摘要:
了解贵州省中等职业学校学生非医疗目的用药现状及其影响因素,为指导学生科学就医、合理用药提供参考.方法 采用多阶段分层随机整群抽样方法,抽取贵州省3 073名职业中学学生,采用自评式问卷调查用药情况.结果 职业中学学生非医疗目的用药报告率为11.88%.职中学生用药报告率不同性别、民族、年级、是否住校、吸烟、饮酒、每月零花钱、自杀意念、学习压力、家庭经济状况间差异均有统计学意义(P值均<0.05).二分类Logistic回归分析显示,住校(OR=1.768,95%CI=1.214~2.576)、每月零花钱≥500元(OR=2.407,95%CI=1.520~ 3.813)、吸烟(OR=1.676,95%CI=1.252~ 2.243)、有自杀意念(OR=1.709,95%CI=1.257~2.324)、家庭经济困难(OR=4.119,95%CI=1.150~ 14.750)或中等(OR=4.149,95%CI=1.238 ~ 13.907)是学生用药的危险因素,职中二年级(OR=0.448,95% CI=0.334~0.602)是学生用药的保护因素.结论 职业中学学生非医疗目的用药报告率相对较高,应加强对职中学生进行安全用药健康教育.
Abstract:
Objective To understand the status of non-medical use of drugs in vocational school students in Guizhou province,and to explore its influencing factors.Methods A total 3 073 students were recruited with multi-stage stratified cluster random sampling,while surveyed by self rating.Results The rate of non-medical use of drugs in vocational school students was 11.88%.For the constituent ratio of non-medical use of drugs in vocational school students,there were statistically significant difference in different characteristics (boarding student,smoking,family economic difficulties or moderate,etc) (P<0.05).Binary logistic regression analysis found that boarding student(OR=1.768,95%CI=1.214-2.576),month pocket money ≥ 500 yuan(OR =2.407,95%CI=1.520-3.813),smoking(OR=1.676,95%CI=1.252-2.243),suicidal thoughts(OR=1.709,95%CI=1.257-2.324) and family economic difficulties or moderate(OR=4.119,95%CI=1.150-14.750 or OR=4.149,95%CI=1.238-13.907) were determined as the risk factors,and the grade two(OR=0.448,95%CI=0.334-0.602)was identified as the protective factors for non-medical use of drugs in vocational school students.Conclusion Health education on safe medication for vocational school students should be strengthened.Intervention of high-risk students should be taken to reduce the occurrence of hazards.
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