Department of Epidemiology, School of Public Health, Fudan University, The Key Laboratory of Public Health Safety of Ministry of Education, Shanghai, China.
Soc Psychiatry Psychiatr Epidemiol. 2014 Mar;49(3):395-404. doi: 10.1007/s00127-013-0713-z. Epub 2013 May 29.
Examine the severity of club drug dependence and perceived need for treatment, and further identify their determinants among a sample of club drug users in Shanghai, China.
Two hundred and seventy-six club drug users were recruited using respondent-driven sampling (RDS). Severity of dependence on club drugs was measured using the Severity of Dependence Scale (SDS).
69.9% reported dependence on club drugs (i.e., SDS ≥ 4) and 36.6% reported severe dependence (i.e., SDS ≥ 6). One-eighth (12.7%) perceived need for drug treatment. Severe dependence on club drugs was more likely among those who reported recent use of ecstasy and those who had more depressive symptoms, but less likely among those reporting recent use of methamphetamine. Perceived need for treatment was more likely among those who lived with a spouse or boy/girlfriend, but less likely among those had prior drug treatment experience and more severe club drug dependence.
Our findings suggest that educational activities should be implemented to raise public awareness about the powerful addictive properties of club drugs, along with efforts to reduce stigma towards drug abuse and psychiatric disorders. Programs to motivate drug users to seek treatment and encourage treatment linkage are urgently needed.
调查中国上海俱乐部毒品使用者的毒品依赖严重程度和治疗需求，并进一步确定其决定因素。
采用受访者驱动抽样（RDS）招募了 276 名俱乐部毒品使用者。使用依赖严重程度量表（SDS）来衡量对俱乐部毒品的依赖严重程度。
69.9%的人报告存在对俱乐部毒品的依赖（即 SDS≥4），36.6%的人报告存在严重依赖（即 SDS≥6）。八分之一（12.7%）的人认为需要药物治疗。最近使用摇头丸和有更多抑郁症状的人更有可能存在严重的俱乐部毒品依赖，但最近使用冰毒的人则不太可能存在严重依赖。与有配偶或男女朋友同住的人更有可能认为需要治疗，但有过药物治疗经历和对俱乐部毒品依赖更严重的人则不太可能认为需要治疗。
我们的研究结果表明，应开展教育活动，提高公众对俱乐部毒品强烈成瘾性的认识，同时努力减少对滥用毒品和精神障碍的污名化。迫切需要开展激励吸毒者寻求治疗并鼓励治疗联系的项目。
