The occurrence of cannabis use disorders and other cannabis-related problems among first-year college students
The occurrence of cannabis use disorders and other cannabis-related problems among first-year college students
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DOI：
10.1016/j.addbeh.2007.10.001
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发表时间：
2008-03-01
影响因子：
4.4
通讯作者：
Wish, Eric D.
中科院分区：
文献类型：
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作者：
Caldeira, Kimberly M.;Arria, Amelia M.;Wish, Eric D.
本研究报告了美国大西洋中部地区一所大型公立大学的一大批 17 至 20 岁一年级大学生 (n = 1253) 大麻使用障碍 (CUD) 和其他大麻相关问题的患病率。采访者评估了过去一年的大麻使用、其他药物使用和大麻相关问题（包括 CUD 的 DSM-IV 标准）。所有一年级学生的 CUD 患病率为 9.4%（wt），往年大麻使用者的 CUD 患病率为 24.6%（n = 739）。在那些支持任何 CUD 标准的人中，33.8% 可以被归类为诊断孤儿。在 474 名“高危”大麻使用者中（去年超过 5 次），注意力不集中（40.1%）、吸食大麻后驾驶（18.6%）和缺课（13.9%）是最常见的大麻相关问题，即使在那些不支持 CUD 标准的人中也是如此。也经常报告自己面临身体受伤的风险（24.3%）。使用大麻的大学生中有很大一部分符合疾病的诊断标准。即使没有出现紊乱，使用者似乎也面临潜在严重的大麻相关问题的风险。讨论了对预防、服务提供和未来研究的影响。 (c) 2007 Elsevier Ltd. 保留所有权利。
This study reports the prevalence of cannabis use disorders (CUD) and other cannabis-related problems in a large cohort (n = 1253) of first-year college students, 17 to 20 years old, at one large public university in the mid-Atlantic region of the U.S. Interviewers assessed past-year cannabis use, other drug use, and cannabis-related problems (including DSM-IV criteria for CUD). The prevalence of CUD was 9.4%(wt) among all first-year students and 24.6% among past-year cannabis users (n = 739). Of those endorsing any CUD criteria, 33.8% could be classified as diagnostic orphans. Among 474 "at-risk" cannabis users (>= 5 times in the past year), concentration problems (40.1%), driving while high (18.6%) and missing class (13.9%) were among the most prevalent cannabis-related problems, even among those who endorsed no CUD criteria. Placing oneself at risk for physical injury was also commonly reported (24.3%). A significant proportion of cannabis-using college students meet diagnostic criteria for disorder. Even in the absence of disorder, users appear to be at risk for potentially serious cannabis-related problems. Implications for prevention, service delivery, and future research are discussed. (c) 2007 Elsevier Ltd. All rights reserved.