CAJ | 학술논문

目的：了解广东省中学生非医疗目的使用处方药及非处方（OTC）药的情况，及家庭因素和个人危害认知对中学生非医疗目的使用药物行为的影响。方法：采用多阶段分层整群抽样的方法抽取清远、湛江、潮州及深圳4座城市的在校中学生16300名，自行设计问卷对青少年非医疗目的使用药物及家庭相关因素进行调查。结果：4.4%的中学生曾经非医疗目的使用处方药及 OTC 药，多因素分析结果发现家庭关系（OR =2.48，95% CI =1.64~3.75），父母曾经非医疗目的使用药物（OR =2.25，95% CI =1.57~3.24），及对非医疗目的用药物危害性的认知（OR =1.24，95% CI =1.02~1.50）是中学生非医疗目的使用处方药及 OTC 药物的危险因素。结论：广东青少年非医疗目的使用处方药物及 OTC 药行为发生率较高，家庭关系矛盾、父母曾经非医疗目的使用药物及对非医疗目的使用药物危害认知缺失的中学生倾向于出现非医疗目使用处方药及 OTC 药。
목적：료해광동성중학생비의료목적사용처방약급비처방（OTC）약적정황，급가정인소화개인위해인지대중학생비의료목적사용약물행위적영향。방법：채용다계단분층정군추양적방법추취청원、담강、조주급심수4좌성시적재교중학생16300명，자행설계문권대청소년비의료목적사용약물급가정상관인소진행조사。결과：4.4%적중학생증경비의료목적사용처방약급 OTC 약，다인소분석결과발현가정관계（OR =2.48，95% CI =1.64~3.75），부모증경비의료목적사용약물（OR =2.25，95% CI =1.57~3.24），급대비의료목적용약물위해성적인지（OR =1.24，95% CI =1.02~1.50）시중학생비의료목적사용처방약급 OTC 약물적위험인소。결론：엄동청소년비의료목적사용처방약물급 OTC 약행위발생솔교고，가정관계모순、부모증경비의료목적사용약물급대비의료목적사용약물위해인지결실적중학생경향우출현비의료목사용처방약급 OTC 약。
Objective:To investigate the prevalence of non-medical use of prescription drug and among high school students and its relationship with family-associated factors. Methods:A self-administered questionnaire survey was conducted in a cross-sectional study to collect information about non-medical use of prescription and OTC drugs among 16300 students selected from Qingyuan,Zhanjiang, Chaozhou and Shenzhen with stratified cluster randomly sampling. Results:The prevalence of non-medical use of prescription and OTC drugs reached4. 4% . Multivariate logistic regression analyses indicated that the determinants of the non-medical use of prescription and OTC drugs were family relationship(OR = 2. 48,95% CI = 1. 64-3. 75),parents with history of non-medical drug use(OR = 2. 25 95%CI =1. 57-3. 24)and harm cognitive of non-medical use of prescription and OTC drugs(OR =1. 24,95% CI =1. 02-1. 50). Conclusion:There is a high prevalence of non-medical use of prescription and OTC drugs. And students with conflictive family relationship,parents with history of non-medical drug use,or harm cognitive of non-medical use of drug at higher risk developing drugs use behavior.