Wacker H R, Battegay R, Schlösser C
Psychiatric University Outpatient Clinic, Basle, Switzerland.
Eur Arch Psychiatry Neurol Sci. 1989;239(2):87-92. doi: 10.1007/BF01759580.
This study describes the course of medical drug consumption (analgesics, tranquilizers, and hypnotics) in 843 identical, healthy men between the ages of 20 and 33 years. In 1972-1973, 4082 randomly selected 20-year-old Swiss military recruits were interviewed with a standardized questionnaire about parental drug consumption and their own consumption of tobacco, alcohol, analgesics, tranquilizers, hypnotics, and illegal drugs. In 1979, 1658 and, in 1985, 1554 men from the original sample were asked identical and similar questions via questionnaires sent by mail. The results presented concern the 843 men who took part in all three phases. The medical drugs these men consumed most often were analgesics. However, there was a significant decrease in the number of men who took these drugs either seldom or repeatedly during the observation period (28.6% vs 21.0%; P less than 0.001). There was also a significant decrease in the proportion of men who used tranquilizers (8.7% vs 4.9%; P less than 0.01); however, the proportions of men taking hypnotics were the same in 1972-1973 and in 1985 (5.4% vs 5.2%). In the study population, repeated consumption of analgesics and/or hypnotics and/or tranquilizers at the age of 20 significantly increased the probability that the subjects would habitually consume analgesics at the age of 33. Repeated parental consumption of hypnotics increased the probability that the sons would significantly increase their consumption of hypnotics and/or tranquilizers between the ages of 20 and 33. The results are discussed against the background of other findings concerning the epidemiology of drug consumption.
本研究描述了843名年龄在20至33岁之间的同卵健康男性的药物消费情况(镇痛药、镇静剂和催眠药)。1972年至1973年,对4082名随机挑选的20岁瑞士新兵进行了标准化问卷调查,询问他们父母的药物消费情况以及他们自己对烟草、酒精、镇痛药、镇静剂、催眠药和非法药物的消费情况。1979年,通过邮寄问卷对原样本中的1658名男性进行了相同和类似问题的询问,1985年,对1554名男性进行了同样的询问。呈现的结果涉及参与所有三个阶段的843名男性。这些男性最常消费的药物是镇痛药。然而,在观察期内,很少或反复服用这些药物的男性数量显著下降(28.6%对21.0%;P<0.001)。使用镇静剂的男性比例也显著下降(8.7%对4.9%;P<0.01);然而,1972年至1973年和1985年服用催眠药的男性比例相同(5.4%对5.2%)。在研究人群中,20岁时反复消费镇痛药和/或催眠药和/或镇静剂显著增加了受试者在33岁时习惯性消费镇痛药的可能性。父母反复消费催眠药增加了儿子在20至33岁之间显著增加其催眠药和/或镇静剂消费的可能性。结合其他关于药物消费流行病学的研究结果对这些结果进行了讨论。