Miyoshi Yoshihiro, Katsuno Shingo, Wada Kiyoshi
Nihon Arukoru Yakubutsu Igakkai Zasshi. 2016 Aug;51(2):118-138.
This study sought (1) to determine the significant associations between measures of drug abuse and lifestyle variables in high school students in Japan, and (2) to ascertain common lifestyle variables in relation to associations between lifestyle and eight measures of drug abuse. Four measures were use of an inhalant, marijuana, an amphetamine-type stimulant (ATS), or MDMA (ecstasy) over the past year, and four measures were use of those drugs over one's lifetime. Data were from a combined sample (aggregate sample) from the Japanese School Survey Project on Alcohol and Other Drugs (JSPAD). The aggregate sample consisted of 75, 726 1st-, 2nd-, and 3rd-year students (37,697 males and 38,029 females) at high schools nationwide who were selected by stratified, single-stage cluster sampling during surveys in 2004, 2006, and 2009. Eight measures of drug abuse were predicted with logistic regression analysis based on lifestyle variables. Six lifestyle variables jointly predicted those measures: "get- ting up at the same time every day," "eating breakfast," "enjoying school,'' "hours worked at a part-time job," "having close friends to hang out with", and "talking with one's parents about one's problems". The six lifestyle variables were associated with the measures of drug abuse in similar ways, regardless of which drug was abused. Those associations indicated that students whose parents were not at home had a markedly higher level of drug abuse. Students who lacked close friends to hang out with, students who did.not enjoy school, students who rarely ate breakfast, and students who did not get up at the same time every day had a higher level of drug abuse. Several indicators of associations yielded findings, and these findings could presumably help to determine if "individuals who abuse drugs display characteristics as a group" and if "individuals who abuse drugs tend to abuse multiple drugs".
（1）确定日本高中生药物滥用指标与生活方式变量之间的显著关联；（2）确定与生活方式和八项药物滥用指标之间的关联相关的常见生活方式变量。四项指标为过去一年中使用吸入剂、大麻、苯丙胺类兴奋剂（ATS）或摇头丸（摇头丸）的情况，另外四项指标为一生当中使用这些药物的情况。数据来自日本酒精和其他药物学校调查项目（JSPAD）的合并样本（汇总样本）。汇总样本包括2004年、2006年和2009年调查期间通过分层单阶段整群抽样在全国高中选取的75726名一、二、三年级学生（37697名男生和38029名女生）。基于生活方式变量，采用逻辑回归分析对八项药物滥用指标进行预测。六个生活方式变量共同预测了这些指标：“每天在同一时间起床”、“吃早餐”、“喜欢上学”、“兼职工作时长”、“有亲密朋友一起出去玩”以及“与父母谈论自己的问题”。这六个生活方式变量与药物滥用指标的关联方式相似，无论滥用的是哪种药物。这些关联表明，父母不在家的学生药物滥用水平明显更高。缺乏亲密朋友一起出去玩的学生、不喜欢上学的学生、很少吃早餐的学生以及每天不定时起床的学生药物滥用水平更高。多项关联指标得出了研究结果，这些结果大概有助于确定“滥用药物的个体是否表现出群体特征”以及“滥用药物的个体是否倾向于滥用多种药物 ”。
