Patterns of cannabis use and prospective associations with health issues among young males

Patterns of cannabis use and prospective associations with health issues among young males
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DOI:
10.1111/add.12490
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发表时间:
2014-06-01
期刊:
影响因子:
6
通讯作者:
Gmel, Gerhard
Gmel, Gerhard
中科院分区:
医学1区
文献类型:
--
作者:
Baggio, Stephanie;N'Goran, Alexandra A.;Gmel, Gerhard

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背景和目的测试大麻紊乱症状/大麻使用频率与健康问题之间的预期相关性,并调查大麻使用轨迹的稳定性与暂时性。设计了两波来自物质使用风险因素纵向队列研究(C-SURF)的数据收集。设定了来自普通人群中20岁出头的具有代表性的瑞士男性样本。参与者共有5084名年轻男性(平均年龄19.981.19岁,时间1)。测量大麻使用(终身使用,使用频率,大麻障碍症状)和自我报告的健康问题测量(抑郁,心理/身体健康,健康后果)。使用配对数据的t检验/Wilcoxon等级检验来检验大麻使用的显著变化。交叉滞后的面板模型提供了大麻使用与健康问题之间纵向关联的证据。发现大多数参与者(84.5%)保持在相同的使用类别,大麻使用在时间1和时间2保持在相似的水平(P=0.114和P=0.755;时间1和时间2之间的平均15+/-2.8月)。交叉滞后面板模型显示,大麻紊乱症状预示着以后的健康问题(例如,抑郁,=0.087,P
Background and AimsTo test prospective associations between cannabis disorder symptoms/frequency of cannabis use and health issues and to investigate stability versus transience in cannabis use trajectories.DesignTwo waves of data collection from the longitudinal Cohort Study on Substance Use Risk Factors (C-SURF).SettingA representative sample of young Swiss men in their early 20s from the general population.ParticipantsA total of 5084 young men (mean age 19.981.19 years at time 1).MeasurementsCannabis use (life-time use, frequency of use, cannabis disorder symptoms) and self-reported measures of health issues (depression, mental/physical health, health consequences) were assessed. Significant changes in cannabis use were tested using t-test/Wilcoxon's rank test for paired data. Cross-lagged panel models provided evidence regarding longitudinal associations between cannabis use and health issues.FindingsMost of the participants (84.5%) remained in the same use category and cannabis use kept to similar levels at times 1 and 2 (P=0.114 and P=0.755; average of 15 +/- 2.8 months between times 1 and 2). Cross-lagged panel models showed that cannabis disorder symptoms predicted later health issues (e.g. depression, =0.087, P