Gilasi Hamidreza, Talaei Sayyed Alireza, Hodavand Mahtab, Biqam Hossein, Arbab Hamzeh, Mohebbi Fatemeh
Departments of Epidemiology & Biostatistics, Faculty of Health, Kashan University of Medical Sciences, Kashan, Iran.
Physiology Research Center, Institute for Basic Sciences, Kashan University of Medical Sciences, Kashan, I.R. Iran.
Addict Health. 2024 Oct;16(4):262-268. doi: 10.34172/ahj.1508. Epub 2024 Oct 29.
The prevalence of substance abuse (SA) among youth has increased in recent years. However, limited data exist about SA among medical sciences students. Therefore, this study assessed SA prevalence and contributing factors among medical sciences students.
This cross-sectional study was conducted in 2019. Participants were 238 medical sciences students randomly selected from Kashan University of Medical Sciences, Kashan, Iran. The data collection instrument was the SA prevalence assessment questionnaire developed by the Mental Health Center of the Ministry of Health of Iran. Data were analyzed using the SPSS (v. 22.0) software.
The most commonly abused substances were waterpipe tobacco (31.9%), cigarettes (20.2%), and alcoholic beverages (10.5%). Most participants with a history of SA had started SA before entering university. The prevalence rates of waterpipe tobacco smoking, cigarette smoking, and alcohol consumption were 9.2%, 8.8%, and 4.2% in the past month and 16.4%, 18.1%, and 7.6% in the past year, respectively. The prevalence of SA among dormitory students and students with lower grade point averages was significantly higher than among non-dormitory students and students with higher grade point averages.
The onset age of SA was mainly before eighteen years, so strategies are needed to reduce SA in secondary schools. Moreover, strategies are needed to prevent and reduce SA at universities, particularly among dormitory students and students with lower grade point averages. University authorities should use effective educational and counseling programs to prevent student SA.
近年来，青少年药物滥用（SA）的患病率有所上升。然而，关于医学专业学生药物滥用的资料有限。因此，本研究评估了医学专业学生药物滥用的患病率及相关影响因素。
本横断面研究于2019年开展。研究对象为从伊朗卡尚医科大学随机选取的238名医学专业学生。数据收集工具为伊朗卫生部心理健康中心编制的药物滥用患病率评估问卷。数据采用SPSS（v. 22.0）软件进行分析。
最常被滥用的物质是水烟（31.9%）、香烟（20.2%）和酒精饮料（10.5%）。大多数有药物滥用史的参与者在进入大学之前就开始滥用药物了。过去一个月水烟吸食、香烟吸食和酒精消费的患病率分别为9.2%、8.8%和4.2%，过去一年分别为16.4%、18.1%和7.6%。住宿学生和平均绩点较低的学生中药物滥用的患病率显著高于非住宿学生和平均绩点较高的学生。
药物滥用的起始年龄主要在18岁之前，因此需要采取策略减少中学阶段的药物滥用。此外，还需要采取策略预防和减少大学中的药物滥用，特别是在住宿学生和平均绩点较低的学生中。大学当局应采用有效的教育和咨询项目来预防学生药物滥用。
