Concussion, sensation-seeking and substance use among US adolescents
Concussion, sensation-seeking and substance use among US adolescents
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DOI：
10.1080/08897077.2019.1671938
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发表时间：
2019-10-17
期刊：
影响因子：
3.5
通讯作者：
Schulenberg, John E.
中科院分区：
文献类型：
--
作者：
Veliz, Phil;McCabe, Sean Esteban;Schulenberg, John E.
背景资料：在美国，没有大规模的青少年流行病学调查评估脑震荡的终身史，寻求刺激的倾向和最近的物质使用之间的关联。方法：本研究评估了诊断为脑震荡的终生病史、感觉寻求和近期物质使用（即，吸烟，酗酒，大麻使用，非法药物使用和非医疗处方药使用），使用2016年和2017年对25，408名8年级，10年级和12年级学生的监测未来研究。结果：脑震荡的终身诊断与过去30天/2周物质使用的可能性更大相关。在调整潜在的混杂因素后，表明多次诊断脑震荡的青少年（与无脑震荡的青少年相比）最近使用所有类型物质的几率要高出两倍。与仅表示一次诊断脑震荡的青少年相比，表示多次诊断脑震荡的青少年使用香烟、酗酒和大麻的调整几率也更高。为青少年记账？寻求感觉的倾向并没有显著改变物质使用和多个诊断的脑震荡之间的关联。结论：这项研究提供了必要的流行病学数据，关于美国青少年脑震荡和物质使用。暴露于单一诊断的脑震荡与物质使用风险的适度增加有关，这种关联随着多个诊断的脑震荡的积累而增加。这些关联在控制寻求感觉的情况下成立。物质使用预防工作应该针对有多次脑震荡史的青少年。
Background: No large-scale epidemiological survey of adolescents in the US has assessed the association between lifetime history of concussion, propensity toward sensation-seeking, and recent substance use. Methods: This study assesses the association between lifetime history of diagnosed concussions, sensation-seeking, and recent substance use (i.e., cigarette use, binge drinking, marijuana use, illicit drug use, and nonmedical prescription drug use) using the 2016 and 2017 Monitoring the Future study of 25,408 8th, 10th, and 12th graders. Results: Lifetime diagnosis of concussion was associated with greater odds of past 30-day/2-week substance use. Adolescents who indicated multiple diagnosed concussions (versus none) had two times greater odds of all types of recent substance use, after adjusting for potential confounding factors. Adolescents indicating multiple diagnosed concussions also had higher adjusted odds of cigarette use, binge drinking, and marijuana use) when compared to adolescents who only indicated one diagnosed concussion. Accounting for adolescents? propensity toward sensation-seeking did not significantly change the association between substance use and multiple diagnosed concussions. Conclusions: This study provides needed epidemiological data regarding concussion and substance use among US adolescents. Exposure to a single diagnosed concussion is associated with a modest increase in the risk of substance use and this association increases with the accumulation of multiple diagnosed concussions. These associations hold when controlling for sensation-seeking. Substance use prevention efforts should be directed toward adolescents who have a history of multiple concussions.