Daily associations between cannabis motives and consumption in emerging adults.

Daily associations between cannabis motives and consumption in emerging adults.
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DOI:
10.1016/j.drugalcdep.2017.05.006
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发表时间:
2017-09-01
影响因子:
4.2
通讯作者:
Walton MA
Walton MA
中科院分区:
医学2区
文献类型:
--
作者:
Bonar EE;Goldstick JE;Collins RL;Cranford JA;Cunningham RM;Chermack ST;Blow FC;Walton MA

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新兴成年人中大麻使用率的增加是一个日益严重的公共卫生问题。密集的纵向数据可以提供关于大麻使用的近端动机的信息,这可以为减少新成年人使用的干预措施提供信息。作为一项大型纵向研究的一部分,从城市急诊科招募的18-25岁患者(N=95)完成了28天的每日短信风险行为评估,包括每日大麻数量和动机。使用混合效应线性回归模型,我们研究了每日大麻消费量与动机之间的关系(即,增强,社会,整合,应对和扩展)。参与者平均年龄为22.0岁(SD=2.2); 48.4%为男性,45.3%为非洲裔美国人,56.8%接受公共援助。多水平分析的结果(个体内的聚类日),控制性别,种族和接受公共援助,表明每日使用大麻用于增强(β=.27),应对(β=.15)和/或社会动机(β=.34)与每日大麻使用量的增加显着相关;而扩张和顺从动机则没有。每日数据显示,出于增强、社交和应对动机而使用大麻的新兴成年人报告使用了更大量的大麻。未来的研究应审查更全面的大麻动机(例如,无聊,社交焦虑,睡眠)和测试量身定制的干预措施,重点是替代认知/行为策略,以解决大麻的动机。
Increasing rates of cannabis use among emerging adults is a growing public health problem. Intensive longitudinal data can provide information on proximal motives for cannabis use, which can inform interventions to reduce use among emerging adults. As part of a larger longitudinal study, patients aged 18–25 years (N=95) recruited from an urban Emergency Department completed daily text message assessments of risk behaviors for 28 days, including daily cannabis quantity and motives. Using a mixed effects linear regression model, we examined the relationships between daily quantity of cannabis consumed and motives (i.e., enhancement, social, conformity, coping, and expansion). Participants were, on average, 22.0 years old (SD=2.2); 48.4% were male, 45.3% were African American, and 56.8% received public assistance. Results from the multi-level analysis (clustering day within individual), controlling for gender, race, and receipt of public assistance, indicated daily use of cannabis use for enhancement (β=.27), coping (β=.15), and/or social motives (β=.34) was significantly associated with higher quantities of daily cannabis use; whereas expansion and conformity motives were not. Daily data show that emerging adults who use cannabis for enhancement, social, and coping motives reported using greater quantities of cannabis. Future research should examine more comprehensive cannabis motives (e.g., boredom, social anxiety, sleep) and test tailored interventions focusing on alternative cognitive/behavioral strategies to address cannabis motives.
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