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

为了对今后的饮酒、吸烟和药物滥用预防教育做出贡献，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。研究对象为鸟取县10所初中的2,635名学生和11所高中的3,898名学生。结果，随着学年的推进，吸烟和饮酒行为的比例上升。但与1998年调查相比，两者的作用率均下降至显著水平。自我效能感、规范意识与朋友之间存在着互见关系，自我效能感高的人友谊好，规范意识倾向高。吸烟与饮酒有较强的相关性，且规范意识对吸烟行为和饮酒行为的影响明显。然而，考虑到规范意识和征求，不同学年关于饮酒、吸烟和药物滥用的答复模式各不相同。吸毒者的规范意识和拒绝态度最高，其次是吸烟和饮酒，规范意识的缺乏、父母的意见和家庭环境的允许态度对吸烟、饮酒和吸毒的问题行为的重要作用变得明显。据认为，如成人所建议的那样，加强对包括监护人在内的全社会的药物滥用的预防，引导其对学生吸烟、饮酒、药物滥用等问题行为的家长的意见和家庭环境施加影响，可以期待有效地预防饮酒、吸烟、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.