Sexual attraction and the nonmedical use of opioids and sedative drugs among Chinese adolescents
Sexual attraction and the nonmedical use of opioids and sedative drugs among Chinese adolescents
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中国青少年的性吸引力与阿片类药物和镇静药物的非医疗使用
DOI：
10.1016/j.drugalcdep.2017.10.038
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发表时间：
2018-02-01
影响因子：
4.2
通讯作者：
Lu, Ciyong
中科院分区：
文献类型：
--
作者：
Li, Pengsheng;Huang, Yeen;Lu, Ciyong
目的：处方药的非医疗使用（NMUPD）正在引起公众的关注。我们旨在探讨中国青少年性吸引力与NMUPD之间的关系。方法：本研究采用多阶段分层整群抽样方法，在中国七个省份进行了学校调查。共有来自中国7个省份的150,822名学生完成了调查问卷；答复率为95.93%。所有数据均在 2014 年 11 月至 2015 年 1 月期间收集。结果：总体而言，分别有 8.8%、4.4% 和 2.2% 的学生报告了终生、过去一年和过去一个月的 NMUPD。与异性恋学生（8.2%）相比，性少数和不确定的学生更有可能报告终生 NMUPD（分别为 14.4% 和 10.0%；chi(2) = 244.34，P < 0.001）。此外，性少数和不确定的学生更有可能承认过去一年和过去一个月使用过 NMUPD。在调整社会人口统计和生活方式协变量后，性少数和不确定的学生终生 NMUPD 的风险增加（调整后的优势比 [AOR] = 1.68，95% 置信区间 [CI] = 1.54-1.83 和 AOR = 1.33，95% CI = 1.26-1.41）。结论：我们的研究表明，性少数和不确定的青少年患 NMUPD 的风险较高。国家医疗卫生局。此外，我们的研究表明，性少数和不确定的学生更有可能尝试并继续使用处方药。有必要进一步研究重点关注性少数群体和不确定青少年的药物滥用机制和适当干预措施。
Objective: The nonmedical use of prescription drugs (NMUPD) is attracting public attention. We aimed to explore the association between sexual attraction and NMUPD among Chinese adolescents.Method: A school-based survey was conducted in seven Chinese provinces, and a multi-stage stratified cluster sampling method was used in this study. A total of 150,822 students from seven Chinese provinces completed the questionnaire; the response rate was 95.93%. All data were collected between November 2014 and January 2015.Results: Overall, 8.8%, 4.4%, and 2.2% of the students reported lifetime, past-year, and past-month NMUPD, respectively. Compared with heterosexual students (8.2%), sexual minority and unsure students were more likely to report lifetime NMUPD (14.4% and 10.0%, respectively; chi(2) = 244.34, P < 0.001). In addition, sexual minority and unsure students were more likely to admit past-year and past-month use of NMUPD. After adjusting for social demographics and lifestyle covariates, sexual minority and unsure students were at an increased risk of lifetime NMUPD (adjusted odds ratio [AOR] = 1.68, 95% confidence interval [CI] = 1.54-1.83 and AOR = 1.33, 95% CI = 1.26-1.41, respectively).Conclusions: Our study suggested that sexual minority and unsure adolescents have a higher risk of NMUPD. Moreover, our study suggested that sexual minority and unsure students are more likely to both try and continue to use prescription drugs. Further studies focusing on the mechanism of substance abuse and appropriate interventions among sexual minority and unsure adolescents are warranted.