Concurrent and simultaneous polydrug use: latent class analysis of an Australian nationally representative sample of young adults.
Concurrent and simultaneous polydrug use: latent class analysis of an Australian nationally representative sample of young adults.
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DOI：
10.3389/fpubh.2013.00061
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发表时间：
2013-01-01
影响因子：
5.2
通讯作者：
Kelly, Adrian B
中科院分区：
文献类型：
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作者：
Quek, Lake-Hui;Chan, Gary C K;Kelly, Adrian B
背景技术背景：酒精使用和非法药物使用的高峰期在青年期（约18- 29岁），但对全国有代表性的年轻人样本中的多种药物使用情况知之甚少。利用具有全国代表性的横断面调查（澳大利亚国家药物战略家庭调查），这项研究探讨了多种药物的使用模式和相关的心理社会风险因素的年轻人（n= 3，333;年龄19-29）。对各种合法和非法药物的使用情况进行了审查，包括酒精、烟草、大麻、可卡因、致幻剂、摇头丸、氯胺酮、伽马-羟丁酸、鼻吸剂、类固醇、巴比妥类药物、冰毒/安非他明、海洛因、美沙酮/丁丙诺啡、其他阿片类药物、止痛药和镇静剂/安眠药。潜类分析，以确定模式的多药use.RESULTS：多药使用在这个样本中最好的描述使用5类解决方案。大多数年轻人主要使用酒精（52.3%），酒精和烟草（34.18%）。其他类别是大麻，摇头丸和合法药物使用（9.4%），大麻，安非他明衍生物和合法药物使用（2.8%）以及镇静剂和酒精使用（1.3%）。低教育和/或高收入的年轻成年男性最多的风险multidrug use.CONCLUSION：几乎一半的年轻人报告多种药物的使用，强调高中后的关键风险因素和多种药物的使用概况筛查的重要性，并提供针对非法药物的早期干预策略。
BACKGROUND: Alcohol use and illicit drug use peak during young adulthood (around 18-29years of age), but comparatively little is known about polydrug use in nationally representative samples of young adults. Drawing on a nationally representative cross-sectional survey (Australian National Drug Strategy Household Survey), this study examines polydrug use patterns and associated psychosocial risk factors among young adults (n=3,333; age 19-29).METHOD: The use of a broad range of licit and illicit drugs were examined, including alcohol, tobacco, cannabis, cocaine, hallucinogens, ecstasy, ketamine, GHB, inhalants, steroids, barbiturates, meth/amphetamines, heroin, methadone/buprenorphine, other opiates, painkillers, and tranquilizers/sleeping pills. Latent class analysis was employed to identify patterns of polydrug use.RESULTS: Polydrug use in this sample was best described using a 5-class solution. The majority of young adults predominantly used alcohol only (52.3%), alcohol and tobacco (34.18%). The other classes were cannabis, ecstasy, and licit drug use (9.4%), cannabis, amphetamine derivative, and licit drug use (2.8%), and sedative and alcohol use (1.3%). Young adult males with low education and/or high income were most at risk of polydrug use.CONCLUSION: Almost half of young adults reported polydrug use, highlighting the importance of post-high school screening for key risk factors and polydrug use profiles, and the delivery of early intervention strategies targeting illicit drugs.