Terapevticheskii arkhivTerapevticheskii arkhiv0040-36602309-5342LLC Obyedinennaya Redaktsiya30971Visits to the doctor because of illness or injury of the students of vocational schools who consume or do not consume psychoactive substances (comparative aspects)YurgayteneDalya Petrovnadalia.jurgaitiene@gmail.comShopageneDiana Stasevna-AndreevVladimir Arsent'evich-JurgaitieneD PKlaipeda University, Lithuania-SopagieneD SKlaipeda University, Lithuania-AndreyevV AM. Romeris University, Lithuania-Klaipeda University, LithuaniaM. Romeris University, Lithuania15012012841151810042020Copyright © 2012, Consilium Medicum2012Aim. To elucidate what impact has the use of different narcotic drugs, alcohol and tobacco on the health of students and the risk of injuries.
Material and methods. We carried out a questionnaire survey of the first year students from all six vocational schools of Klaipeda (Lithuania) in 2004, 2006 and 2008. A total of 912 students (507 boys and 405 girls, mean age 17.5 years) were surveyed with an anonymous questionnaire. The findings were analysed with computer soft SPSS (SPSS 16.0 for Windows).
Results. The results showed that the use of any psychoactive substances is damaging to health, especially injection and club narcotic drugs. Adolescents addicted to any psychoactive substances more often than non-addicts visited doctor due to illness or injury during the last 12 months.
Conclusion. Adolescents on illegal drugs, especially boys on injectable narcotic drugs and girls on club drugs were at twice higher risk for disease or injury (odds ratio - OR - 3.39, 95% confidence interval -CI - 1.25 to 9.19, p=0.016 and OR -2.38, CI - 1.35 to 4.20, p=0.003, respectively). Tobacco and alcohol consumption did not significantly increase this risk with the exception of tobacco smoking girls. We think it happened because these two addictions are widely spread among large part of the boys from the vocational schools.vocational school studentsdrugsalcoholtobaccoillnessinjuryvisits to the doctorsучащиеся ПТУнаркотикиалкогольтабакболезнитравмыобращение к врачам[Старкувене С., Заборскис А. Связь факторов образа жизни и несчастных случаев среди учащихся Литвы. Медицина (Каунас) 2005; 41 (1): 69-75.][Roy A., Wibberley C., Lamb J. The usual suspects: alcohol, tobacco and other drug use in 15-to 16-year old school pupils - prevalence, feelings and perceived health risks. Drugs Educ. Prev. Pol. 2005; 12 (4): 305-315.][Юргайтене Д. Распространение употребления наркотиков среди учащихся и способствующие данному явлению факторы. Клайпеда; 2010. 141-198.][McCabe S. E., Cranford J. A., Morales M., Young A. Simultaneous and concurrent polydrug use of alcohol and prescription drugs: prevalence, correlates, and consequences. J. Stud. Alcohol 2006; 67 (4): 529-537.][Currie C., Samdal O., Boyce W., Smith R., eds. Health behaviour in school-aged children: a World Health Organization cross-national study (HBSC). Research protocol for the 2001/2002 survey. Edinburgh: Child and Adolescent Health Research Unit, University of Edinburgh; 2001. 36-90.][Гоштаутас А. Употребление табака и этанола в Литве 1972-2003 гг. и перспектива профилактики. Каунас: Университет им. Витаутаса; 2006. 15-26.][Sutherland I., Shepherd J. P. Adolescents' beliefs about future substance use: a comparison of current users and non-users of cigarettes, alcohol and illicit drugs. J. Adolesc. 2002; 25 (2): 169-181.][Smith K. M., Larive L. L., Romanelli F. Club drugs: methylenedioxymethamphetamine, flunitrazepam, ketamine hydrochloride, and gamma-hydroxybutyrate. Am. J. Hlth Syst. Pharm. 2002; 59 (11): 1067-1076.][Degenhardt L., Coffey C., Moran P. et al. The predictors and consequences of adolescent amphetamine use: findings from the Victoria Adolescent Health Cohort Study. Addiction 2007;102 (7): 1076-1084.][Lynskey M. T., Coffey C., Degenhardt L. et al. A longitudinal study of the effects of adolescent cannabis use of high school completion. Addiction 2003; 98 (5): 685-692.][Никифоров И. А. Эпидемиологические аспекты наркотизма. Мед. помощь 2005: 4: 9-15.][Кесельман Л. Е., Мацкевич М. Г. Социальное пространство наркотизма. 2-е изд. СПб.: Мед. пресса; 2004. 12-36.]