Association between early onset of cigarette, alcohol and cannabis use and later drug use patterns: An analysis of a survey in European metropolises

Association between early onset of cigarette, alcohol and cannabis use and later drug use patterns: An analysis of a survey in European metropolises
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DOI:
10.1159/000083038
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发表时间:
2005-01-01
影响因子:
3.9
通讯作者:
Tossmann, P
Tossmann, P
中科院分区:
医学3区
文献类型:
--
作者:
Baumeister, SE;Tossmann, P

文献摘要

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目的:该研究提供了关于开始使用酒精、香烟和大麻的年龄的数据,并调查了开始使用年龄与后来的药物使用模式之间的关系。方法:使用来自横断面多站点研究的样本,对3,503名年龄在12 - 49岁的个体进行个人访谈。最后一个月的患病率,发病年龄和随后的使用模式的关联进行了调查。结果:在16岁之前开始使用大麻与大量使用大麻的比值比为1.6相关。对于男性来说,大量使用大麻的比值比为1.7,当时大麻已经在16岁开始使用。大量使用摇头丸、安非他明、致幻剂和可卡因与13岁以前吸烟有关(OR = 1.9)。男性的优势比为2.2,女性为1.9。结论:根据这些数据,早期使用酒精似乎与随后的大量药物使用无关。早发性大麻使用者出现大量使用模式的可能性越来越大。预防性干预计划必须比学校计划更早开始,并且需要解决具体的发展途径。版权所有(C)2005 S. Karger AG,巴塞尔。
Objectives: The study presents data about age of onset of alcohol, cigarette and cannabis use and investigates the association between age of onset and later drug use patterns. Methods: Using a sample from a cross-sectional multi-site study, personal interviews were conducted with 3,503 individuals aged 12 - 49 years. Last-month prevalence, age of onset and associations with subsequent use patterns were investigated. Results: Having started with cannabis before the age of 16 years was associated with an odds ratio of 1.6 for heavy cannabis use. For males, the odds ratio of heavy cannabis use was 1.7, when cannabis was already initiated by the age of 16. Heavy use of ecstasy, amphetamines, hallucinogens and cocaine is associated with use of cigarettes before 13 ( OR = 1.9). For males, the odds ratio was 2.2 and for women 1.9. Conclusions: Early use of alcohol, according to this data, does not seem to be related to subsequent heavy drug use. Early onset cannabis users show increasing probabilities of heavy use patterns. Preventive intervention programs have to start earlier than schoolbased programs normally do and specific developmental pathways need to be addressed. Copyright (C) 2005 S. Karger AG, Basel.