Predictors of Ever Using Marijuana among U.S. First Responders.

Journal of occupational and environmental medicine Pub Date : 2025-01-10 DOI:10.1097/JOM.0000000000003310

Addison C Testoff, Tulay Koru-Sengul, Natasha Schaefer Solle, Denise C Vidot, David J Lee, Erin N Kobetz, Alberto J Caban-Martinez

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Abstract

Objective: Estimate ever using marijuana in a sample of U.S. career first responders.

Methods: Health survey cohort data collected between 2018-2024 from employed and retired U.S. first responders was analyzed for frequency of ever using marijuana. Binary logistic regression models estimated the association between ever using marijuana and first responder demographics, employment status, and risky health behaviors.

Results: Among 1,310 current/retired first responders, 15.3% reported ever using marijuana (80.0% seldom, 18.0% often, and 2.0% always). Currently employed firefighter/paramedic/EMT's had the highest (45.5%) while Battalion/EMS/Deputy/Fire Chiefs had the lowest use (3.0%). First responders who binge drink (adjusted OR = 1.45;[95%CI:1.03-2.03];p = 0.033), former-smoker (2.42;[1.68-3.47];p < 0.001) or current-smokers (3.61;[1.01-12.93];p = 0.049), and were retired (AOR = 1.85;[1.20-2.87] were significantly more likely to report ever using marijuana.

Conclusion: Ever using marijuana was highest among those rank firefighter/paramedics/EMT and significantly associated with binge drinking, retirement and smoking behaviors.

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美国急救人员使用大麻的预测因素。

目的：估计美国职业急救人员样本中曾经使用过大麻。方法：对2018-2024年间从在职和退休的美国急救人员中收集的健康调查队列数据进行分析，以了解他们使用大麻的频率。二元逻辑回归模型估计了曾经使用大麻与第一响应者人口统计、就业状况和危险健康行为之间的关系。结果：在1310名在职或退休的急救人员中，15.3%的人报告曾使用大麻（80.0%很少使用，18.0%经常使用，2.0%经常使用）。在职消防员/护理人员/EMT的使用率最高（45.5%），营长/急救人员/副队长/消防队长的使用率最低（3.0%）。酗酒者（调整后OR = 1.45;[95%CI:1.03-2.03];p = 0.033）、前吸烟者（2.42;[1.68-3.47];p < 0.001）、当前吸烟者（3.61;[1.01-12.93];p = 0.049）和退休者（AOR = 1.85;[1.20-2.87]）报告曾经使用大麻的可能性明显更高。结论：曾吸食大麻的比例在消防员/护理人员/急救人员中最高，且与酗酒、退休和吸烟行为显著相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Journal of occupational and environmental medicine

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