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目的了解辽宁省甲基苯丙胺成瘾者暴力攻击行为影响因素,为相关部门采取有针对性的预防和综合干预措施提供科学依据。方法于2016年1—9月通过辽宁省吸毒人员动态管控系统在沈阳、鞍山、抚顺、丹东、营口、辽阳6个市抽取因吸食甲基苯丙胺被初次抓获的1 734例≤40岁甲基苯丙胺成瘾者进行问卷调查,并采用修改版外显攻击行为量表(MOAS)对甲基苯丙胺成瘾者进行攻击行为评估,将其分为暴力攻击组(n=408)和非暴力攻击组(n=1 326),应用多因素非条件logistic回归模型分析甲基苯丙胺成瘾者暴力攻击行为的相关影响因素。结果多因素非条件logistic回归分析结果显示,父母吸毒/酗酒(OR=4.03,95%CI=3.18~4.89)、有同伴暴力(OR=7.50,95%CI=6.86~8.13)、兴奋性人格特质(OR=1.11,95%CI=1.01~1.22)、不信任人格特质(OR=3.97,95%CI=2.74~5.19)、父亲教养方式为拒绝/否认(OR=2.52,95%CI=2.12~2.91)是辽宁省甲基苯丙胺成瘾者暴力攻击行为发生的危险因素;社会支持总分较高(OR=0.54,95%CI=0.45~0.63)是辽宁省甲基苯丙胺成瘾者暴力攻击行为发生的保护因素。结论辽宁省甲基苯丙胺成瘾者暴力行为的发生同时受到家庭、社会、应激等诸多因素的共同影响,应采取有针对性的综合干预措施。
Objective To understand the influencing factors of violent attacks by methamphetamine addicts in Liaoning Province and provide scientific evidences for relevant departments to take targeted prevention and comprehensive interventions. Methods From January to September of 2016, 1 734 methamphetamine patients aged less than 40 years who were first seized in methamphetamine were taken from 6 cities of Shenyang, Anshan, Fushun, Dandong, Yingkou and Liaoyang through the dynamic management and control system of drug addicts in Liaoning Province. Addicts were surveyed and aggression assessed using methamphetamine addicts using a modified version of the Outward Strike Aggression Scale (MOAS), divided into violent aggression groups (n = 408) and non-violent aggression groups (n = n = 1 326). The multivariate non-conditional logistic regression model was used to analyze the influencing factors of violent aggression in methamphetamine addicts. Results The multivariate non-conditional logistic regression analysis showed that the parents had drug abuse / alcohol abuse (OR = 4.03, 95% CI = 3.18-4.89), with peer violence (OR = 7.50,95% CI = 6.86-8.13), excitatory personality traits (OR = 1.11, 95% CI = 1.01-1.22), untrust personality trait (OR = 3.97,95% CI = 2.74-5.19), parental denial / denial (OR = 2.52,95% CI = 2.91) were risk factors for violent attacks by methamphetamine addicts in Liaoning Province. The higher social support scores (OR = 0.54, 95% CI = 0.45-0.63) were the violent attacks by methamphetamine addicts in Liaoning Province Occurrence of protective factors. Conclusions The incidence of methamphetamine addicts in Liaoning Province is affected by many factors including family, society and stress at the same time. Comprehensive and targeted interventions should be taken.