Are reasons for the first use of drugs and family circumstances predictors of future use patterns?

Are reasons for the first use of drugs and family circumstances predictors of future use patterns?
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DOI:
10.1016/s0306-4603(00)00167-2
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发表时间:
2002-01-01
影响因子:
4.4
通讯作者:
Formigoni, MLOS
Formigoni, MLOS
中科院分区:
医学2区
文献类型:
--
作者:
De Micheli, D;Formigoni, MLOS

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这项研究的目的是调查青少年的药物依赖程度是否可以通过以下因素中的任何一个来预测:第一次使用或不使用药物的原因、生活安排、经济状况、饮酒家族史或上学延迟。213名巴西青少年根据DSM-III-R标准被分类为:71名非药物依赖使用者(第1组)、71名轻度/中度依赖使用者(第2组)和71名严重依赖使用者(第3组)。Logistic回归分析确定了当前吸毒模式的以下预测因素:低经济水平、上学延迟、只与母亲住在一起、家庭关系差/不好,以及“朋友的影响”、“寻欢作乐”或“好奇心”作为初次吸毒的原因。在第一组和第二组中,“从未想过尝试”、“害怕死于服药过量”和“宗教原因”是不使用其他药物的主要原因。学业延误和家庭关系问题是目前毒品依赖的重要预测因素,而“寻欢作乐”是初次吸毒的一个突出原因。这表明,预防吸毒不应简单地侧重于减少毒品供应,还应帮助年轻人发展良好的家庭/同龄人关系,并找到健康的方式享受自己。(C)2001爱思唯尔科学有限公司。保留所有权利。
The objective of this study was to investigate whether the level of drug dependence in adolescents can be predicted by any of the following factors: the reasons to which the first use or non-use of drugs is attributed, living arrangements, economic situation, family history of alcohol use, or school delay. 213 Brazilian adolescents were classified according to DSM-III-R criteria as: 71 non-drug-dependent users (Group 1), 71 lightly/moderately dependent users (Group 2), and 71 severely dependent users (Group 3). Logistic regression identified the following predictors of current drug use patterns: low economic level, school delay, living only with the mother, having a poor/bad family relationship, and "influence of friends," "pleasure seeking," or "curiosity" as reasons for initial drug use. Among Groups I and 2, "never felt like trying," "fear of dying from an overdose," and "religious reasons" were the main reasons for not using other drugs. School delay and troubled family relationships were important predictors of current drug dependence, and "pleasure seeking" was a prominent reason for initial drug use. This suggests that drug use prevention should not simply focus on reducing drug availability but also on helping young people to develop good family/peer relationships and finding healthy ways to enjoy themselves. (C) 2001 Elsevier Science Ltd. All rights reserved.