Correlates of later-onset cannabis use in the National Epidemiological Survey on Alcohol and Related Conditions (NESARC)

Correlates of later-onset cannabis use in the National Epidemiological Survey on Alcohol and Related Conditions (NESARC)
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DOI:
10.1016/j.drugalcdep.2009.06.017
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发表时间:
2009-11-01
影响因子:
4.2
通讯作者:
Lynskey, Michael T.
Lynskey, Michael T.
中科院分区:
医学2区
文献类型:
--
作者:
Agrawal, Arpana;Lynskey, Michael T.

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背景:围绕大麻开始相关性的许多研究都集中在青少年和年轻人群体上。然而,有越来越多的证据表明,大麻发病发生在以后的生活中,以及鲜为人知的风险和保护性的影响,与晚发型cannabinitiation.Methods:我们使用的数据34,653人参加了第一波和3年的后续行动(3 YFU)的全国流行病学调查酒精和相关条件(NESARC)。使用单变量和多变量logistic回归来检查3 YFU时开始使用大麻与社会人口统计学,宗教/亲社会和精神病学措施之间的关联。还进行了分析,在年龄段,以进一步区分整个lifesty.Results:在27,467终身戒酒者在波1509已开始使用大麻在3 YFU。在整个样本和各个年龄段中,离婚、宗教信仰、志愿者/社区服务、酒精滥用/依赖、尼古丁依赖和吸食大麻之间存在一致的关联。结论:宗教和亲社会活动与迟发性大麻发病呈负相关,而离婚、酒精和尼古丁相关问题与迟发性大麻发病呈正相关。(C)2009爱思唯尔爱尔兰有限公司保留所有权利。
Background: Much of the research surrounding correlates of cannabis initiation has focused on adolescent and young adult populations. However, there is growing evidence that cannabis onset occurs later in life as well and little is known of the risk and protective influences that are associated with late-onset cannabis initiation.Methods: We used data on 34,653 individuals that participated in both the first wave and the 3-year follow-up (3YFU) of the National Epidemiological Survey on Alcohol and Related Conditions (NESARC). Univariate and multivariate logistic regression was used to examine the association between cannabis initiation at 3YFU and socio-demographic, religious/pro-social and psychiatric measures. Analyses were also conducted in age bands to further distinguish across the lifespan.Results: Of the 27,467 lifetime abstainers at wave 1509 had initiated cannabis use at 3YFU. Consistent associations between divorce, religious attendance, volunteer/community service, alcohol abuse/dependence, nicotine dependence and cannabis initiation were noted in the full sample and across age-bands.Conclusions: Religious and pro-social activities are negatively associated with late-onset cannabis onset while divorce and alcohol and nicotine-related problems are positively associated with later onset. (C) 2009 Elsevier Ireland Ltd. All rights reserved.