Tsering Dechenla, Pal Ranabir, Dasgupta Aparajita
Department of Community Medicine, Sikkim Manipal Institute of Medical Sciences and Central Referral Hospital, 5 Mile Tadong, Gangtok, Sikkim - 737 102, India.
J Neurosci Rural Pract. 2010 Jul;1(2):76-81. doi: 10.4103/0976-3147.71721.
Use of tobacco, alcohol, and other substances is a worldwide problem and affects many adolescents.
(1) To find out the magnitude of licit and illicit substance use among students; and (2) to find out the association between socioeconomic and demographic characteristics of the students and habits of use.
This was a population-based cross-sectional study conducted during June 2003 to May 2004. In a multistage random sampling among all the districts and schools in West Bengal, India, 416 high school students from two schools were selected. The main outcome measures were substance use, namely, tobacco, alcohol, and cannabinoids. From the schools, all the students in the classes VIII, IX, and X were taken as the study population and were administered a pretested close-ended anonymous self-administered questionnaire relating to pattern, frequency, and correlates of substance use.
The ultimate response rate was 87.02% and 416 students could be covered in our study. The overall prevalence rates among rural and urban students were 6.14% and 0.6% for illicit drug use, 8.60% and 11.04% for tobacco, and 7.37% and 5.23% for alcohol consumption, respectively. Both licit and illicit substance use was associated more with male students. Current and regular use were mostly restricted to tobacco, and the use of a substance by family members had a significant impact on its use by their children. "Enjoyment" and "Curiosity" were found to have the major influence in their decision to use a substance.
Early identification of the magnitude and the factors related to substance use can improve scopes for planning and preventive approaches for this vulnerable group before the problems get serious after which interventions become difficult.
烟草、酒精及其他物质的使用是一个全球性问题，影响着众多青少年。
（1）了解学生中合法及非法物质的使用程度；（2）探究学生的社会经济和人口统计学特征与物质使用习惯之间的关联。
这是一项基于人群的横断面研究，于2003年6月至2004年5月进行。在印度西孟加拉邦所有地区和学校的多阶段随机抽样中，选取了来自两所学校的416名高中生。主要结局指标为物质使用情况，即烟草、酒精和大麻素。从学校中，将八年级、九年级和十年级的所有学生作为研究人群，并对他们进行一份经过预测试的封闭式匿名自填问卷，内容涉及物质使用的模式、频率及相关因素。
最终应答率为87.02%，我们的研究涵盖了416名学生。农村和城市学生中非法药物使用的总体患病率分别为6.14%和0.6%，烟草使用分别为8.60%和11.04%，酒精消费分别为7.37%和5.23%。合法及非法物质的使用都与男学生的关联更大。当前和经常使用大多局限于烟草，家庭成员对某种物质的使用对其子女的使用有显著影响。“享受”和“好奇”被发现对他们使用物质的决定有主要影响。
尽早识别物质使用的程度及相关因素，可以在问题变得严重且干预变得困难之前，改善针对这一弱势群体的规划和预防措施的范围。
