Psychoactive substance abuse and associated factors among middle school students in Liaoning

Abstract

Objective To investigate psychoactive substance abuse and associated factors among middle school students in Liaoning, and to provide policy suggestions and reference opinions for relevant departments. Methods A questionnaire survey was conducted among 12 598 middle school students in 10 cities of Liaoning by multi-stage stratified cluster sampling. Multivariate Logistic regression model was used to analyze associated factors of psychoactive substance abuse. Results About 0.94% ( n = 118) of all participants reported substance abuse behavior, the highest abuse rate was in the third grade students in vocational middle school, the most common psychoactive substance was “laughing balloon”, accounting for 0.57%. Multivariate Logistic regression analysis revealed that girls, moderate academic burden were generally negatively associated with more psychoactive substance use ( OR = 0.57, 0.58, P<0.05). Academic performance class was ranked in the last ten, monthly pocket money more than 500 yuan and sleep with medication were generally positively associated with more psychoactive substance use ( OR = 1.93, 2.52, 4.29, P<0.05). Conclusion The problem of psychoactive substance abuse among middle school students can not be ignored. Effective prevention and control of psychoactive substance abuse can be achieved through publicity, education, awareness-raising, early intervention, counseling and treatment, and through coordination of adolescents, families, schools, government and the society. 【摘要】 目的 了解辽宁省在校中学生精神活性物质滥用情况及行为特征, 探讨其影响因素, 为相关部门提出政策建议和参考意见。 方法 采用多阶段分层整群抽样方法, 对辽宁省 10 座城市的 12 598 名在校中学生进行问卷调查。采用多因素 Logistic 回归模型分析精神活性物质滥用的影响因素。 结果 有 0.94% (118 名) 的在校中学生有精神活性物质滥用行为, 滥用比例最高的为职业中学三年级学生 (2.04%), 滥用最多的物质是 “笑气球” (0.57%)。多因素 Logistic 回归分析显示, 女生、学习负担一般与中学生精神活性物质滥用呈负相关 ( OR 值分别为 0.57, 0.58, P 值均<0.05), 学习成绩班级排名后10名、每月零花钱 ≥500 元、需要借助药物入眠与中学生精神活性物质滥用呈正相关( OR 值分别为 1.93, 2.52, 4.29, P 值均<0.05)。 结论 中学生精神活性物质滥用问题不容忽视, 应通过学生自身、家庭、学校、政府、社会多方联动, 采取宣传、教育、提高青少年认识、早期干预、咨询、治疗等多措并举的方式, 以有效预防和控制滥用行为。