Addictive behaviors最新文献_第3页

Cannabis use across the menstrual cycle: The impact of negative affect and cannabis use motives

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-04 DOI: 10.1016/j.addbeh.2025.108284

Paige E. Morris, Paul L. Soto, Julia D. Buckner

Women experience greater state negative affect (NA) and physical symptoms during the premenstrual and menstrual phases of the menstrual cycle. Although women use more cannabis during the premenstrual and menstrual phases, no known studies have tested whether this is due to the synergistic effects of heightened NA and using cannabis to cope with increased NA or physical symptoms. This study tested whether state NA interacts with cannabis motives to predict more frequent cannabis use during these phases. Normally cycling women who endorsed past-month cannabis use (N = 40) retrospectively reported NA, cannabis use, and motives for 65 days. Cannabis use was more frequent during the premenstrual (but not menstrual) phase, and cannabis use to manage physical pain/discomfort (physical motives) was greater in the menstrual (but not premenstrual) phase. There were significant interactions between phase, state NA (depression and anger, in separate models), and coping and physical motives. Among women with higher state depression, coping motives were associated with more frequent cannabis use in the ovulatory phase whereas among women with lower state depression, coping motives were associated with more frequent cannabis use in the premenstrual phase. Among women with lower (but not higher) state anger, coping motives were associated with greater cannabis use frequency in the premenstrual phase. Among women with higher state NA, physical motives were associated with more frequent cannabis use in the menstrual (but not premenstrual) phase. Findings support that state NA interacts with motives during high-risk phases and is differentially related to more frequent cannabis use, which has important clinical implications.

{"title":"Cannabis use across the menstrual cycle: The impact of negative affect and cannabis use motives","authors":"Paige E. Morris, Paul L. Soto, Julia D. Buckner","doi":"10.1016/j.addbeh.2025.108284","DOIUrl":"10.1016/j.addbeh.2025.108284","url":null,"abstract":"<div><div>Women experience greater state negative affect (NA) and physical symptoms during the premenstrual and menstrual phases of the menstrual cycle. Although women use more cannabis during the premenstrual and menstrual phases, no known studies have tested whether this is due to the synergistic effects of heightened NA and using cannabis to cope with increased NA or physical symptoms. This study tested whether state NA interacts with cannabis motives to predict more frequent cannabis use during these phases. Normally cycling women who endorsed past-month cannabis use (<em>N</em> = 40) retrospectively reported NA, cannabis use, and motives for 65 days. Cannabis use was more frequent during the premenstrual (but not menstrual) phase, and cannabis use to manage physical pain/discomfort (physical motives) was greater in the menstrual (but not premenstrual) phase. There were significant interactions between phase, state NA (depression and anger, in separate models), and coping and physical motives. Among women with higher state depression, coping motives were associated with more frequent cannabis use in the ovulatory phase whereas among women with lower state depression, coping motives were associated with more frequent cannabis use in the premenstrual phase. Among women with lower (but not higher) state anger, coping motives were associated with greater cannabis use frequency in the premenstrual phase. Among women with higher state NA, physical motives were associated with more frequent cannabis use in the menstrual (but not premenstrual) phase. Findings support that state NA interacts with motives during high-risk phases and is differentially related to more frequent cannabis use, which has important clinical implications.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"164 ","pages":"Article 108284"},"PeriodicalIF":3.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143350712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Age of onset of adolescent alcohol use with parental permission and its impact on drinking and alcohol-harms in young adulthood: A longitudinal study

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-02 DOI: 10.1016/j.addbeh.2025.108271

Bernard Pereda, Nathaniel Caluda-Perdue, Samuel Levy, Lillianna Zhang, Craig R. Colder

Parental permission to use alcohol is common in adolescence, and many parents believe it to be an effective harm reduction strategy because it provides an opportunity to supervise drinking. Contrary to this belief, prior research has consistently linked parental provision of alcohol and permission to drink to increases in future alcohol-related harms. Whether the age of onset of parental permission to use alcohol influences these outcomes is poorly understood. This study is the first to investigate the impact of age of onset of parental permission to use alcohol on later drinking outcomes, utilizing a longitudinal US community sample of adolescents (n = 387). The analysis included nine annual waves of data and accounted for risk and protective factors at the individual, peer, and family levels. Consistent with prior research, a robust relationship was found between parental permission to use alcohol during adolescence and increased alcohol use frequency and quantity, alcohol use disorder symptoms, and alcohol-related harms in young adulthood. Age of onset of parental permission was not associated with later alcohol use outcomes, suggesting a uniform risk effect of parental permission to drink. Public health messaging to parents should seek to correct perceptions of supervised alcohol use as a harm reduction strategy and emphasize the harm of parental permission to use alcohol, regardless of age.

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引用次数: 0

The correlation between mindfulness and problematic smartphone use: A meta-analysis

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-02 DOI: 10.1016/j.addbeh.2025.108272

Yangshu Ru , Hassan C. Norlizah , Nur Aimi Nasuha Burhanuddin , Huange Liu , Jingyi Dong

Objectives

In the modern era of constant digital technological advancements, problematic smartphone use has become a key issue in educational psychology. This phenomenon affects individual psychological well-being and academic or other performance and encompasses interpersonal relationships and societal aspects, divulging the intricate correlation between technology usage and human behavior. This study aims to explore mindfulness as an intervention measure to lessen problematic smartphone use.

Methods

Based on the PRISMA method, this study used a meta-analytic approach to explore the relationship between mindfulness and problematic smartphone use systematically. Systematic literature searches for papers published before February 2024 yielded 29 studies, including 17,534 individuals and 30 effect sizes. The sample comprised participants from Eastern cultures (n = 22 studies) and Western cultures (n = 8 studies).

Results

The meta-analysis revealed a significant negative correlation between mindfulness and problematic smartphone use (r = −0.399, 95 % CI [−0.457, −0.338], p < 0.001). Moderator analyses revealed the strongest relationship when using the Child and Adolescent Mindfulness Measure (CAMM) (r = −0.498), while the Five Facet Mindfulness Questionnaire (FFMQ) showed the weakest (r = −0.245). Cultural background analyses indicated stronger effects in Eastern cultures (r = −0.428) compared to Western cultures (r = −0.316). Gender analyses revealed stronger effects among female participants (β = −0.510, p < 0.05).

Conclusion

These findings demonstrate that mindfulness serves as an effective approach to addressing problematic smartphone use. The significant moderating effects identified have important implications for the implementation of mindfulness-based interventions in educational settings.

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引用次数: 0

Family incarceration and adolescent nicotine, alcohol, and cannabis use: A coarsened exact matching approach

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-02-01 DOI: 10.1016/j.addbeh.2025.108270

Myriam Forster , Abnous Shaverdi , Xiao Zhang , Claudia M Toledo-Corral , Timothy J Grigsby

Introduction

Evidence overwhelmingly indicates that adverse childhood experiences (ACE), a set of highly correlated traumatic events experienced before age 18, increase risk for adolescent substance use. However, few studies have examined the association of family/household member incarceration (FI) and early substance use initiation (≤14 years old) and past 30-day substance use accounting for other ACE, demographic characteristics, and socio-economic status. To fill this gap, we used a matching method to explore the unique effect of FI on early substance use initiation and past 30-day use among diverse adolescents.

Methods

Data are baseline survey responses of high school students enrolled in the first year of a longitudinal school-based study. After matching youth on key characteristics to create balanced groups of exposed and non-exposed respondents, logistic regression models assessed the association between FI and early initiation of alcohol and cannabis use and past 30-day nicotine, alcohol and cannabis use.

Results

Exposure to FI was significantly associated with higher odds of early initiation of alcohol (OR = 2.54, 95 % CI: 1.64–3.90) and cannabis (OR = 1.63, 95 % CI: 1.03–2.59) use and past 30-day alcohol (OR = 2.11, 95 % CI: 1.50–2.94), nicotine, (OR = 1.72, 95 % CI: 1.21–2.45) and cannabis (OR = 1.71, 95 % CI: 1.17–2.48) use.

Conclusion

Despite advocacy and criminal justice reform initiatives, generations of families in vulnerable communities navigate the complexities of arrest, incarceration, and reintegration with few supports or initiatives for impacted youth. Our findings point towards the need and potential benefit of prevention programs and services, especially upstream prevention efforts, for this youth population.

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引用次数: 0

Significant wins and their impacts: Predictors of problem gambling in French and Polish national samples

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-29 DOI: 10.1016/j.addbeh.2025.108266

Bernadeta Lelonek-Kuleta , Marie-Line Tovar , Rafał P. Bartczuk , Jean-Michel Costes

Aim

We examined the role of significant win experiences alongside psychosocial factors in the risk of problem gambling.

Participants

The study involved adult pure-chance gamblers from representative Polish (n = 3143) and French samples (n = 5692).

Measurements

The questionnaire encompassed socio-demographic details, gambling behaviours, significant win experiences, gambling motivation, and problem gambling.

Design & setting

Logistic regression analyses unveiled universal and country-specific factors significantly linked to problem-gambling risk.

Findings

Universal factors comprised gender (lower risk among females), age (higher risk for ages 35+), household income (negative association), current and past debt (positive association), type of gambling game (higher risk for games other than lotteries), and gambling frequency (positive association). Risk factors also encompassed heightened coping and social motivations to gamble, while the financial motivation inversely correlated with risk. Inter-country differences featured significant wins in the player’s environment, associated with problem-gambling risk only among the French. Then, only the highest amounts spent on gambling in the French group correlated with problem gambling, while lower amounts in the Polish group also did. Notably, a higher problem-gambling risk was observed in the Polish group compared to the French.

Conclusions

A crucial finding was that significant wins were associated with problem gambling, even when controlling for other essential factors. Our study highlights the role of significant wins, construed as subjective gambler experiences, in fostering problem gambling. This insight suggests the need for a paradigm shift in understanding the role of winning in gambling, representing a risky experience regardless of the objective amount gambled.

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引用次数: 0

Illegal drug use amongst male UK military personnel who sustained physical combat injuries: The ADVANCE cohort study

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-27 DOI: 10.1016/j.addbeh.2025.108269

Daniel Dyball , Susie Schofield , Alexander N. Bennett , Christopher J. Boos , Anthony M.J. Bull , Nicola T. Fear , on behalf of the ADVANCE Study

Illegal drug use may be a consequence of sustaining a serious physical combat injury, though no known research has investigated this in a UK setting. This analysis utilises the baseline data from a longitudinal cohort (ADVANCE), to assess whether 577 UK military personnel who sustained serious physical combat injuries reported more illegal drug use compared to 565 frequency-matched personnel without such injuries.

Most personnel reported no illegal drug use in the past year (88.7%). Cocaine was the most common drug reported in the past year, followed by cannabis. Injured personnel had greater odds of reporting illegal drug use in the past year compared to the comparison group (injured group: 16.3%, comparison group: 5.4%; Odds Ratio (OR) 3.09 (95% CI 2.03, 5.31)), however, no differences were observed amongst veterans in each group (OR 0.67 (95% CI 0.40, 1.27)). Higher prevalence of illegal drug use was observed amongst those of white ethnic background, lower rank, those who were single, younger, veterans, and those who reported a probable mental illness, suicidal ideation or heavy alcohol use/tobacco use. Veterans who left service at a younger age and with a shorter length of service were also identified as having higher prevalence of illegal drug use.

UK Armed Forces personnel who sustained serious physical combat injuries in Afghanistan report more illegal drug use in the past year compared to demographically similar personnel without serious physical injury. Greater prevalence of illegal drug use was evident in those that left service, with >20 % of veterans reporting illegal drug use in the past year.

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引用次数: 0

Effectiveness of educational interventions in United States schools to prevent opioid-related harms: A systematic review

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-27 DOI: 10.1016/j.addbeh.2025.108268

Christina Hua-Nguyen , Ashley Harris , Micah E. Herrera , Jamison Falk , Me-Linh Le , Shweta Mital

Issues

The opioid crisis in North America has increased concerns about adolescent problematic opioid use. Schools are crucial in prevention efforts, but the effectiveness of school-based educational programs is debated. This review evaluates the effectiveness of school-based opioid education programs in preventing opioid-related harms, and improving knowledge, attitudes, and beliefs about opioids among youth.

Approach

Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, ERIC, and Web of Science databases were searched in January 2025. Included studies met the following criteria: (1) were published in English; (2) conducted in a middle or high school setting; (3) the intervention related to opioid education; (4) randomized trials or observational studies; and (5) published between January 2000 and January 2025.

Key Findings

Among 1405 studies screened, eight met the inclusion criteria and evaluated seven school-based opioid education programs with participants aged between 11 and 18 years. Most studies used quasi-experimental designs, and only one was a randomized controlled trial. One study showed that combining classroom-based interventions in grade 7 with sessions that involved parents participating alongside students significantly reduced prescription opioid misuse, with effects lasting until grade 12. Four studies showed improved knowledge and attitudes towards opioid use and two showed increased understanding of opioid withdrawal and overdose management.

Implications and Conclusion

This review is the first to evaluate school-based opioid education programs for adolescents. Findings indicate that these programs effectively increase opioid knowledge and reduce problematic opioid use, though further randomized trials among diverse participant samples are needed to confirm efficacy and generalizability of findings.

{"title":"Effectiveness of educational interventions in United States schools to prevent opioid-related harms: A systematic review","authors":"Christina Hua-Nguyen , Ashley Harris , Micah E. Herrera , Jamison Falk , Me-Linh Le , Shweta Mital","doi":"10.1016/j.addbeh.2025.108268","DOIUrl":"10.1016/j.addbeh.2025.108268","url":null,"abstract":"<div><h3>Issues</h3><div>The opioid crisis in North America has increased concerns about adolescent problematic opioid use. Schools are crucial in prevention efforts, but the effectiveness of school-based educational programs is debated. This review evaluates the effectiveness of school-based opioid education programs in preventing opioid-related harms, and improving knowledge, attitudes, and beliefs about opioids among youth.</div></div><div><h3>Approach</h3><div>Ovid MEDLINE, Ovid Embase, Ovid PsycInfo, ERIC, and Web of Science databases were searched in January 2025. Included studies met the following criteria: (1) were published in English; (2) conducted in a middle or high school setting; (3) the intervention related to opioid education; (4) randomized trials or observational studies; and (5) published between January 2000 and January 2025.</div></div><div><h3>Key Findings</h3><div>Among 1405 studies screened, eight met the inclusion criteria and evaluated seven school-based opioid education programs with participants aged between 11 and 18 years. Most studies used quasi-experimental designs, and only one was a randomized controlled trial. One study showed that combining classroom-based interventions in grade 7 with sessions that involved parents participating alongside students significantly reduced prescription opioid misuse, with effects lasting until grade 12. Four studies showed improved knowledge and attitudes towards opioid use and two showed increased understanding of opioid withdrawal and overdose management.</div></div><div><h3>Implications and Conclusion</h3><div>This review is the first to evaluate school-based opioid education programs for adolescents. Findings indicate that these programs effectively increase opioid knowledge and reduce problematic opioid use, though further randomized trials among diverse participant samples are needed to confirm efficacy and generalizability of findings.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108268"},"PeriodicalIF":3.7,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A qualitative analysis of people who died by suicide and had gambling documented in their coronial file

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-26 DOI: 10.1016/j.addbeh.2025.108267

Ciara ME Reynolds , Gemma Cox , Suzi Lyons , Helen McAvoy , Louise O’Connor , Katerina Kavalidou

Background

Gambling related harms are vast and varied. There is evidence that gambling is associated with increased risk of suicidal ideation and attempts. Our aim was to identify and profile individuals who died by suicide and had gambling documented in their coronial file.

Methodology

The Irish Probable Suicide Death Study dataset contains all (n = 3,625) coroner and research-determined suicide deaths between 2015 and 2020. It was systematically searched to identify all deaths where gambling was recorded in coroner’s files. Relevant data were extracted and included in a new database for further qualitative-driven analysis. Long-term distal (or chronic) and short-term proximal (or acute) risk factors were used as a framework for the analysis of the data.

Results

Gambling was recorded in 23 coroners’ files, representing 0.6% of all suicides during the six-year period. Males were overrepresented and less than half were in employment at the time of death. Distal risk factors included co-occurring mental health conditions (notably mood disorders), a history of drug and alcohol dependency, past suicide intent and/or behaviour, and exposure to suicide. Key proximal risk factors included acute mental health symptoms, financial issues, interpersonal problems, intoxication, and recent stressful life events.

Conclusions

We found that 23 people who died by suicide had gambling documented in their coronial file between 2015 and 2020. Numerous socioeconomic factors, interpersonal issues, and mental health conditions including addiction were also present at the time of death. The numbers in this study are likely an underrepresentation and support the need for improvements in data collection.

{"title":"A qualitative analysis of people who died by suicide and had gambling documented in their coronial file","authors":"Ciara ME Reynolds , Gemma Cox , Suzi Lyons , Helen McAvoy , Louise O’Connor , Katerina Kavalidou","doi":"10.1016/j.addbeh.2025.108267","DOIUrl":"10.1016/j.addbeh.2025.108267","url":null,"abstract":"<div><h3>Background</h3><div>Gambling related harms are vast and varied. There is evidence that gambling is associated with increased risk of suicidal ideation and attempts. Our aim was to identify and profile individuals who died by suicide and had gambling documented in their coronial file.</div></div><div><h3>Methodology</h3><div>The Irish Probable Suicide Death Study dataset contains all (n = 3,625) coroner and research-determined suicide deaths between 2015 and 2020. It was systematically searched to identify all deaths where gambling was recorded in coroner’s files. Relevant data were extracted and included in a new database for further qualitative-driven analysis. Long-term distal (or chronic) and short-term proximal (or acute) risk factors were used as a framework for the analysis of the data.</div></div><div><h3>Results</h3><div>Gambling was recorded in 23 coroners’ files, representing 0.6% of all suicides during the six-year period. Males were overrepresented and less than half were in employment at the time of death. Distal risk factors included co-occurring mental health conditions (notably mood disorders), a history of drug and alcohol dependency, past suicide intent and/or behaviour, and exposure to suicide. Key proximal risk factors included acute mental health symptoms, financial issues, interpersonal problems, intoxication, and recent stressful life events.</div></div><div><h3>Conclusions</h3><div>We found that 23 people who died by suicide had gambling documented in their coronial file between 2015 and 2020. Numerous socioeconomic factors, interpersonal issues, and mental health conditions including addiction were also present at the time of death. The numbers in this study are likely an underrepresentation and support the need for improvements in data collection.</div></div>","PeriodicalId":7155,"journal":{"name":"Addictive behaviors","volume":"163 ","pages":"Article 108267"},"PeriodicalIF":3.7,"publicationDate":"2025-01-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070155","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of treatment attrition among individuals in substance use disorder treatment: A machine learning approach

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-25 DOI: 10.1016/j.addbeh.2025.108265

Jill A. Rabinowitz , Jonathan L. Wells , Geoffrey Kahn , Jennifer D. Ellis , Justin C. Strickland , Martin Hochheimer , Andrew S. Huhn

Background

Early treatment discontinuation in substance use disorder treatment settings is common and often difficult to predict. We leveraged a machine learning approach (i.e., random forest) to identify individuals at risk for treatment attrition, and specific factors associated with treatment discontinuation.

Method

Participants (N = 29,809) were individuals ≥ 18 years who attended substance use disorder treatment facilities in the United States. Using random forest, we aimed to predict three outcomes (1) leaving against medical advice (AMA), (2) discharging involuntarily, and (3) discharging early for any reason. Predictors included participant demographics, substance use the month before and at intake, indices of mental and physical health, as well as treatment center and program type.

Findings

We observed low to moderate area under the curve (range = 0.631–0.671), high negative predictive values (range = 0.853–0.965), and low positive predictive values (0.088–0.336) across the three treatment attrition outcomes. The most robust predictors of the three outcomes included treatment center, treatment type, and participant age. Additional predictors of the three outcomes included employment status; reason for treatment; primary drug at intake and frequency of use; prescription opioid, benzodiazepine, or heroin use at intake; living status at intake; and driving under the influence prior to treatment.

Conclusions

Our models were able to accurately identify individuals who remained in treatment, but not those who left treatment prematurely. The most robust predictors of treatment discontinuation were treatment center and program type, suggesting that targeting treatment facility features may have a significant impact on reducing treatment attrition and improving long-term recovery.

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引用次数: 0

Examining the Relationship of Cannabis use Patterns, Mental Health, and Sociodemographic Factors: A Focus on Cannabis Vaping, Smoking and Dual-Use 研究大麻使用模式、心理健康和社会人口因素之间的关系：重点关注大麻雾化、吸烟和双重用途。

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL

Addictive behaviors

Pub Date : 2025-01-19 DOI: 10.1016/j.addbeh.2025.108263

Jack Y.C. Chung , Carmen C.W. Lim , Jason P. Connor , Wayne Hall , Daniel Stjepanović , Gary C.K. Chan

Background

Cannabis vaping, and co-use with cannabis smoking, can exacerbate the risks of developing respiratory diseases and cannabis dependence. This study aims to examine the mental health profiles and sociodemographic correlates of adults who vape cannabis and engage in dual cannabis use (vaping/ smoking), compared to those who smoke cannabis.

Methods

The most recent, cross-sectional wave of the Population Assessment of Tobacco and Health Study (Wave 6) was used in this study. Data were restricted to adults (18 + years) who currently use cannabis (n = 7,178). Participants were classified as ‘cannabis smoking only,’ ‘cannabis vaping only,’ ‘dual-use,’ or ‘other cannabis use methods only.’ Multinomial logistic regression was used to examine the sociodemographic, internalizing and externalizing symptom factors of cannabis vaping and dual-use compared to cannabis smoking.

Results

Over 56 % of participants currently smoked cannabis only, 9.1 % vaped cannabis only, while 20.0 % were engaging in dual-use. Adults experiencing severe externalizing symptoms (vs. mild symptoms) had higher odds of engaging in dual-use than smoking cannabis only (OR = 1.89, 99.5 %CI: 1.48, 2.40). Those with White racial background (vs. African-American background) (OR = 3.90, 99.5 %CI: 2.31, 6.58) and earning a higher income (vs. lower income) (OR = 2.56, 99.5 %CI: 1.79, 3.66) had higher odds of currently vaping cannabis only, compared to smoking cannabis only.

Conclusions

Our study has identified that mental health plays a significant role in cannabis use patterns, particularly with externalizing symptoms which are related to aggression and diagnoses of attention deficit disorders. This highlights the need for healthcare and mental health providers to address mental health symptoms when managing adult cannabis use.

背景：吸食大麻并与吸食大麻同时使用，可加剧患呼吸道疾病和大麻依赖的风险。本研究旨在研究与吸食大麻的成年人相比，吸食大麻和双重使用大麻（吸电子烟/吸烟）的成年人的心理健康状况和社会人口统计学相关性。方法：本研究采用烟草与健康研究人口评估的最新横断面波（波6）。数据仅限于目前使用大麻的成年人（18岁以上）（n = 7178）。参与者被分为“只吸大麻”、“只吸大麻”、“两用”或“只使用其他大麻方法”。采用多项logistic回归分析了吸食大麻与吸食大麻相比，吸食大麻和军民两用的社会人口学、内化和外化症状因素。结果：超过56%的参与者目前只吸食大麻，9.1%的参与者只吸食大麻，而20.0%的参与者从事双重用途。经历严重外化症状（与轻度症状相比）的成年人从事双重用途的几率高于只吸食大麻（OR = 1.89, 99.5% CI: 1.48, 2.40）。白人种族背景（相对于非裔美国人背景）（OR = 3.90, 99.5% CI: 2.31, 6.58）和收入较高（相对于收入较低）（OR = 2.56, 99.5% CI: 1.79, 3.66）的人目前只吸大麻的几率高于只吸大麻的几率。结论：我们的研究已经确定，心理健康在大麻使用模式中起着重要作用，特别是与攻击和注意力缺陷障碍诊断相关的外化症状。这突出表明，保健和心理健康提供者在管理成人大麻使用时需要处理心理健康症状。

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引用次数: 0