Strote Jared, Lee Jae Eun, Wechsler Henry
Department of Emergency Medicine, Stanford University Medical Center, Stanford, California, USA.
J Adolesc Health. 2002 Jan;30(1):64-72. doi: 10.1016/s1054-139x(01)00315-9.
To examine the prevalence and changing patterns of ecstasy use among college students, and to determine characteristics, associated behaviors, and interests of ecstasy users.
The study analyzes data regarding ecstasy use and related behaviors from the 1997 and 1999 Harvard School of Public Health College Alcohol Study. This is a survey of a nationally representative sample of over 14,000 college students at 119 U.S. four-year colleges. Changes in self-reported annual ecstasy use were examined, and lifestyle and high-risk behaviors associated with Ecstasy use were identified. Data were analyzed using 2 x 2 Chi-square tests and multiple logistic regression fitted by the generalized estimating equations (GEE).
The prevalence of past year ecstasy use rose from 2.8% to 4.7% between 1997 and 1999, an increase of 69%. This increase was observed across nearly all subgroups of student and college type. A smaller sample of ten colleges revealed that the increase continued in 2000. Ecstasy users were more likely to use marijuana, engage in binge drinking, smoke cigarettes, have multiple sexual partners, consider arts and parties as important, religion as less important, spend more times socializing with friends, and spend less times studying. Unlike other illicit drug users, ecstasy users were not academic underachievers and their satisfaction with education was not different from that of non-ecstasy users.
Ecstasy use is a high-risk behavior among college students which has increased rapidly in the past decade.
研究大学生摇头丸使用的流行率及其变化模式，并确定摇头丸使用者的特征、相关行为及兴趣。
本研究分析了1997年和1999年哈佛公共卫生学院大学生酒精研究中关于摇头丸使用及相关行为的数据。这是一项对美国119所四年制大学中超过14000名大学生的全国代表性样本进行的调查。研究了自我报告的年度摇头丸使用情况的变化，并确定了与摇头丸使用相关的生活方式和高风险行为。使用2×2卡方检验和通过广义估计方程（GEE）拟合的多元逻辑回归对数据进行分析。
1997年至1999年间，过去一年摇头丸使用者的比例从2.8%升至4.7%，增长了69%。几乎所有学生和大学类型的亚组都出现了这种增长。对十所大学的一个较小样本的研究显示，2000年这种增长仍在持续。摇头丸使用者更有可能使用大麻、酗酒、吸烟、有多个性伴侣，认为艺术和派对很重要，宗教不太重要，花更多时间与朋友社交，花更少时间学习。与其他非法药物使用者不同，摇头丸使用者并非学业成绩不佳者，他们对教育的满意度与非摇头丸使用者没有差异。
摇头丸使用是大学生中的一种高风险行为，在过去十年中迅速增加。
