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1 173名强制隔离戒毒者童年期虐待及毒品使用行为调查

陈艳玲,  张俊杰,  顾琼,  于海波,  许胜,  孙业桓

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文章导航 > 中华疾病控制杂志  > 2022 >  26(4): 392-396
陈艳玲, 张俊杰, 顾琼, 于海波, 许胜, 孙业桓. 1 173名强制隔离戒毒者童年期虐待及毒品使用行为调查[J]. 中华疾病控制杂志, 2022, 26(4): 392-396. doi: 10.16462/j.cnki.zhjbkz.2022.04.005
引用本文: 陈艳玲, 张俊杰, 顾琼, 于海波, 许胜, 孙业桓. 1 173名强制隔离戒毒者童年期虐待及毒品使用行为调查[J]. 中华疾病控制杂志, 2022, 26(4): 392-396. doi: 10.16462/j.cnki.zhjbkz.2022.04.005
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CHEN Yan-ling, ZHANG Jun-jie, GU Qiong, YU Hai-bo, XU Sheng, SUN Ye-huan. A survey of childhood maltreatment and drug use among 1 173 patients with methamphetamine use disorder in compulsory isolation[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(4): 392-396. doi: 10.16462/j.cnki.zhjbkz.2022.04.005
Citation: CHEN Yan-ling, ZHANG Jun-jie, GU Qiong, YU Hai-bo, XU Sheng, SUN Ye-huan. A survey of childhood maltreatment and drug use among 1 173 patients with methamphetamine use disorder in compulsory isolation[J]. CHINESE JOURNAL OF DISEASE CONTROL & PREVENTION, 2022, 26(4): 392-396. doi: 10.16462/j.cnki.zhjbkz.2022.04.005
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1 173名强制隔离戒毒者童年期虐待及毒品使用行为调查

doi: 10.16462/j.cnki.zhjbkz.2022.04.005
  • 1.

    230012 合肥，安徽中医药大学心理咨询中心

  • 2.

    230032 合肥，安徽医科大学公共卫生学院流行病与统计学系

  • 3.

    230012 合肥，安徽中医药大学人文与国际教育交流学院应用心理学教研室

基金项目: 

安徽高校人文社会科学研究重点项目 SK2016A051

安徽中医药大学自然科学研究重点项目 2018zrzd09

详细信息
    通讯作者:

    孙业桓，E-mail: sunyehuan@ahmu.edu.cn

  • 中图分类号: R181.3;R749.64

A survey of childhood maltreatment and drug use among 1 173 patients with methamphetamine use disorder in compulsory isolation

  • 1.

    Psychological Counseling Center, Anhui University of Chinese Medicine, Hefei 230012, China

  • 2.

    Department of Epidemiology and Health Statistics, School of Public Health, Anhui Medical University, Hefei 230032, China

  • 3.

    Department of Applied Psychology, School of Humanities and International Education Exchange, Anhui University of Chinese Medicine, Hefei 230012, China

Funds: 

Projects of Humanities and Social Sciences in Universities and Colleges in Anhui SK2016A051

Projects of Natural Science Research of Anhui University of Chinese Medicine 2018zrzd09

More Information

    摘要
  • 摘要:   目的  探讨甲基苯丙胺(methamphetamine, MA)使用障碍戒毒者各类型童年期虐待的检出率及其与毒品使用行为的关系。  方法  采用横断面调查法在安徽省7所成人强制隔离戒毒所招募MA使用障碍戒毒者1 173人。采用一般情况和毒品使用行为调查表、儿童期虐待问卷简版(Childhood Trauma Questionnaire-Short Form, CTQ-SF)对研究对象进行调查。采用一般描述性分析、χ2检验、二元Logistic回归分析模型对数据进行统计检验。  结果  童年期虐待经历总检出率为44.6%，5种类型童年期虐待检出率由高到低分别为情感忽视(26.5%)、躯体忽视(24.6%)、性虐待(18.0%)、躯体虐待(7.5%)以及情感虐待(5.5%)。情感虐待、情感忽视女性检出率高于男性，性虐待男性检出率高于女性(均有P < 0.05)。二元Logistic回归分析模型结果发现，性虐待、情感忽视经历是低首次使用毒品年龄(< 18岁)的危险因素，而性虐待经历是高MA使用频率(MA平均每月使用>15 d)的危险因素(均有P < 0.05)。  结论  童年期虐待对首次使用毒品年龄、MA使用频率的影响值得毒品戒治相关部门的重视。
    Abstract:   Objective  The study aims to investigate the prevalence of childhood maltreatment among methamphetamine (MA) addicts and its relationship with drug use behavior.  Methods  A cross-sectional survey was conducted in seven adult compulsory isolation centers in Anhui Province, and 1 173 patients were recruited with MA use disorder. All participants were investigated with the general demographic characteristics and drug use behavior questionnaire, and childhood trauma questionnaire short form (CTQ-SF). General descriptive analysis, Chi square test and binary Logistic regression analysis were used for statistical analysis.  Results  The detection rates of five types of childhood maltreatment experiences from high to low were 26.5% for emotional neglect, 24.6% for physical neglect, 18.0% for sexual abuse, 7.5% for physical abuse, 5.5% for emotional abuse and 44.6% for total childhood maltreatment experiences. The detection rates of emotional abuse and emotional neglect in women were higher than those in men, and the detection rate of sexual abuse in men was higher than that in female (all P < 0.05). Binary Logistic regression analysis showed that sexual abuse and emotional neglect were risk factors for low age of the first drug use (< 18 years old), while sexual abuse was a risk factor for high average frequency of MA use (>15 days per month) (all P < 0.05).  Conclusion  The possible influence of childhood maltreatment experiences on the age of the first drug use and the average frequency of MA should be noticed by the drug treatment department.
    • HTML全文

  • 表  1  MUD戒毒者各类型CM经历的检出率及不同性别比较[n(%)]

    Table  1.   The rates of different types of CM experience and comparison between different genders in MUD addicts [n(%)]

    变量 总体(N=1 173) 男性(n=762) 女性(n=411) χ2值 P值
    情感虐待 4.841 0.028
      有 65(5.5) 34(4.5) 31(7.5)
      无 1 108(94.5) 728(95.5) 380(92.5)
    躯体虐待 0.433 0.510
      有 88(7.5) 60(7.9) 28(6.8)
      无 1 085(92.5) 702(92.1) 383(93.2)
    性虐待 4.245 0.039
      有 211(18.0) 150(19.7) 61(14.8)
      无 962(82.0) 612(80.3) 350(85.2)
    情感忽视 6.962 0.008
      有 311(26.5) 183(24.0) 128(31.1)
      无 862(73.5) 579(76.0) 283(68.9)
    躯体忽视 2.955 0.086
      有 288(24.6) 175(23.0) 113(27.5)
      无 885(75.4) 587(77.0)) 298(72.5)
    CM经历 1.160 0.281
      阳性 523(44.6) 331(43.4) 192(46.7)
      阴性 650(55.4) 431(56.6) 219(53.3)
    CM 0.000 0.994
      有 277(23.6) 180(23.6) 97(23.6)
      无 896(76.4) 582(76.4) 314(76.4)
    童年期忽视 4.315 0.038
      有 391(33.3) 238(31.2) 153(37.2)
      无 782(66.7) 524(68.8) 316(62.8)
    情感忽视+躯体忽视 5.870 0.015
      有 208(17.7) 120(15.7) 88(21.4)
      无 965(82.3) 642(84.3) 323(78.6)
    注：根据CTQ-SF各分量表划界值，有表示存在该类型的中-重度创伤暴露; 无表示不存在该类型的中-重度创伤暴露。CM经历阳性指在5个CTQ-SF分量表中，若存在1个或以上的分量表分数超过了中-重度创伤暴露划界值即认为研究对象存在童年期虐待和忽视经历; CM经历阴性指任何分量表分数均没超过中-重度创伤暴露划界值。CM指个体存在有情感虐待、躯体虐待和性虐待经历1种或1种以上者，同时不考虑是否存在忽视类型; 童年期忽视指个体存在有情感忽视和躯体忽视经历1种或1种以上者，同时不考虑是否存在虐待类型; 情感忽视+躯体忽视指同时存在2种忽视经历者，同时不考虑是否存在虐待类型。
    下载: 导出CSV

    表  2  童年期各类型虐待对研究对象毒品使用行为的二分类Logistic回归分析模型分析结果

    Table  2.   The results of binary Logistic regression analysis of various types of CM on drug use behavior of study subjects

    变量 首次使用毒品年龄 MA使用频率
    β值 Wald值 OR(95% CI)值 P值 β值 Wald值 OR(95% CI)值 P值
    情感虐待
      无 1.000 1.000
      有 0.066 0.037 1.069(0.542~2.106) 0.848 -0.205 0.462 0.815(0.452~1.470) 0.496
    躯体虐待
      无 1.000 1.000
      有 0.095 0.087 1.099(0.586~2.063) 0.768 -0.325 1.624 0.723(0.438~1.191) 0.202
    性虐待
      无 1.000 1.000
      有 0.538 5.912 1.713(1.110~2.644) 0.015 0.715 15.529 2.044(1.432~2.916) < 0.001
    情感忽视
      无 1.000 1.000
      有 0.850 13.103 2.341(1.477~3.709) <0.001 0.131 0.522 1.140(0.799~1.627) 0.470
    躯体忽视
      无 1.000 1.000
      有 -0.095 0.149 0.910(0.563~1.470) 0.699 -0.078 0.180 0.925(0.646~1.325) 0.672
    注：首次使用毒品年龄分析中的控制变量为：性别、文化程度; MA使用频率分析中的控制变量为：年龄、性别、文化程度、婚姻状况及职业状况。
    下载: 导出CSV
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  • 收稿日期:  2021-01-20
  • 修回日期:  2021-05-24
  • 网络出版日期:  2022-04-14
  • 刊出日期:  2022-04-10

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