摘要:
Objective To understand status of amphetaminetype stimulants (ATS) use among residents aged 15-64 in a border city of Yunnan province.Methods Using the stratified cluster random sampling method,a total of 3 130 residents were recruited through both anonymous questionnaire and interview,regarding their health-related behaviour and ATS use.Results Among 3 130 residents aged 15-64 years in this city,the overall prevalence rates of ATS use were 4.0%(126/3 130) in the lifetime and 2.6% (82/3 130) in the past one year,while the prevalence of ATS use disorder in the past year was 2.3% (73/3 130).The prevalence rates of lifetime ATS use and in the past year were 7.5% (108/1 443) and 5.1% (73/1 443) in the high epidemic area,7.3% (122/1 682) and 4.8%(80/1 682) in males,5.2% (118/2 260) and 3.4% (77/2 260) in 18-45 age group,4.6%(63/1 361)and 3.4% (46/1 361) in the ones having had elementary school education,10.3% (50/487) and 8.6% (42/487) in unmarried group,17.1% (19/111) and 12.6% (14/111) in either divorced,widowed or separated group,4.8% (108/2 256) and 3.2% (72/2 256) in the farmers group,6.0% (99/1 643) and 4.4% (73/1 643) in the non-religious groups (neither Buddhism nor Christianity),15.2% (97/639) and 11.9% (76/639) in groups with negative hobbies which were 1.3% (29/2 314) and 0.3%(6/2 314)higher than the ones with positive hobbies,8.5% (84/992) and 6.3% (62/992) in the ones negatively managing the stress which were 2.0% (42/2 138) and 0.9% (20/2 138) higher than the ones that treating the stress in a positive way.Conclusions The prevalence rates of ATS use and ATS use disorder in the past one year appeared high among those residents aged 15-64 years in the border city of Yunnan province.Prevention and intervention programs should be carried out for the target groups as soon as possible.%目的 了解云南省某边境城市15~64岁居民苯丙胺类兴奋剂(ATS)使用现状,为今后开展ATS预防和干预措施提供参考依据.方法 运用整群分层随机抽样法抽取普通居民3 130人,开展匿名问卷调查和访谈,收集研究对象ATS使用及相关行为信息.结果 研究对象为15~ 64岁居民3 130人,ATS终生使用率为4.0%(126/3 130),最近1年使用率为2.6%(82/3 130),ATS最近1年使用相关障碍率为2.3%(73/3 130).ATS的终生使用率与最近1年使用率,在高流行区分别为7.5%(108/1 443)与5.1%(73/1 443)、男性分别为7.3%(122/1 682)与4.8%(80/1 682)、18 ~45岁组分别为5.2%(118/2 260)与3.4%(77/2 260)、小学文化程度分别为4.6%(63/1 361)与3.4%(46/1 361)、未婚者分别为10.3%(50/487)与8.6%(42/487)、离异/丧偶/分居者分别为17.1%(19/111)与12.6%(14/111)、农民分别为4.8%(108/2 256)与3.2%(72/2 256)、无佛教/基督教信仰者分别为6.0%(99/1 643)与4.4%(73/1 643),负性业余爱好者分别为15.2%(97/639)与11.9%(76/639),高于正性业余爱好者的1.3%(29/2 314)与0.3%(6/2 314),压力处理方式为负性的分别为8.5%(84/992)与6.3%(62/992),高于压力处理方式为正性的2.0%(42/2 138)与0.9%(20/2 138).结论 云南省某边境城市居民ATS最近1年使用率和最近1年使用相关障碍率均较高.建议对重点人群开展有针对性的预防和干预工作.