臺灣矯正機關收容人在2018至2022年施用安眠藥物與相關因素之探討

Abstract

研究旨在探討2018至2022年間，台灣矯正機關收容人施用安眠藥物之情形與相關因素。安眠藥在監所中的使用牽涉醫療照護與收容人身心健康，然國內實證研究有限。本研究依據法務部矯正署「獄政管理資訊系統」資料，進行共461,575筆樣本之量化分析。研究變項分為三類：安眠藥施用紀錄（依變項）、收容人背景（如性別、年齡、教育程度、經濟狀況、另案情形、自傷行為、身心障礙、情緒困擾等）與成癮物質使用行為（毒品、酒精、吸菸、嚼檳榔）。統計方法包含描述性統計、卡方檢定、斯皮爾曼等級相關分析與邏輯斯迴歸。結果顯示，安眠藥施用比例為13.6%。女性、年長者、教育程度低、經濟狀況不佳、有另案、自傷行為、情緒困擾、身心障礙及有使用成癮物質之族群，施用安眠藥比例較高。邏輯斯迴歸發現，吸菸、自傷行為、身心障礙及女性為施用安眠藥主要正向預測因子；有另案者、嚼檳榔者則與施用安眠藥呈負向關聯，後者結果較為特殊，值得進一步深入探討。本研究為國內首度針對監所安眠藥使用進行大規模分析，結果可作為矯正機關藥物管理與心理衛生政策之重要參考。

This study aims to investigate the use of sleeping pills and associated factors among inmates in Taiwan’s correctional institutions from 2018 to 2022. The use of sleeping pills in correctional facilities involves not only medical care but also the physical and mental well-being of inmates. However, empirical research on this issue remains limited in Taiwan. Based on data from the Ministry of Justice’s Correctional Information Management System, this study conducted a quantitative analysis of 461,575 inmate records.The study variables were categorized into three groups: (1) records of sleeping pill usage (dependent variable); (2) inmate background characteristics, including gender, age, education level, economic status, concurrent legal cases, self-harming behavior, disability status, and emotional distress; and (3) substance use behaviors, including illicit drug use, alcohol abuse, smoking, and betel nut chewing. Statistical methods included descriptive analysis, chi-square tests, Spearman’s rank-order correlation, and logistic regression.The results showed that 13.6% of inmates had used sleeping pills. Higher usage rates were observed among females, older individuals, those with lower education levels, poor economic conditions, concurrent legal cases, self-harming behaviors, emotional distress, disabilities, and histories of substance use. Logistic regression analysis identified smoking, self-harming behavior, disability status, and female gender as significant positive predictors of sleeping pill use. Conversely, inmates with concurrent legal cases and those who chewed betel nut were negatively associated with sleeping pill use—the latter being an unusual finding warranting further investigation.This study represents the first large-scale empirical analysis of sleeping pill use in correctional facilities in Taiwan. The findings offer valuable insights into high-risk inmate populations and serve as an important reference for medication management and mental health policy planning within correctional institutions.