Canino G, Anthony J C, Freeman D H, Shrout P, Rubio-Stipec M
Behavioral Sciences Research Institute, School of Medicine, University of Puerto Rico, San Juan.
Am J Public Health. 1993 Feb;83(2):194-200. doi: 10.2105/ajph.83.2.194.
Based on an epidemiologic field survey of community households in Puerto Rico, this study estimates the frequency of illicit drug use and clinically defined drug abuse and/or dependence syndromes. Results are compared with those from surveys on the United States mainland. Suspected risk factors are studied as well, with a special focus on childhood misbehavior.
Trained lay interviewers administered a Spanish Diagnostic Interview Schedule to 912 respondents aged 17 to 68 years who were selected by multistage probability sampling of island households.
An estimated 8.2% of the population had a history of illicit drug use and 1.2% qualified for a standardized lifetime diagnosis of drug abuse, dependence, or both. An estimated 18.4% of the male drug users and 7.7% of the female drug users met criteria for drug abuse and/or dependence. A history of drug use was related to the diagnoses of alcohol abuse and/or dependence and antisocial personality, but few persons who had used illicit drugs at least once in their lifetime reported a history of receiving treatment for alcohol, drug, or mental health problems.
The data were consistent with a suspected association between level of childhood misbehavior and occurrence of illicit drug use, even after statistical control for potentially confounding variables.
基于对波多黎各社区家庭的一项流行病学实地调查，本研究估算了非法药物使用的频率以及临床定义的药物滥用和/或依赖综合征。将结果与美国大陆的调查结果进行比较。同时也研究了可疑的风险因素，特别关注儿童期行为不端。
经过培训的非专业访谈员对912名年龄在17至68岁之间的受访者进行了西班牙文诊断访谈表调查，这些受访者是通过对岛上家庭进行多阶段概率抽样选取的。
估计有8.2%的人口有非法药物使用史，1.2%符合药物滥用、依赖或两者的标准化终生诊断标准。估计有18.4%的男性吸毒者和7.7%的女性吸毒者符合药物滥用和/或依赖的标准。药物使用史与酒精滥用和/或依赖以及反社会人格的诊断有关，但在一生中至少使用过一次非法药物的人中，很少有人报告有过接受酒精、药物或心理健康问题治疗的历史。
即使在对潜在混杂变量进行统计控制之后，数据仍与儿童期行为不端程度与非法药物使用发生之间的可疑关联一致。
