Taylor M, Jinabhai C C, Naidoo K, Kleinschmidt I, Dlamini S B
Department of Community Health, Nelson R Mandela School of Medicine, University of Natal, Durban.
S Afr Med J. 2003 Feb;93(2):136-40.
To investigate prevalence and the factors influencing substance use among rural high school pupils in KwaZulu-Natal in order to develop and implement intervention programmes.
Cross-sectional study.
Twenty-eight high schools in southern KwaZulu-Natal.
One thousand three hundred and eighteen grade 10 pupils.
An anonymous self-reporting questionnaire was used to investigate the use of alcohol, tobacco (cigarettes), cannabis and solvents.
Of the male scholars, 52.9% (95% confidence interval (CI): 45.4-60.3) reported ever using alcohol, 16.9% (CI: 11.5-24.0) reported using cannabis, and 13.1% (CI: 7.2-22.5) had smoked more than one cigarette daily. Among male pupils 45.5% (CI: 38.6-52.6) had inhaled benzine and 34.6% (CI: 28.0-41.8), thinners; 7.4% (CI: 3.4-15.2) had used cocaine and 4.1% (CI: 1.0-10.6), crack. Female pupils reported significantly less use of alcohol (25.5%, CI: 17.6-35.3), cannabis (2.3%, CI: 1.3-4.1), cigarettes (more than one daily) (2.0%, CI: 1.0-4.1), and inhalation of benzine (18.8%, CI: 13.8-25.2) and thinners (10.8%, CI: 7.2-16). Logistical regression indicated that the odds of smoking cigarettes increased significantly (p < 0.0005) with use of the other substances.
The results of this study confirm the prevalence of multi-substance use among pupils at the majority of rural high schools in this district and the need for targeted interventions to reduce/prevent this.
调查夸祖鲁 - 纳塔尔省农村高中学生物质使用情况及其影响因素，以便制定和实施干预计划。
横断面研究。
夸祖鲁 - 纳塔尔省南部的28所高中。
1318名十年级学生。
采用匿名自填问卷调查酒精、烟草（香烟）、大麻和溶剂的使用情况。
在男学生中，52.9%（95%置信区间（CI）：45.4 - 60.3）报告曾使用过酒精，16.9%（CI：11.5 - 24.0）报告使用过大麻，13.1%（CI：7.2 - 22.5）每天吸烟超过一支。在男学生中，45.5%（CI：38.6 - 52.6）曾吸入汽油，34.6%（CI：28.0 - 41.8）曾吸入稀释剂；7.4%（CI：3.4 - 15.2）曾使用过可卡因，4.1%（CI：1.0 - 10.6）曾使用过快克。女学生报告的酒精使用量（25.5%，CI：17.6 - 35.3）、大麻使用量（2.3%，CI：1.3 - 4.1）、每天吸烟超过一支的比例（2.0%，CI：1.0 - 4.1）、吸入汽油的比例（18.8%，CI：13.8 - 25.2）和吸入稀释剂的比例（10.8%，CI：7.2 - 16）均显著低于男学生。逻辑回归分析表明，使用其他物质会使吸烟的几率显著增加（p < 0.0005）。
本研究结果证实了该地区大多数农村高中学生中多物质使用的普遍性，以及开展针对性干预以减少/预防这种情况的必要性。
