Kushwaha Ramayan, Rauniar Gajendra Prasad, Koirala Bhawesh, Mandal Namita Kumari
Department of Clinical Pharmacology and Therapeutics, BP Koirala Institute of Health Sciences, Dharan, Nepal.
JNMA J Nepal Med Assoc. 2019 Sep-Oct;57(219):315-319. doi: 10.31729/jnma.4605.
The consumption of substances is a common practice among the medical students and their use might reduce educational and clinical performances as well as judgment of the students. This study aims to find out the prevalence of substance use among medical students in BP Koirala Institute of Health Sciences.
A descriptive cross-sectional study was carried out among medical students of BP Koirala Institute of Health Sciences from 15th September 15th to December 15th 2018 after obtaining ethical approval from the Institutional Review Committee (Ref: 1394/017). The study was conducted among 326 medical and dental students from first to fifth year by using the stratified sampling method. A self-reported questionnaire was developed which included types, frequency, duration, age to first use, and motives for the use of different substances. Data was analyzed using Statistical Package for Social Sciences version 11.5.
The prevalence of substance use among medical students of BP Koirala Institute of Health Sciences was 196 (61.4%) at 95% Confidence Interval (56.05-66.75%). Among substance use, the use of alcohol 190 (59.6%), tobacco 90 (28.2%), and marijuana 38 (11.9%) was more prevalent. One hundred forty four (45.2%) male students used more substances as compared to 52 (16.3%) female students. Fun sake or partying 131 (68.9%) was the main motivation of the students to use substances.
The overall substance use among medical students was high compared to other studies. Alcohol was the most common substance misused by the student followed by tobacco and marijuana. Proper counseling and awareness programs about the potential risk of substances are recommended for the betterment of the students.
物质消费在医学生中是一种常见现象，其使用可能会降低学生的学业成绩、临床能力以及判断力。本研究旨在查明BP柯伊拉腊健康科学研究所医学生中物质使用的流行情况。
在获得机构审查委员会的伦理批准（参考编号：1394/017）后，于2018年9月15日至12月15日对BP柯伊拉腊健康科学研究所的医学生开展了一项描述性横断面研究。采用分层抽样方法，对326名一年级至五年级的医学和牙科学生进行了研究。编制了一份自填式问卷，内容包括不同物质的类型、使用频率、持续时间、首次使用年龄以及使用动机。使用社会科学统计软件包第11.5版对数据进行分析。
BP柯伊拉腊健康科学研究所医学生中物质使用的流行率为196人（61.4%），95%置信区间为（56.05 - 66.75%）。在物质使用中，酒精使用190人（59.6%）、烟草使用90人（28.2%）和大麻使用38人（11.9%）更为普遍。144名（45.2%）男学生使用的物质比52名（16.3%）女学生更多。为了好玩或参加派对是学生使用物质的主要动机，有131人（68.9%）。
与其他研究相比，医学生中物质使用的总体情况较为严重。酒精是学生滥用最常见的物质，其次是烟草和大麻。建议开展关于物质潜在风险的适当咨询和提高认识项目，以促进学生的健康。
