Marijuana and tobacco use and co-use among African Americans: Results from the 2013, National Survey on Drug Use and Health

Marijuana and tobacco use and co-use among African Americans: Results from the 2013, National Survey on Drug Use and Health
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DOI:
10.1016/j.addbeh.2015.06.046
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发表时间:
2015-12-01
影响因子:
4.4
通讯作者:
Montgomery, LaTrice
Montgomery, LaTrice
中科院分区:
医学2区
文献类型:
--
作者:
Montgomery, LaTrice

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背景资料:虽然研究发现,与其他种族群体相比,非裔美国人大麻和烟草共同使用的可能性增加,但很少有研究专门研究非裔美国人在全国调查中共同使用者的患病率和物质使用特征。方法:目前的二次分析研究了患病率和物质使用特征(例如,结果:18.5%、53.8%和27.7%的非裔美国人在过去30天内分别只吸大麻、只吸烟草、大麻和烟草。相对于只吸大麻的参与者,吸大麻和烟草的非洲裔美国人在过去一年中更有可能依赖大麻,并在过去一个月中报告更多的大麻使用天数。此外,相对于只吸烟的参与者,吸食大麻和烟草的非裔美国人不太可能依赖尼古丁,在过去一个月内使用香烟的天数较少,并且在更年轻的时候开始吸烟,雪茄和大麻,但在过去一年中更有可能依赖大麻,并且在过去一个月内使用雪茄的天数更多。结论:大麻和烟草的共同使用是一个重大的公共卫生问题,特别是在非洲裔美国人中。对吸食大麻和烟草的非裔美国人进行有效的预防和治疗干预的额外研究是必要的。(C)2015爱思唯尔有限公司版权所有。
Background: Although studies have identified an increased likelihood of marijuana and tobacco co-use among African Americans as compared to other racial groups, few studies have specifically examined the prevalence and substance use characteristics of co-users among African Americans in a national survey.Methods: The current secondary analysis examined the prevalence rates and substance use characteristics (e.g., marijuana dependence) of 2024 African American past month marijuana and tobacco users and co-users participating in the 2013 National Survey on Drug Use and Health.Results: Findings revealed that 18.5%, 53.8% and 27.7% of African Americans smoked marijuana only, tobacco only and marijuana and tobacco in the past 30 days, respectively. Relative to participants who smoked marijuana only, African Americans who smoked marijuana and tobacco were more likely to be marijuana dependent in the past year and report more days of marijuana use in the past month. Further, relative to participants who smoked tobacco only, African Americans who smoked marijuana and tobacco were less likely to be dependent on nicotine, reported fewer days of cigarette use in the past month, and began smoking cigarettes, cigars and marijuana at a younger age, but were more likely to be marijuana dependent in the past year and reported more days of cigar use in the past month.Conclusions: Marijuana and tobacco co-use is a significant public health problem, especially among African Americans. Additional research on effective prevention and treatment interventions for African Americans who smoke marijuana and tobacco is warranted. (C) 2015 Elsevier Ltd. All rights reserved.