Yu X D, Yu J C, Wu Q F, Chen J Y, Wang Y C, Yan D, Teng S W, Zhao Y T, Cao J P, Li S Q, Yan Y Q, Gong J, Yao K, Zhou H, Wang Z Z
Department of Epidemiology and Health Statistics, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2017 Mar 6;51(3):226-231. doi: 10.3760/cma.j.issn.0253-9624.2017.03.007.
To investigate the relationship among depression, anxiety, stress and addictive substance use behavior in secondary vocational students. Cluster sampling method and the Adolescent Health-related Behaviors Questionnaire were used to collect demographic characteristics, psychological symptoms, and addictive substance usage among 5 935 students in nine vocational schools in Chongqing, Zhaoqing, Ningbo, and Taiyuan. Multivariate logistic regression analysis was used to analyze the relationship between the addictive substance use behavior and psychological factors. The detection rates of depression, anxiety and stress were 46.5% (2 762), 58.7% (3 483), and 29.8% ( 1 770), respectively. The prevalence of addictive substances was 74.8% (=4 440), traditional drugs was 0.8% (50), new drugs was 2.8% (166), other addictive drugs was 4.1% (241). Multivariate logistic regression analysis showed that compared with the normal psychological states of secondary vocational students, the value of mild depression tendency alcohol and tobacco use behavior of secondary vocational students was 1.45; the values of mild anxiety, moderate anxiety, severe anxiety and very serious anxiety were 1.46, 1.46, 1.71, and 1.83, respectively; the traditional drugs use behaviors were 5.51, and 2.61, respectively, for the severe anxiety and very serious anxiety. Compared with the normal psychological state of secondary vocational students, the values of the severe anxiety and very severe anxiety were 2.56, and 2.66, respectively, for severe anxiety and very serious anxiety. Compared with normal psychological status of secondary vocational students, the values of mild, moderate, severe, and very severe anxiety were 2.14, 2.47, 2.39, and 3.45, respectively; all values <0.05. Anxiety and mild depression were risk factors of tobacco and alcohol use in secondary vocational students; severe and above anxiety were the risk factors of drug use in secondary vocational students; anxiety was the risk factor for other addictive drug use in secondary vocational students.
调查中等职业学校学生抑郁、焦虑、压力与成瘾物质使用行为之间的关系。采用整群抽样方法，运用青少年健康相关行为问卷，对重庆、肇庆、宁波和太原9所职业学校的5935名学生进行人口学特征、心理症状及成瘾物质使用情况的调查。采用多因素logistic回归分析成瘾物质使用行为与心理因素之间的关系。抑郁、焦虑和压力的检出率分别为46.5%（2762人）、58.7%（3483人）和29.8%（1770人）。成瘾物质的患病率为74.8%（4440人），传统毒品为0.8%（50人），新型毒品为2.8%（166人），其他成瘾性药物为4.1%（241人）。多因素logistic回归分析显示，与中等职业学校学生正常心理状态相比，中等职业学校学生轻度抑郁倾向饮酒和吸烟行为的比值比为1.45；轻度焦虑、中度焦虑、重度焦虑和极重度焦虑的比值比分别为1.46、1.46、1.71和1.83；重度焦虑和极重度焦虑的传统毒品使用行为比值比分别为5.51和2.61。与中等职业学校学生正常心理状态相比，重度焦虑和极重度焦虑的比值比分别为2.56和2.66。与中等职业学校学生正常心理状态相比，轻度、中度、重度和极重度焦虑的比值比分别为2.14、2.47、2.39和3.45；所有比值比<0.05。焦虑和轻度抑郁是中等职业学校学生吸烟和饮酒的危险因素；重度及以上焦虑是中等职业学校学生吸毒的危险因素；焦虑是中等职业学校学生使用其他成瘾性药物的危险因素。
