台灣青少年藥物濫用研究之文獻回顧

Review of studies on adolescent drug abuse in Taiwan

本研究回顧1996年至2017年間國內青少年藥物濫用論文，以瞭解其內涵與題材類型之變化。本文以台灣博碩士論文知識加值系統、HyRead Journal台灣全文資料庫、台灣期刊論文索引與華藝線上圖書館，搜尋青少年藥物濫用論文，共取得59篇。研究發現：這些論文可以分為四大類：論述性、調查性、發展歷程與關連性、以及介入性研究。四類篇數各佔二至三成。依照時序可分三階段，1996-2003年第一階段9篇；2004-2010第二階段20篇；2011-2017第三階段30篇。這三階段的數量變化有明顯的上升趨勢，反映青少年藥物濫用議題日益受到學界重視。這三階段的論文題材亦隨年代而有變化。在第一階段以論述性文章為最多，偏重藥物濫用或預防計畫之概念介紹；第二階段以介入性論文較多，研究對象與研究方法呈現出多元的樣貌；到了第三階段論文篇數的成長幅度頗大，發展歷程與關聯性以及介入性論文為最多，前者多指出同儕或社會網絡對青少年藥物濫用扮演重要的因素；後者多聚焦在反毒教育課程或預防方案之效果。青少年藥物濫用議題之研究日益受到重視，研究議題多樣性也日益增加，此變化趨勢可能與社會情境、藥物濫用政策的變化相關。（台灣衛誌2021；40(2)：133-150）

We reviewed Taiwanese research on adolescent drug abuse for the period from 1996 to 2017 to elucidate the changes in findings and major topics. We consulted the Taiwan Digital Library of Theses and Dissertations, HyRead Journal Taiwan full-text database, Humanities & Social Science Databases Catalog, and Airiti Library. A total of 59 articles on drug abuse among teenagers were identified from 1996 to 2017. The included papers were divided into 4 categories according to their approach: narrative, investigative, interventional, and a focus on developing processes/ relevance. The 4 categories each accounted for 20%-30% of all papers. We divided the papers into 3 stages: the first (1996-2003), second (2004-2010), and third (2011-2017) stages included 9, 19, and 31 papers, respectively. The quantitative changes during these 3 stages exhibited a clear upward trend. This trend suggests that the problem of drug abuse among teenagers has been receiving increased attention. The subject matter also varied during the study period. In the first stage, most studies employed a narrative approach and focused on introducing the concept of drug abuse or prevention programs; in the second stage, intervention studies were more prevalent, and the research objects and research methods varied considerably; and in the third stage, studies focused more on developing processes/ relevance and interventions. Research on adolescent drug abuse has received increasing attention, and the diversity of research topics has also increased. This change may be related to changes in social conditions and drug abuse policies. (Taiwan J Public Health. 2021; 40(2): 133-150)