| Summary: | 碩士 === 中國醫藥大學 === 環境醫學研究所碩士班 === 94 === Abstract
Objectives: The purposes of this case-control study were to investigate illegal drug use and to examine the individual and family factors for drug abuse behavior among adolescents.
Methods: We conducted a case-control study and used purposive sampling method obtaining an analytical sample of 525 aged from 12 to 19, including 151 for case group and 374 for control group. Adolescents who used illegal drug during July to October in 2005 and detained in the Correctional Agencies of Ministry of Justice, including 11 Juvenile Detention Houses in Western Taiwan, 1 Juvenile Drug Abuser Treatment Center, 2 Juvenile Correctional High Schools, and 2 Juvenile Reform Schools were recruited as case group. The control group was consisted of 374 school students from 11 Juvenile Detention House areas of high schools in western Taiwan frequency matching to the case group and sampling more than 2 to 2.5 folds. A self-reported questionnaire was used to collect information on the behavior of drug abuse and its correlates including family structure and social economic status, family dynamic factors such as family caring and substance use, individual psychological factors and learning achievement, and individual substance use.
Results: The results were as follows: 1)Amphetamine was the most popular illicit drug among adolescents, and the next were ketamine and MDMA. 2)The primary reason using drug were curious and drug source was almost from peer group. 3)The significant family correlates included broken family(OR=4.76), family social-economic status(OR=2.93 for low-medium level and OR=8.22 for low level based on high level), daily pocket money given by family(OR=6.64 for equal or more than 501 dollars), and family chewing betel nut(OR=2.24). 4)The individual correlates were learning achievement(OR=4.19 for medium-grade and OR=8.42 for low-grade based on high-grade), being sex victim(OR=3.52), and conduct disorder(OR=2.77). 5)This study also found high correlation between 3 substance such as smoking, drinking, chewing betel nut and drug use. The proportion of using above 3 substance was 61.59% on drug abuse adolescents while only 5.3% on no drug abuse ones.
Conclusion: This study suggested that we should not only taken effort on the prevention for drug abuse on adolescents through individual and family level but operated drug treatment program with cigarette, alcohol, and betel treatment.
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