本研究主要目的是了解彰化縣高中職學生成癮物質認知、使用與盛行率之現況,並討論不同人口特性之變項與高中職學生成癮物質使用之相關性。 本研究採量化問卷調查法為研究方法,使用自編的「高中職學生成癮物質使用盛行率調查問卷」,以蒐集高中職學生成癮物質使用的相關資料,研究樣本以103學年度第1學期彰化縣高中職學生為母群體,並依彰化縣學生校外生活輔導會各分會學校比例,以分層隨機取樣的方式抽出日間部12所學校,進修學校4所學校,高一至高三共48個班,獲得有效樣本1553份,施測時間為103年10月,另本研究主要以描述性統計、信度分析、交叉表分析、卡方考驗及變異數分析等統計方法進行資料處理。 本研究分析結果發現,彰化縣高中職學生在成癮物質認知答對率為74.35%,其中大多數學生對深化紫錐花運動、K他命、FM2等有一定之認知;然而,對搖頭丸(MDMA)及搖腳丸(LSD)等非法藥物認知較為不足;學生接觸成癮物質防制濫用宣導途徑中,以全民國防教育課程、專題演講、友善校園週宣導等3項最高;過去一年香菸使用盛行率為15.6%,飲酒盛行率為31.5%,嚼食檳榔盛行率為4.6%,非法藥物使用盛行率為1.35%;第一次使用非法藥物的年齡以15歲為最多,第一次使用非法藥物原因以好奇使用者為最高、其次為因朋友慫恿,第一次使用之非法藥物以K他命為最多。 本研究建議教育單位除應持續加強反毒知能宣導外,另應將有抽菸、飲酒、嚼食檳榔且具有離家出走、翹課、刺青、打架、參加民俗藝陣等經驗之學生列入高風險人員,加強輔導,以達早期預防之效。
The aim of this study was to investigate the perception and prevalence of addictive substance use in senior and vocational high school students in Changhua County and the correlation with demographic variables. In this study, quantitative survey method using self-developed questionnaire “Prevalence survey on addictive substance use in senior and vocational high school students” was applied to collect relative data. From the population of senior and vocational high school students in Changhua County registered in the first semester of 2014 school year, stratified random sampling was introduced on the basis of the percentage of school participating in Changhua County Student Off-Campus Guidance Committee to select first- to third-grade students from 48 classes in12 day schools and 4 evening schools as participants. A total of 1553 valid samples were collected during October 2014. The data was further analyzed with descriptive statistics, reliability analysis, cross tabulation, chi-square test and ANOVA. The results showed that the students’ correct answer rate on addictive substance knowledge test was 74.35%. Most students had basic knowledge about Echinacea Campaign, ketamine and FM2 poor knowledge about methylenedioxy-methamphetamine (MDMA) and Lyseragic Acid Diethylamide (LSD). The best-known propagandas against addictive substance use among the students were National Defense Education Program, keynote speeches and Friendly Campus Week Campaign. The prevalence of smoking, drinking, betel nut chewing and illicit drug use in the last year were 15.6%, 31.5%, 4.6% and 1.35%, respectively. The peak incidence of first illicit drug use occurred at age 15. The most common reason for first illicit drug use was out of curiosity followed by instigation of friends. Ketamine was the most common initially used illicit drug. It is suggested that the education authority should continue to strengthen the anti-drug campaign and provide counseling service for high-risk drug use population, including students who smoke, drink alcohol, chew betel nut and with experience of running away from home, avoid attending class, tattoos, fighting or participating in folk art parades, in order to achieve early prevention of drug use.