Psychological Distress and Cannabis Vaping Among U.S. Adolescents.
Psychological Distress and Cannabis Vaping Among U.S. Adolescents.
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美国青少年的心理困扰和吸食大麻。
DOI：
10.1016/j.amepre.2023.10.013
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发表时间：
2024
影响因子：
5.5
通讯作者：
Walker,KandiL
中科院分区：
文献类型：
--
作者：
Mattingly,DelvonT;Agbonlahor,Osayande;Hart,JoyL;McLeish,AlisonC;Walker,KandiL
近年来，大麻电子烟在青少年中越来越受欢迎。然而，研究大麻vaping的心理健康决定因素的研究很少。这项研究调查了心理困扰和大麻vaping之间的关系在全国代表性样本的美国青少年。MethodsData是从横截面2022全国青少年烟草调查，仅限于青少年年龄11-18（n= 22，202）。根据抑郁和焦虑患者健康问卷-4，将心理困扰分为正常、轻度、中度和重度。大麻vaping被定义为过去30天内的任何使用。为了估计心理困扰与大麻vaping之间的关联，进行了logistic回归，调整了年龄，生物性别，种族/民族，性取向，学校成绩，家庭吸烟/vaping，尼古丁vaping，其他烟草使用和钝性使用。结果近8%的青少年在过去30天内吸食大麻，25.6%的青少年报告中度或重度心理困扰。在未调整的模型中，轻度，中度和重度心理困扰与大麻vaping相关。在调整后的模型中，与没有痛苦的青少年相比，有严重心理困扰的青少年吸食大麻的几率更高（OR：1.46，95% CI：1.09-1.96）。年龄较大，成绩差，家庭吸烟/vaping，尼古丁vaping，其他烟草使用，和钝性使用也与大麻vaping.ConclusionsSevere心理困扰与过去30天的大麻vaping在美国青少年。经历心理困扰的青少年需要进行大麻电子烟筛查，以帮助预防和减少使用并促进心理健康。
IntroductionCannabis vaping has become increasingly popular among adolescents in recent years. However, research examining mental health determinants of cannabis vaping is scant. This study investigated the relationship between psychological distress and cannabis vaping among a nationally representative sample of U.S. adolescents.MethodsData are from the cross-sectional 2022 National Youth Tobacco Survey, restricted to adolescents ages 11–18 (n=22,202). Psychological distress was categorized as normal, mild, moderate, and severe according to the Patient Health Questionnaire for Depression and Anxiety-4. Cannabis vaping was defined as any use in the past 30 days. To estimate the association between psychological distress and cannabis vaping, logistic regression was performed adjusted for age, biological sex, race/ethnicity, sexual orientation, school grades, family smoking/vaping, nicotine vaping, other tobacco use, and blunt use. Analyses were conducted in 2023.ResultsNearly 8% of adolescents vaped cannabis in the past 30 days, and 25.6% reported moderate or severe psychological distress. Mild, moderate, and severe psychological distress were associated with cannabis vaping in the unadjusted model. In the adjusted model, the odds of cannabis vaping were higher among adolescents who had severe psychological distress (OR: 1.46, 95% CI: 1.09–1.96), compared to adolescents with no distress. Older age, poor grades, family smoking/vaping, nicotine vaping, other tobacco use, and blunt use were also associated with cannabis vaping.ConclusionsSevere psychological distress was associated with past 30-day cannabis vaping among U.S. adolescents. Adolescents experiencing psychological distress need to be screened for cannabis vaping to help prevent and reduce use and promote mental health.