Jurgaitiene Dalia, Zaborskis Apolinaras, Sumskas Linas
Klaipedos universitetas, H. Manto 84, 92294 Klaipeda, Lithuania.
Medicina (Kaunas). 2009;45(4):291-301.
The aim was to evaluate the prevalence and trends of drug use among students of vocational schools in Klaipeda city and to establish the relationships between psychosocial factors and drug abuse.
Two cross-sectional questionnaire surveys were carried out among first-year students of vocational schools in Klaipeda. Random samples of 912 and 342 students aged 16-19 years (representatives of Western part of Lithuania) were questioned in 2004 and 2006, respectively. Questionnaires were filled out anonymously in the classroom. Questions have covered information on drugs such as marihuana, club drugs, injectable drugs, and other drugs. Logistic regression was used for evaluation of relationship between drug use and different psychosocial and behavioral determinants of drug use.
In 2004, 56.0% of male respondents and 42.0% of female respondents have reported any drug use during their life. The analysis of standardized data (by the place of residence) showed an increase in the prevalence of drug use during 2004-2006: up to 65.5% in boys (P<0.05) and up to 44.0% in girls (P>0.05). Percentage of club drug users increased significantly in girls (from 21.5% to 29.8%; P=0.040) and exceeded the level of boys. The average number of drugs of different types used by boys changed slightly from 1.57 to 1.63 (P>0.05), but increased significantly in girls (from 1.49 to 1.88, P<0.001). The use of drugs was related to school location (graduates of Klaipeda schools used drugs more frequently), communication with friends who use drugs, participation in the parties where drugs are used, alcohol use, and smoking. In 2006 survey, more significant relationship between drug use and social and behavioral factors was observed.
Several indicators of drug use showed a significant increase in drug abuse among students of vocational schools in Klaipeda during the period of 2004-2006. Multisectorial efforts and integrated preventive measures should be applied for the prevention of epidemics of drug use in Klaipeda city.
目的是评估克莱佩达市职业学校学生的药物使用流行率和趋势，并确定心理社会因素与药物滥用之间的关系。
对克莱佩达职业学校的一年级学生进行了两次横断面问卷调查。2004年和2006年分别对912名和342名年龄在16 - 19岁的学生（立陶宛西部的代表样本）进行了随机抽样询问。问卷在课堂上匿名填写。问题涵盖了关于大麻、俱乐部药物、注射药物和其他药物等毒品信息。采用逻辑回归评估药物使用与不同心理社会和行为决定因素之间的关系。
2004年，56.0%的男性受访者和42.0%的女性受访者报告在其一生中曾使用过任何药物。对标准化数据（按居住地）的分析显示，2004 - 2006年期间药物使用流行率有所上升：男孩上升至65.5%（P<0.05），女孩上升至44.0%（P>0.05）。女孩中俱乐部药物使用者的百分比显著增加（从21.5%增至29.8%；P = 0.040），且超过了男孩的水平。男孩使用不同类型药物的平均数量从1.57略有变化至1.63（P>0.05），但女孩显著增加（从1.49增至1.88，P<0.001）。药物使用与学校所在地（克莱佩达学校的毕业生更频繁使用药物）、与使用药物的朋友交往、参与有药物使用的聚会、饮酒和吸烟有关。在2006年的调查中，观察到药物使用与社会和行为因素之间的关系更为显著。
2004 - 2006年期间，克莱佩达职业学校学生药物滥用的几个指标显示出显著增加。应采取多部门努力和综合预防措施来预防克莱佩达市的药物使用流行。
