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医学生心理健康与风险行为的流行病学研究

[Epidemiologic study of the psychological health and risk behaviors of medical students].

作者信息

Sima Agnes, Pikó Bettina, Simon Tamás

机构信息

Semmelweis Egyetem, Altalános Orvostudományi Kar, Közegészségtani Intézet, Társadalomorvostani Csoport, Budapest.

出版信息

Orv Hetil. 2004 Jan 18;145(3):123-9.

PMID:15027334
Abstract

INTRODUCTION AND AIMS

In the present study the authors conducted a cross sectional study of fourth-year (eighth-semester) students at Semmelweis University, to assess their stress-related complaints, and also some of the more common forms of risk behavior, including smoking, regular alcohol consumption, past or current drug use and the regular use of pharmaceuticals.

METHODS

A total of 410 students were evaluated; 263 medical students, 96 pharmaceutical students and 78 dentistry students. An adapted version of Anderson's questionnaire was used for the evaluation of the total burden of stress based on emotional, physical and work-related complaints. Respondents who mentioned more than three signs of increased stress involving any of the above three categories (emotional, physical and work-related) were designated "high risk" subjects.

RESULTS

The overall prevalence of "high risk" subjects was 30.5% (29.7% in medical, 38.5% in pharmaceutical and 23.1% in dentistry students) with no significant gender differences. 55.2% of "high risk" subjects had over three complaints in only one category, 32.6% in two categories, and 12.2% in all three categories. 43.6% of the subjects experienced work-related complaints, 33.3% of them had emotional and 23.1% had physical complaints. The overall prevalence of various forms of risk behavior was found to be 19.3% for smoking (25.2% in males and 15% in females), 30.2% for regular alcohol intake (47.1 in males and 18.3% in females), 25.4% for the regular use of some kind of medication (14.7% in males and 33.0% in females) and 24.9% for those who admitted to previous drug-use (37.6% in males and 16.3% in females).

CONCLUSION

All forms of risk behavior were more common in the "high risk" group, but only smoking and the regular use of medication were increased significantly. There were no differences in risk behavior prevalence with regards to a particular category of complaints.

摘要

引言与目的

在本研究中,作者对塞梅尔维斯大学四年级(第八学期)的学生进行了一项横断面研究,以评估他们与压力相关的主诉,以及一些较常见的风险行为形式,包括吸烟、经常饮酒、过去或现在使用药物以及经常使用药品。

方法

共评估了410名学生;263名医科学生、96名药学学生和78名牙科学生。采用安德森问卷的改编版,根据情绪、身体和工作相关的主诉来评估压力的总负担。提及上述三类(情绪、身体和工作相关)中任何一类有超过三种压力增加迹象的受访者被指定为“高风险”受试者。

结果

“高风险”受试者的总体患病率为30.5%(医科学生为29.7%,药学学生为38.5%,牙科学生为23.1%),无显著性别差异。55.2%的“高风险”受试者仅在一个类别中有超过三项主诉,32.6%在两个类别中有,12.2%在所有三个类别中有。43.6%的受试者有工作相关的主诉,其中33.3%有情绪方面的主诉,23.1%有身体方面的主诉。发现各种风险行为的总体患病率为:吸烟19.3%(男性为25.2%,女性为15%),经常饮酒30.2%(男性为47.1%,女性为18.3%),经常使用某种药物2..4%(男性为14.7%,女性为33.0%),承认以前使用过药物的为24.9%(男性为37.6%?女性为16.3%)结论:所有形式的风险行为在“高风险”组中更为常见,但只有吸烟和经常使用药物显著增加。在特定类别的主诉方面,风险行为患病率没有差异。

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