摘要
目的：反毒認同度對於施用毒品行為動機至關重要，過去研究顯示首次施用毒品年齡層以20 ~ 29 歲男性為主連續5 年居冠，瞭解影響反毒認同度之因子將有助於擬定相關策略，本研究旨在探討影響役男族群反毒認同度的相關因子。
方法：本研究透過問卷調查20 ~ 29 歲役男對反毒之認知與認同度，再以描述性統計及羅吉斯回歸分析找出與低反毒認同度的相關因子。
結果： 共回收1,274 份有效問卷， 有72% 居住直轄市、大專以上學歷占90.8%。吸菸、飲酒、檳榔盛行率分別為17.3%、15.5%、1.6%。研究發現菸、酒、檳榔使用者在「告知毒品危害」與「拒毒技巧及信心」面向反毒認同度低。經校正居住地、學歷、使用菸、酒、檳榔、反毒認知、反毒宣導等干擾因子，飲酒者出現低反毒認同度的勝算比約為2.1 而檳榔使用者對於「拒毒技巧及信心」低反毒認同度勝算比高達3.6。
結論：至今許多研究認為菸、酒、檳榔的使用是降低反毒認知的風險因子，然而本研究發現降低反毒認同度主要風險因子為酒精。可作為協助政府制定藥物濫用預防政策之參酌。
ABSTRACT
Objectives: The degree of anti-drug attitudes is crucial for drug use motivation. Previous studies show that males aged 20 ~ 29 have had the highest rates of firsttime drug use for five consecutive years. Understanding factors affecting anti-drug attitudes will help formulate strategies. This study aims to explore factors influencing anti-drug attitudes among male conscripts.
Methods: We surveyed 20-29-year-old conscripts to investigate their awareness and attitudes towards the anti-drug movement. Descriptive statistics and logistic regression were used to identify factors related to low anti-drug attitudes.
Results: A total of 1,274 valid questionnaires were collected. 72% of respondents lived in metropolitan cities, and 90.8% had undergraduate degree or higher. The prevalence rates of tobacco, alcohol, and betel nut use were 17.3%, 15.5%, and 1.6%, respectively. Users of tobacco, alcohol, and betel nut had lower anti-drug attitudes in the dimensions of “informing about drug hazards” and “drug refusal skills and confidence.” After adjusting for confounding factors such as residence, education, use of tobacco, alcohol, and betel nut, anti-drug awareness, and anti-drug education, the odds ratio for low anti-drug attitudes was approximately 2.1 for alcohol users and 3.6 for betel nut users in “refusal skills.”
Conclusions: Many studies have suggested that the use of tobacco, alcohol, and betel nut are risk factors for lowering anti-drug attitudes. However, our study found alcohol to be the primary risk factor. This finding could assist the government in formulating drug abuse prevention policies.
Submitted for publication: 2024.6.3; Accepted for publication: 2024.8.9
