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Issues of risky behaviours in university students


Authors: B. Spěváková 1 ;  V. Boštíková 2
Authors place of work: Katedra toxikologie a vojenské farmacie, Vojenská lékařská fakulta Univerzity obrany Hradec Králové 1;  Katedra epidemiologie, Vojenská lékařská fakulta Univerzity obrany Hradec Králové 2
Published in the journal: Epidemiol. Mikrobiol. Imunol. 73, 2024, č. 1, s. 12-20
Category: Original Papers
doi: https://doi.org/10.61568/emi/11-6254/20240123/136238

Summary

Aim: Risk behaviour is typical of adolescence and young adulthood, but the consequences can persist for the rest of life – in all domains – physical, psychological, and social. Challenging situations, stress, as well as feelings of a lack of stimulation in an individual’s life are considered to be triggers for risky behaviours. Prevention therefore plays a crucial role. The aim of the study was to analyse the current situation in addictive and risky sexual behaviours in a group of university students.

Material and Methods: Between 2019 and 2022, students of universities in East Bohemia – University of Hradec Králové (UHK), Charles University (UK), University of Defence (UNOB), and University of Pardubice (UPCE) – were approached and asked to complete a questionnaire survey focused on addictive and risky sexual behaviours. Based on the search strategy, research hypotheses were constructed, which were subsequently developed into interview questions. The research hypotheses were tested using Pearson’s test. The questionnaire return rate was 84%. After eliminating invalid responses, 157 participants were included in the survey – 64% female, 36% male, age range 19–32 years.

Results: In the area of addictive behaviours, the focus was on substance and non-substance addictions. In terms of addictive substances, a question addressed cigarette smoking, which was reported by 14.6% of the survey participants. This is 50% less than what we see in the general population of the same age (by general population we mean the group of people approached for the surveys conducted, chosen by stratified random sampling based on age). In contrast, significantly higher rates of university students reported the use of illicit substances – marijuana, sedatives/tranquilizers without a doctor’s prescription, cocaine, or hallucinogens compared to the age-matched general population. In the area of risky sexual behaviours, a question was included

 

 

 

about sexual intercourse with casual acquaintances. It was experienced by one in four respondents. In 83.3%, this behaviour was influenced by the use of an addictive substance. The survey pointed to the high rates of salutoprotective factors (e.g. interest in sports was reported by 87.9% of respondents). Perceived social support from friends (reported by 74.5% of respondents) or family (reported by 72.6% of respondents) is a preventive factor for risky behaviours.

Conclusions: The aim of the survey was to determine the prevalence of high-risk addictive and sexual behaviours among university students and possible prevention measures. Salutoprotective factors during increased stress or awareness of social support seem to be of benefit. We assumed a protective effect of higher education, but this survey did not show it. On the contrary, the stress induced by university studies and the pressure on academic performance appeared to be a risk factor. The results of the survey provide insights into new approaches to the prevention to improve its effectiveness and point to major problems to be addressed in Czech university students.

Keywords:

risky behaviours – legal addictive substances – illegal addictive substances – non-substance addictions – risky sexual behaviours – prevention


Zdroje
  1. Miovský M, Skácelová L, Zapletalová J, et al. Prevence rizikového chování ve školství. Praha: Klinika adiktologie 1. LF UK v Praze a VFN v Praze, 2015. 330 s. ISBN-13: 978-80-7422-391-4.
  2. Kraus B. Sociální deviace v transformaci společnosti. Hradec Králové: Gaudeamus, 2015. s. 210. ISBN-13: 978-80-7435-575-2.
  3. Fischer S, Škoda, J. Sociální patologie: analýza příčin a možnosti ovlivňování závažných sociálně patologických jevů. Praha: Grada, 2009. 224. ISBN-13: 978-80-247-2781-3.
  4. Amsel E. Biopsychosocial models of Adolescent Risk Taking. USA; 2007. Dostupné na www: https://faculty.weber.edu/eamsel/Classes/Child%203000/Adolescent%20Risk%20taking/Lectures/5%20 Bio%20Psycho%20Social%20Model/Biopsychosocial.pdf.
  5. Agnafors S, Svedin C, Oreland L, et al. A biopsychosocial approach to risk and resilience on behavior in children followed from birth to age 12. Child psychiatry and human development, 2017; p. 45. ISSN 1573-3327. Dostupné na www: https://link.springer. com/article/10.1007/s10578-016-0684-x.
  6. Alcoholic Anonymous. An introduction to the A.A recovery program. 2023. Dostupné na www: https://www.aa.org/aa-introdu- ction-aa-recovery-program.
  7. Nešpor K. Návykové chování a závislost. Praha: Portál, 2018. 256 s. ISBN-13: 978-80-262-1357-4.
  8. Mravčík V, Chomynová P, Grohmannová K, et al. Zpráva o alkoholu v České republice 2021. Praha; Úřad vlády České republiky, 2023. 221 s. ISBN-13: 978-80-7440-275-3. Dostupné na www:https://www.drogy-info.cz/data/obj_files/33590/1128/Zpra- va_o_alkoholu_v_CR_2021_fin.pdf.
  9. Chomynová P, Mravčík V. Zaostřeno: Národní výzkum užívání návykových látek. Praha: Úřad vlády České republiky, 2021;7(5). ISSN 2336-8241.
  10. Skála J. Alkohol a jiné (psychotropní) drogy: abuzus a závislost. Praha: Avicenum: 1986. 272 s.
  11. Csémy L, Dvořáková Z, Fialová A, et al. Užívání tabáku a alkoholu v České republice 2022. Praha; Státní zdravotní ústav, 2023. ISBN-13: 978-80-7071-433-1. Dostupné na www: https://szu.cz/ wp-content/uploads/2023/09/Narodni-vyzkum-uzivani-tabaku-a-alkoholu-v-Ceske-republice-2022-1.pdf.
  12. Chomynová P, Grohmanová K, Dvořáková Z, et al. Souhrnná zpráva o závislostech v České republice 2022. Praha; Úřad vlády České republiky, 2023. 107s. ISBN-13: 978-80-7440-311-8. Dostupné na www: https://www.drogy-info.cz/data/obj_files/33854/1198/ Souhrnna_zprava_o_zavislostech_v_CR_2022_fin.pdf.
  13. Eurostat. Daily smokers of cigarettes by sex, age and educational attainment level. 2022. Dostupné na www: https:// ec.europa.eu/eurostat/databrowser/view/HLTH_EHIS_SK3E  custom_1506063/bookmark/table?lang=en&bookmarkId=73cb6c8d-8797-4923-a5b8-ee18b749c4ec.
  14. World Health Organization. Alcohol-attributable fractions, all-cause deaths by country. 2018. Dostupné na www: https:// apps.who.int/gho/data/view.main.53400.
  15. European Monitoring Centre For Drugs and Drug Addiction. Kratom drug profile. 2023. Dostupné na www: https://www.emcdda.europa.eu/publications/drug-profiles/kratom_en.
  16. Jonášová I. Rizikové sexuální chování In: Šance dětem. Praha, 2023. Dostupné na www: https://sancedetem.cz/rizikove-sexualni-chovani.
  17. Vavřinková B. Vede užívání psychotropních látek k rizikovému sexuálnímu chování? Česká gynekologie, 2011;76(1):56–59. ISSN 1805-4455. Dostupné na www: https://www.cs-gynekologie.cz/casopisy/ceska-gynekologie/2011-1/vede-uzivani-psychotropnich-latek-k-rizikovemu-sexualnimu-chovani-34376/ download?hl=cs.
  18. Karle A, Agardh A, Larsson M, et al. Risky sexual behavior and self-rated mental health among young adults in Skåne, Sweden – a cross-sectional study. BioMed Central Public Health, 2023;23(1):1–13. ISSN 1471-2458 Dostupné na www: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-022-14823-0.
  19. Akoglu H. User’s quiede to correlation coefficients. Turkish Journal of Emergency Medicine, 2018;18(3):91–93. ISSN 2452-2473. Dostupné na www: https://www.sciencedirect.com/science/ article/pii/S2452247318302164?via%3Dihub.
  20. Turley R. When parents want children to stay home for college. Research in Higher Education, 2006;47(7):823–846. ISSN 0361-0365. Dostupné na www: https://link.springer.com/article/10.1007/s11162-006-9017-4.
  21. Rusby JC, Light JM, Crowley R, et al. Influence of parent-youth relationship, parental monitoring, and parent substance use  on adolescent substance use onset. Journal of Family Psychology, 2018;32(3):310–320. ISSN 1939-1293. Dostupné na www: https://psycnet.apa.org/record/2018-00189-001.
  22. Mravčík V, Chomynová P, Nechanská B, et al. Alcohol use and its consequences in the Czech Republic. Central European Journal of Public Health, 2019;27(Supplement):15–28. ISSN 1803-1048. Dostupné na www: https://cejph.szu.cz/artkey/cjp-201988-0003_alcohol-use-and-its-consequences-in-the-czech-republic.php.
  23. Lukács A, Nóra S, János D, et al. Alcohol consumption among university students. Journal for Health Sciences, 2013;3(2):57–61. ISSN 2063-2142. Dostupné na www: https://core.ac.uk/download/pdf/42930576.pdf.
  24. Pliešovská N. Kratom vyzkoušel každý pátý středoškolák: Neregulovaná droga je dostupná i v automatech. In: Než zazvoní. 2022. Dostupné na www: https://www.nezzazvoni.cz/kratom-vyzkousel-kazdy-paty-stredoskolak.
  25. Vostřelová Z, Vajdlová D, Vacek J, et al. Užívání a informovanost o kratomu: dotazníková šetření mezi vysokoškolskými studenty. Adiktologie v preventivní a léčebné praxi, 2021;4(3):142–148. ISSN 2570-8120. Dostupné na www: https://www.aplp.cz/wp-con- tent/uploads/2021/10/01vostrelova.pdf.
  26. Arria A, Caldeira K, Allen H, et al. Prevalence and incidence of drug use among college students: An 8-year longitudial analysis. The American Journal of Drug and Alcohol Abuse, 2017;43(6):711–718. ISSN 0095-2990. Dostupné na www:https://www.researchgate.net/publication/316077094_Preva- lence_and_incidence_of_drug_use_among_college_students_an_8-year_longitudinal_analysis.
  27. Vayisoğlu S, Öncü E, Güven Y. The Frequency of Gambling among University Students and Its Realtionships to Theit Sensation-Seeking Behaviors. Addicta, 2019;6(1):81–90. ISSN 2149-1305. Dostupné na www: https://www.addicta.com.tr/en/ the-frequency-of-gambling-among-university-students-and-its-relationships-to-their-sensation-seeking-behaviors-1387.
  28. Petruželka B, Barták M, Rogalewicz V, et al. Problematic and risky sexual behaviour under the influence of alcohol among university students. Central European Journal of Public Health, 2018;26(4):289–297. ISSN 1803-1048. Dostupné na www:https://cejph.szu.cz/pdfs/cjp/2018/04/08.pdf .
  29. Stoklosa I, Stoklosa M, Porwolik M, et al. Analysis of high-risk sexual behavior among Polish university student. International Journal of Enviromental Research and Public Health, 2021;18(7):3737. ISSN 1660-4601. Dostupné na www: https:// www.mdpi.com/1660-4601/18/7/3737.
  30. Jahanfar S, Pashkei Z. Sexual attitudes and associated factors of risky sexual behaviors among university students. Brain and Behavior, 2022;12(8):1–8. ISSN 2162-3279. Dostupné na www: https://pubmed.ncbi.nlm.nih.gov/35801345/.
  31. Hoferková S, Kraus B, Bělík V. Aktuální otázky sociální patologie a sociální pedagogiky. Hradec Králové: Gaudeamus, 2022, 128 s. ISBN-13: 978-80-7435-884-5.
  32. Ministerstvo školství, mládeže a tělovýchovy. Národní strategie primární prevence rizikového chování dětí a mládeže na období 2019–2027. Praha, 2019. Dostupné na www: https://www.msmt. cz/uploads/narodni_strategie_primarni_prevence_2019_27.pdf.
  33. Ministerstvo zdravotnictví. Zdraví 2030: Strategický rámec rozvoje péče o zdraví v České republice do roku 2030. Praha, 2020. Dostupné na www: https://zdravi2030.mzcr.cz/zdravi-2030-strategicky-ramec.pdf.
  34. Ministerstvo vnitra. Strategie prevence kriminality v České republice na léta 2022–2027. Praha, 2022. Dostupné na www: https://www.mvcr.cz/clanek/strategie-prevence-kriminality-v-ceske-republice-na-leta-2022-az-2027.aspx.
  35. Univerzita Hradec Králové. UHK Point. 2023. Dostupné na www: https://www.uhk.cz/cs/univerzita-hradec-kralove/uhk/celouni- verzitni-pracoviste/uhk-point.
  36. Univerzita Karlova. Poradny na fakultách. Centrum Carolina, 2023. Dostupné na www: https://centrumcarolina.cuni.cz/CC39.html#43.
  37. Univerzita obrany. Poradenské centrum – psychologické poradenství. 2023. Dostupné na www: https://unob.cz/univerzita/ sluzby/poradenske-centrum-psychologicke-poradenstvi/.
  38. Univerzita Pardubice. Psychologické a psychoterapeutické poradenství. 2023. Dostupné na www: https://www.upce.cz/studi- um/handicap/poradna-apupa/psychologicke.html.

Poděkování

Publikace vznikla za podpory SV/FVZ202011.
Práce byla podpořena MO ČR Dlouhodobý plán rozvoje organizace 1011 – Zdravotnická problematika ZHN II Vojenské lékařské fakulty Hradec Králové Univerzity obrany (DZRO-FVZ22-ZHNII).

Do redakce došlo dne 1. 7. 2023.

Adresa pro korespondenci:
Mgr. Barbora Spěváková
Katedra toxikologie a vojenské farmacie,
Vojenská lékařská fakulta Univerzity obrany,
Třebešská 1575
500 02 Hradec Králové
e-mail:
barbora.spevakova@seznam.cz

Štítky
Hygiene and epidemiology Medical virology Clinical microbiology
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