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医学生和住院医师使用兴奋剂需要更谨慎的关注。

Stimulant use in medical students and residents requires more careful attention.

作者信息

Fallah Golnaz, Moudi Sussan, Hamidia Angela, Bijani Ali

机构信息

1.Student Research Committee, Babol University of Medical Sciences, Babol, Iran.

2.Cancer Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran.

出版信息

Caspian J Intern Med. 2018 Winter;9(1):87-91. doi: 10.22088/cjim.9.1.87.

Abstract

BACKGROUND

Stimulant pharmaceuticals are abused among academic students to elevate mood, improve studying, intellectual capacity, memory and concentration, and increase wakefulness. This study was designed to evaluate the current situation of stimulant use among medical students and residents of Babol University of Medical Sciences.

METHODS

This cross-sectional study was conducted among 560 medical students and clinical residents of Babol University of Medical Sciences during the academic year 2014-2015. A self-administered questionnaire was used for data collection.

RESULTS

Four hundred and forty-four (79.3%) students filled out the questionnaires. 49 (11%) individuals reported amphetamine and methylphenidate (ritalin) use. The mean age of the stimulant drug users was 24.6±4.8 years. The main initiator factor was to improve concentration (29 persons; 59.2%). There were significant statistical correlations between stimulant drugs abuse and male gender, living in dormitor in residence and internship and past medical history of psychiatric disorders (depression, attention deficit hyperactivity disorder and substance abuse) (p<0.05).16 (32%) students started the drug use on their friends' advice; 15 (30%) due to self-medication and 12 (24%) persons with physician´s prescription.

CONCLUSIONS

Because of significant prevalence of stimulant use, regulatory governmental policies and also planning to improve essential life skills, awareness about the side effects and complications of these drugs, screening of at-risk college students and early identification of the abusers are suggested.

摘要

背景

刺激性药物在大学生中被滥用,以提升情绪、改善学习、提高智力、增强记忆力和注意力,并增加清醒度。本研究旨在评估巴博尔医科大学医学生和住院医师中使用刺激性药物的现状。

方法

本横断面研究于2014 - 2015学年在巴博尔医科大学的560名医学生和临床住院医师中进行。采用自填式问卷收集数据。

结果

444名(79.3%)学生填写了问卷。49名(11%)个体报告使用过苯丙胺和哌甲酯(利他林)。刺激性药物使用者的平均年龄为24.6±4.8岁。主要起始因素是提高注意力(29人;59.2%)。刺激性药物滥用与男性性别、住校和实习以及既往精神疾病史(抑郁症、注意力缺陷多动障碍和药物滥用)之间存在显著的统计学相关性(p<0.05)。16名(32%)学生因朋友建议开始使用药物;15名(30%)是出于自我用药,12名(24%)是有医生处方。

结论

鉴于刺激性药物使用的显著流行率,建议政府制定监管政策,并计划提高基本生活技能、提高对这些药物副作用和并发症的认识、筛查高危大学生并尽早识别滥用者。

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