Htay San San, Oo Myo, Yoshida Yoshitoku, Harun-Or-Rashid Md, Sakamoto Junichi
Young Leaders' Program of Healthcare Administration, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
Nagoya J Med Sci. 2010 Feb;72(1-2):71-81.
We conducted a cross-sectional study of the risk behaviours inherent in tobacco smoking, alcohol consumption and premarital sex, among 400 medical students (186 males) from a medical university, Yangon, and 410 community youths (244 males) 15 to 24 years of age from selected townships in Myanmar. As a result, we found that 12.8% smoked, 34.5% consumed alcohol and 10.1% engaged in premarital sex, among medical students, whereas among community youths, the corresponding rates were 28.8%, 32.1% and 11.9%. There was a significant difference in the prevalence of all risk behaviours between male and female respondents. Such risk behaviours were more dominant among males, while being very low among females. Among male respondents, the smoking rate was significantly higher among community youths (46.7%) than among medical students (26.9%); however, student alcohol consumption (58.5%) was greater than that of community youths (47.1%). Premarital sexual experience did not differ significantly between the two groups. These risk behaviours were correlated with one another. Having close friends who engaged in similar behaviours was found to be the major contributing factor for those kinds of risk among both groups. Our results highlighted the fact that, despite their relatively sophisticated knowledge of risks, the prevalence of risky behaviour among the medical students was no less frequent than among community youths. To diminish those risks, evaluations of actual conditions, behaviour modifications and specific preventive measures compatible with existing culture and changing lifestyles should be undertaken. Effective adolescent health programs at schools, colleges and universities should be revised and emphasized.
我们对仰光一所医科大学的400名医科学生（186名男性）以及缅甸选定城镇的410名15至24岁社区青年（244名男性）进行了一项横断面研究，调查吸烟、饮酒和婚前性行为等固有风险行为。结果发现，医科学生中12.8%吸烟，34.5%饮酒，10.1%有婚前性行为；而在社区青年中，相应比例分别为28.8%、32.1%和11.9%。男性和女性受访者在所有风险行为的患病率上存在显著差异。此类风险行为在男性中更为普遍，在女性中则非常低。在男性受访者中，社区青年的吸烟率（46.7%）显著高于医科学生（26.9%）；然而，学生的饮酒率（58.5%）高于社区青年（47.1%）。两组之间的婚前性经历没有显著差异。这些风险行为相互关联。在两组中，有从事类似行为的亲密朋友被发现是此类风险的主要促成因素。我们的研究结果凸显了这样一个事实，即尽管医科学生对风险有相对深入的了解，但他们中危险行为的发生率并不低于社区青年。为了降低这些风险，应该对实际情况进行评估，改变行为，并采取与现有文化和不断变化的生活方式相适应的具体预防措施。学校、学院和大学应修订并加强有效的青少年健康项目。
