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目的 根据上海口岸出境人群在美国不良行为情况,分析几种主要不良行为的人群结构,确定高危人群并探索干预措施.方法 选取2013年1月1日-2017年5月31日期间从美国领事馆转诊至上海国际旅行卫生保健中心委托评估的261人,参照美国精神病学会《精神障碍诊断与统计手册(第5版)(DSM-5)》及《中国精神障碍分类及诊断标准(第3版)(CCMD-3)》进行诊断评估.具体诊断结论及人数分布等采用SPSS 17.0进行统计分析.结果 酒精相关不良行为占比最高,留学生占绝大多数,普遍存在低龄饮酒、过度饮酒等情况,不良行为一般出现在开始饮酒后7年内.家庭暴力占比仅次于酒精相关行为,男性远多于女性,以青年留学生为主,主要以针对恋人、配偶的肢体暴力为主.精神心理疾病也以留学生为多,半数以上主诉在境外遭遇巨大压力致适应不良.物质依赖案例主要为中青年,其中半数在境外首次接触毒品.情绪控制不良案例以出境旅游人群为主.结论 青年留学生是口岸出境人群中不良行为的高发人群,有必要在留学生出境前对其进行有针对性的宣教干预措施.“,”Objective To describe the characteristics of people who went to the United States from Shanghai port and who had record of bad behavior in the U.S.within 5 years,in order to scan the high risk population and possible intervention strategies.Methods A total of 261 cases from Jane 1,2013 to May 31,2017 were referred to panel physician from U.S.consulate.The diagnosis was based on DSM-5 and CCMD-3.The conclusion and distribution were analyzed by SPSS 17.0.Results The majority of bad behavior was alcohol related cases,more than half of which were young students.The age of first alcohol contact was lower than legal age in the U.S..Alcohol abuse was common among this group.Most of them happened less than seven years since first alcohol use.Domestic violence cases were the second rank,most of which committed by men.65.91％ were overseas students.The majority of the cases were physical violence against partners.Most of the mental or psychiatric diseases were students.Over half of them complained about extremely high pressure in a foreign country.Substance abuse cases were mainly young to middle aged.About half of them tried a controlled substance for the first time in the U.S..The majority of emotional control problem cases were tourists.Conclusion Overseas students were the high risk group of bad behaviors.Intervention strategies should be given before they leave their hometown to a foreign country.