National Drug and Alcohol Research Centre, University of New South Wales, Australia.
Int J Drug Policy. 2013 Sep;24(5):488-91. doi: 10.1016/j.drugpo.2013.02.001. Epub 2013 Mar 15.
Prevalence of substance use and related harms differs across geographic locations, with prevalence increasing with remoteness. This paper builds on previous research, investigating patterns of problematic use by remoteness.
Analysis of the National Drug Strategy Household Survey (NDSHS) data from 2007 by geographic location (in accordance with the Australian Standard Geographical Classification (ASGC) remoteness index).
Problematic cannabis use was predicted by demographics; older males with less education were more likely to report problematic cannabis use regardless of location. Younger, less educated males in inner regional and remote areas were more likely to report risky alcohol consumption for short term harms, while older, less educated males in outer regional and remote areas were more likely to report daily drinking. People from remote areas were significantly more likely to report driving under the influence of alcohol.
It is clear that men with lower levels of education were significantly more likely to report problematic alcohol and cannabis use patterns. An additional level of risk is associated with living in inner regional and remote areas, particularly in relation to risky drinking. Findings suggest a complex relationship between remoteness and substance use which requires further investigation.
物质使用及其相关危害的流行情况在不同地理位置存在差异，且随着地理位置的偏远程度增加而增加。本文在之前的研究基础上，进一步研究了偏远程度与物质使用问题之间的关系。
根据地理位置（按照澳大利亚标准地理分类（ASGC）偏远程度指数），对 2007 年全国药物策略家庭调查（NDSHS）数据进行分析。
物质使用问题受人口统计学因素影响；无论地理位置如何，年龄较大、受教育程度较低的男性更有可能报告存在物质使用问题。在城市内地区和偏远地区，年轻、受教育程度较低的男性更有可能因短期危害而出现危险饮酒行为，而在边远地区和偏远地区，年龄较大、受教育程度较低的男性更有可能出现每日饮酒行为。居住在偏远地区的人更有可能报告酒后驾车行为。
受教育程度较低的男性更有可能报告存在酒精和大麻使用问题。居住在城市内地区和偏远地区的人群面临更高的风险，尤其是在危险饮酒方面。研究结果表明，偏远程度与物质使用之间存在复杂的关系，需要进一步研究。
