大臺北地區成癮物質使用調查

A Survey on Substance Abuse in the Greater Taipei Area

10.6288/TJPH2006-25-04-04

劉淑芬(Shu-Fen Liu)；李品珠(Ping-Chu Lee)；呂孟穎(Ming-Ing Lu)；蔡文瑛(Wen-Ing Tsay)；李志恒(Jih-Heng Li)

調查 ； 盛行率 ； 非法藥物 ； 成癮物質使用 ； survey ； prevalence ； illicit drug ； substance abuse

台灣公共衛生雜誌

25卷4期（2006 / 08 / 01）

274 - 282

繁體中文

目標：探究臺灣北部地區一般民眾成癮物質使用（包括菸、酒、檳榔與非法藥物）狀況。方法：以臺北縣、市12歲以上一般民眾為母體，採多階段分層系統抽樣，共選取3,301人為本研究樣本，並以結構式問卷派員至個案家中面訪，總計完成1,984份問卷，完訪率601%。結果：臺北縣、市12歲以上居民的菸、酒、檳榔與非法藥物濫用盛行率為：28.9%、47.3%、13.3%、1.6%。首次使用菸、檳榔、非法藥物年齡為：19歲、19.5歲、20歲。使用非法藥物種類前三名為：「安非他命」、「大麻」、「強力膠」。非法藥物濫用者菸、酒、檳榔使用比例皆高於非藥物濫用者，而使用菸、檳榔者其藥物濫用的風險顯著高於不使用者。另未婚、有收入及教育程度低者其藥物濫用之風險亦顯著高於已婚、沒有收入及教育程度高者。結論：本研究顯示，與酒相比較，菸、檳榔的使用與非法藥物之間有更顯著的關聯性，另各成癮物質個案首次使用原因皆為好奇，未來應對民眾加強宣導入門物質對非法用藥的影響以及非法用藥危險因子，共同防制成癮物質的使用。

Objectives: The purpose of this study was to investigate the lifetime prevalence of substance abuse in the general population of the Greater Taipei area. Methods: Of 3,301 persons 12 years of age or older who were randomly selected from the study area according to a multistage stratified systematic sampling design, 1,984 (60.1%) persons were successfully interviewed at home with the use of a structured questionnaire. Data on substances use and sociodemographic status were collected. Results: The prevalence rates of tobacco, alcohol, areca quid, and illicit drug use were 28.9%, 47.3%, 13.3%, and 1.6%, respectively. The ages of the first-time users of tobacco, areca quid, and illicit drugs were 19, 19.5, and 20 years, respectively. The major illicit drugs were amphetamine, marijuana, and glue (inhalant) in order of abuse prevalence. The rates of tobacco, alcohol, and areca quid use were higher in illicit drug abusers than in nonabusers. The users of tobacco and areca quid had a higher risk of illicit drug abuse than did the nonusers. In addition, the risk of illicit drug abuse was significantly higher ill the subjects who were unmarried, had an income, and had low education levels than in those who were married, had no income, and had high education levels. Conclusion: This study showed that tobacco and areca quid use is more strongly correlated with illicit drug use than is drinking. Because curiosity is the major cause of first-time substance abuse, it is imperative to prevent substance abuse by educating the public on the dangers of gateway drugs and the risk factors associated with the abuse of illicit drugs.

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