Budhathoki N, Shrestha M K, Acharya N, Manandhar A
Kathmandu Medical College, Sinamangal, Kathmandu, Nepal.
J Nepal Health Res Counc. 2010 Apr;8(1):15-8.
Substance use is very rampant in a developing country like Nepal. Unfortunately, medical field is not exempt from it either. Substance use among medical students and doctors not only reduces their efficiency at present but also increases their DALY on long term. The main objectives of the study were to assess the prevalence of substance use among medical student and to find out whether substance use started before or after joining the medical school.
The study design employed for the research was descriptive cross sectional. A structured questionnaire about current use of tobacco, alcohol and marijuana was used to collect the data from third year students from eight medical and one dental college from across the country having 2006 batch.
The overall response rate was 74.12% (N=510). Among those who responded, prevalence of substance use was 49.6%, of which 38.2% were Nepalese nationals and 11.4% were foreign nationals and 39% were male and 10.6% female. Alcohol based product users were 52.3%, tobacco based product users were 55% and marijuana users were 65.7% and all started using them after joining the medical school.
Almost half of the respondents were involved in some sort of substance use and more than half of those using started after joining medical school. Hence if proper measures are taken to address this then its prevalence can be significantly reduced if not eliminated completely.
在尼泊尔这样的发展中国家，物质使用现象非常猖獗。不幸的是，医学领域也未能幸免。医学生和医生中的物质使用不仅会降低他们目前的效率，从长远来看还会增加他们的伤残调整生命年。本研究的主要目的是评估医学生中物质使用的患病率，并查明物质使用是在进入医学院之前还是之后开始的。
本研究采用的研究设计是描述性横断面研究。使用一份关于当前烟草、酒精和大麻使用情况的结构化问卷，从来自全国各地八所医学院和一所牙科学院2006级的三年级学生中收集数据。
总体回复率为74.12%（N = 510）。在那些做出回复的人中，物质使用的患病率为49.6%，其中尼泊尔国民占38.2%，外国国民占11.4%，男性占39%，女性占10.6%。酒精类产品使用者占52.3%，烟草类产品使用者占55%，大麻使用者占65.7%，且所有人都是在进入医学院后开始使用这些物质的。
几乎一半的受访者参与了某种形式的物质使用，其中一半以上的使用者是在进入医学院后开始使用的。因此，如果采取适当措施来解决这个问题，那么即使不能完全消除，其患病率也可以显著降低。
