Simultaneous Versus Concurrent Use of Alcohol and Cannabis in the National Alcohol Survey
Simultaneous Versus Concurrent Use of Alcohol and Cannabis in the National Alcohol Survey
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DOI：
10.1111/acer.12698
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发表时间：
2015-05-01
影响因子：
3.2
通讯作者：
Kerr, William C.
中科院分区：
文献类型：
--
作者：
Subbaraman, Meenakshi S.;Kerr, William C.
大麻是饮酒者中最常用的药物，但没有研究直接比较同时使用大麻和酒精的人与同时使用大麻和酒精的人（即，在成年人中，一般。在这里，我们评估了人口统计学差异，酒精相关的社会后果，对自己的伤害，以及酒后驾车在同时，并发，和酒精只使用组。（N= 8，626; 4，522名女性，4，104名男性），计算机辅助电话采访调查来自所有50个州和DC的18岁及以上的个人。黑人和西班牙裔被过度抽样。使用列表辅助随机数字拨号收集数据。多项和多变量Logistic回归分析。ResultsThe同时使用的患病率几乎是同时使用的两倍，这意味着谁使用大麻和酒精的个人往往使用它们在同一时间。此外，同时使用与酒精使用的频率和数量增加有关。同时使用也是最有害的：与只喝酒相比，同时使用大约增加了酒后驾车，社会后果和自我伤害的几率。差异的问题的幅度仍然比较酒后驾车之间的同时用户并发users.ConclusionsThe整体的结果是特别重要的是要记住，当研究和/或治疗酒精/大麻共同使用者之间的问题，因为他们表明，在一般人群中，共同使用者是一个异质群体谁遇到不同的可能性的问题，相对于共同使用模式。
BackgroundCannabis is the most commonly used drug among those who drink, yet no study has directly compared those who use cannabis and alcohol simultaneously versus concurrently (i.e., separately) in the adult general population. Here, we assess differences in demographics, alcohol-related social consequences, harms to self, and drunk driving across simultaneous, concurrent, and alcohol-only using groups.MethodsSecondary analyses of the 2005 and 2010 National Alcohol Survey (N=8,626; 4,522 female, 4,104 male), a Computer Assisted Telephone Interview survey of individuals aged 18 and older from all 50 states and DC. Blacks and Hispanics are over-sampled. Data were collected using list-assisted Random Digit Dialing. Multinomial and multivariable logistic regressions were used for analyses.ResultsThe prevalence of simultaneous use was almost twice as high as concurrent use, implying that individuals who use both cannabis and alcohol tend to use them at the same time. Furthermore, simultaneous use was associated with increased frequency and quantity of alcohol use. Simultaneous use was also the most detrimental: compared to alcohol only, simultaneous use approximately doubled the odds of drunk driving, social consequences, and harms to self. The magnitudes of differences in problems remained when comparing drunk driving among simultaneous users to concurrent users.ConclusionsThe overall set of results is particularly important to bear in mind when studying and/or treating problems among alcohol/cannabis co-users because they demonstrate that in the general population, co-users are a heterogeneous group who experience different likelihoods of problems relative to co-use patterns.