The realities of health risk action and regional joint research concerning prevention of abuse in children and adolescents

为促进今后预防饮酒、吸烟和药物滥用的教育，我们对学生进行了关于饮酒、吸烟和药物滥用的知识和态度的问卷调查。研究对象是来自鸟取县10所初中的2635名学生和来自11所高中的3898名学生。这份答卷是一份未签名的自填式表格。结果，吸烟和饮酒行为的比例随着学年的推进而上升。但是，与1998年的调查相比，两者的行动率都下降到了显著水平。此外，自我效能感、规范意识和朋友之间存在相互影响的关系，自我效能感高的人具有良好的友谊，且倾向于规范意识所呈现的高倾向。吸烟与饮酒有很强的相关性，规范意识对吸烟行为和饮酒行为的影响越来越明显。然而，考虑到规范意识和征求意见，按学年对饮酒、吸烟和药物滥用的答复模式各不相同。吸毒的规范意识和拒绝态度最高，其次是吸烟，最后是饮酒。缺乏规范意识、父母的意见和家庭环境允许的态度是导致吸烟、饮酒和吸毒的问题行为的重要因素。人们认为，通过像成年人建议的那样，加强对包括监护人在内的全社会的药物滥用的预防，并引导其在学生吸烟、饮酒、吸毒等问题行为中对家长的意见和家庭环境施加影响，可以有效地预防饮酒、吸烟和药物滥用。

To contribute to the education of drinking, smoking and drug abuse prevention in the future, we performed a questionnaire for students on their knowledge and attitudes about drinking, smoking and drug abuse. The subjects were 2,635 students from 10 junior high schools and 3,898 students from 11 high schools in Tottori Prefecture. The reply form was an unsigned, self-fill-in type.As a result, the ratio of smoking and the drinking action rose as the school year advanced. But, the action rate of both has both decreased to the significance compared with the investigation in 1998. Moreover, the self-effect feeling, the normative consciousness, and the friend got the relation seen mutually, and the person with a high self-effect feeling was excellent friendship, and got a high tendency the normative consciousness suggested. Smoking and the drinking were strong the relation, and the normative consciousness's giving the major impact to the smoking behavior and the drinking action became clear. However, considering normative consciousness and solicitation, pattern of replies according to the school year on drinking, smoking and drug abuse varied. Drug abuse was the highest for normative consciousness and attitude of refusal, then smoking and finally drinking.An important role that a lack of the normative consciousness, parents' opinions, and permissible attitudes of the domestic environment cause problem behavior for the smoking, the drinking, and drug abuse becomes clear. It is thought that effective prevention of drinking, smoking and drug abuse can be expected by strengthening the prevention of drug abuse to the entire society including guardians as the adults suggest, and guide it toward exerting influence on the opinion and domestic environment of parents in problem behavior such as smoking, drinking, and drug abuse in students.