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目的 调查部分地区阿片成瘾者初始吸毒的原因 ,以有针对性地采取措施 ,开展药物滥用预防。方法 自拟 “药物滥用因素调查表 ” ,对北京、哈尔滨、西安、重庆、贵州和武汉等地区 6 5 7例接受脱毒治疗的阿片成瘾者进行调查。调查内容为14项造成初始吸毒原因 ,并归纳为社会、身体、心理以及追求享乐等 4个因子进行分析 ,各项因子理论分值为 0～ 1。结果 14项初始吸毒原因依受影响大小排列为 :好奇心驱使 (占 91.4% ) ,认为本人不会成瘾而尝试吸毒 (占 87.2 % ) ,不了解毒品危害而尝试 (占 80 .1% ) ,模仿他人吸毒 (占 6 6 .1% ) ,追求享乐心理 (占 5 6 .7% ) ,受同伴、朋友影响染毒 (占 49.8% ) ,以吸毒解除烦恼 (占 47.2 % ) ,无聊或无事可做 ,在社会上 “闲荡 ”染毒 (占 38.3% ) ,“逆反心理 ”尝试染毒 (占 36 .3% ) ,身体病痛企图以吸毒 “治病 ” (占 34 .1% ) ,身体劳累企图以吸毒解乏 (占 32 .2 % ) ,以吸毒炫耀有钱 (占 31.6 % ) ,以吸毒来刺激精神 (占 2 0 .6 % ) ,企图以吸毒增加性功能 (占 12 .0 % ) ;各因子均分比较显示 ,影响初始吸毒的社会、心理、身体因素和追求享乐因素分别为 0 .6 3(95 % CI=0 .6 1～ 0 .6 5 )、0 .6 5 (0 .6 4～ 0 .6 7)、0 .37(0 .34～ 0 .40 )和 0 .2 9(0 .2 7～ 0 .31)
Objective To investigate the reasons for the initial drug addiction among opiate addicts in some areas and to take targeted measures to prevent substance abuse. Methods Self-survey of Substance Abuse Questionnaire was used to investigate 657 opiate addicts receiving detoxification in Beijing, Harbin, Xi’an, Chongqing, Guizhou and Wuhan. The investigation included 14 items that caused the initial drug abuse and summarized the four factors of social, physical, psychological and pleasure pursuits. The theoretical score of each factor was 0-1. Results The initial causes of drug abuse were ranked as follows: curiosity drive (91.4%), thinking that I was not addicted and tried to use drugs (87.2%), and did not know the dangers of drugs (80.1%) , Mimicking others (66.1%), pursuing hedonic psychology (56.6%), being affected by companions and friends (49.8%), using drugs (47.2%), boring Nothing to do, in the community “nausea ” (38.3%), “reverse psychology ” attempt to poison (36.3%), the body aches in an attempt to use drugs Accounting for 34.1% of the total), physical exertion to take drugs to relieve fatigue (32.2%), to show off wealth by drug use (31.6%) and to use drugs to stimulate the spirit (20.6%) in an attempt to increase drug use Sexual function (12.0%). The average of each factor showed that the social, psychological, physical factors and pleasure-seeking factors that affect the initial drug use were 0.63 (95% CI = 0.6 1 ~ 0.6 5), 0.665 (0.664-0.67), 0.37 (0.34-0.40) and 0.929 (0.227-0.31)