Substance abuse in women.

Substance abuse in women.
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DOI:
10.1016/j.psc.2010.01.004
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发表时间:
2010-06
影响因子:
1.7
通讯作者:
Brady, Kathleen T.
Brady, Kathleen T.
中科院分区:
医学3区
文献类型:
--
作者:
Greenfield, Shelly F.;Back, Sudie E.;Lawson, Katie;Brady, Kathleen T.

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在一般人群和寻求治疗的样本中一直观察到药物滥用率的性别差异,男性的药物使用、滥用和依赖率显著较高。1-3然而,最近的流行病学调查表明,近几十年来,男女之间的这一差距已经缩小。3,4例如,1980年代初的调查估计,酒精使用障碍的男女比例为5:1,5而最近的调查报告的比例约为3:1。6酒精和相关疾病的全国流行病学调查(NESARC; N= 43,093),最大和最新的物质使用和其他精神疾病的研究数据显示,男性滥用药物的可能性是女性的2.2倍,药物依赖的可能性是女性的1.9倍。1关于处方药的数据不太一致。虽然有几项研究表明,妇女使用非医疗处方药的比例高于男子,特别是麻醉性止痛剂和镇静剂,7但其他研究报告的男子比例相当或更高。8
Gender differences in rates of substance abuse have been consistently observed in the general population and treatment-seeking samples, with men exhibiting significantly higher rates of substance use, abuse, and dependence. 1-3 However, recent epidemiologic surveys suggest that this gap between men and women has narrowed in recent decades. 3, 4 For example, surveys in the early 1980s estimated the male/female ratio of alcohol-use disorders as 5: 1, 5 in contrast to more recent surveys that report a ratio of approximately 3: 1. 6Data from the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC; N= 43,093), the largest and most recent study of substance use and other psychiatric disorders, showed that men were 2.2 times more likely than women to have drug abuse, and 1.9 times more likely to have drug dependence. 1 Data regarding prescription drugs are less consistent. Although several studies indicate that rates of nonmedical prescription drug use are higher among women than men, particularly for narcotic analgesics and tranquilizers, 7 other studies report equivalent or higher rates among men. 8
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