mei;ZHANG Cong-bin;TANG Xiao-Huan;MENG Yi-Ran;FENG Yu(Yunnan Institute for Drug Abuse,Kunming 650228,China)
出处
《中国健康教育》
北大核心
2023年第4期342-345,383,共5页
Chinese Journal of Health Education
基金
甲基苯丙胺依赖诊断与复发预警客观指标和干预新技术体系的研发子课题1——甲基苯丙胺(MA)相关障碍临床队列研究与生物样本库平台建设(2017YFC1310401)。
关键词
西南地区
甲基苯丙胺类
多药滥用
Southwest
Amphetamine-type stimulant
Poly drug use
