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目的 为掌握重庆市社区药物滥用现状、吸毒者社会人口学特征及其危害。方法 在渝中区采用三阶段抽样和整群抽样相结合的方法 ,从 3 978户中抽出 1 5岁以上的 1 0 3 0 9人作为调查对象 ,使用“非法成瘾物质使用调查表”作为调查工具 ,采用线索调查和入户调查相结合的调查方法 ,挨户调查。结果 在实查的1 0 2 71人样本人群中查出阿片类物质使用者1 55人 ,终生曾用率为 1 .51 % ,符合 DSM— — R依赖诊断标准者 98例 ,符合物质滥用诊断标准者 1例 ,总患病率 0 .96 % ,现患 76例 ,时点患病率 0 .74 %。海洛因滥用者以男性 ,婚姻不稳固者 ,低文化水平者 ,无业 ,司机 ,个体职业者占绝大多数。解放前曾使用过阿片者 6 2例 ,占 4 0 %。结论 海洛因滥用对健康、社会功能尤其是对家庭和社会治安造成严重危害。针对高危人群开展拒绝毒品活动传播科学知识 ,提倡健康生活方式 ,减少非法需求 ,减少伤害是今后工作的重点。
Objective To understand the status quo of community drug abuse in Chongqing, socio-demographic characteristics and harm of drug users. Methods The method of combining three-stage sampling and cluster sampling in Yuzhong District was used to select 1 039 people aged 15 and over from 3 978 households as the survey subjects, and to use the Questionnaire on the Use of Illegal Addicts as a Survey Tools, using clues and home surveys combined with the survey approach, door-to-door surveys. Results A total of 1 55 opioid users were found among the 1021 sample population surveyed. The lifetime usage rate was 1.51%. 98 patients who met DSM-R-dependent diagnostic criteria were eligible for substance abuse diagnosis The standard one case, the total prevalence rate of 0.96%, 76 cases of current illness, the prevalence rate of 0.74%. The majority of heroin abusers are men, unmarried marriages, people with low educational level, unemployed persons, drivers and individuals. Sixty-two opioids were used before liberation, accounting for 40%. Conclusion Heroin abuse has serious health and social effects, especially for family and social order. It is the focus of future work that high-risk groups refuse drug activities to spread scientific knowledge, promote healthy lifestyles, reduce illegal demand and reduce injuries.