Patterns of Substance Use and Associations with Mental, Physical, and Social Functioning: A Latent Class Analysis of a National Sample of U.S. Adults Ages 30-80.
Patterns of Substance Use and Associations with Mental, Physical, and Social Functioning: A Latent Class Analysis of a National Sample of U.S. Adults Ages 30-80.
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物质使用的模式以及与精神，身体和社会功能的关联：对30-80岁的美国成年人的国家样本的潜在类别分析。
DOI：
10.1080/10826084.2020.1843059
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发表时间：
2021
影响因子：
2
通讯作者：
Pollard MS
中科院分区：
文献类型：
--
作者：
Tucker JS;Huang W;Green HD Jr;Pollard MS
趋势表明，成年人使用药物的情况有所增加，但对一般人群样本的研究很少审查合法和非法药物使用的不同模式，这些模式可以为预防和治疗工作提供信息。这项研究确定了30-80奥尔兹中物质使用的不同模式（类别），确定了类别成员概率最高的人口统计学亚组，并比较了功能的关键指标。参与者（n= 1，877）来自兰德美国生活小组。在线调查措施包括目前的酒精，烟草，大麻和非医疗处方药使用，以及精神，身体和社会功能。潜在类别分析确定了四个类别：“轻度饮酒”（46.6%），“弃权”（33.7%），“大量饮酒并使用香烟/大麻”（17.1%）和“吸烟并使用处方药/大麻”（2.6%）。在这些类别中，“吸烟与处方药/大麻使用”报告了最差的精神和身体功能，以及比“轻度饮酒”类别更大的孤独感。“大量饮酒与香烟/大麻使用”报告更糟糕的精神和身体功能比“轻饮酒”类和社会支持比“轻饮酒”和“弃权”类。“弃权”类报告一贯不如功能比“打火机饮酒”类。这两个多物质使用类与年轻，教育程度低，收入低，酗酒多物质使用与男性和未婚。虽然少量饮酒是最常见的模式，但20%的成年人被分为两个与功能较差相关的多物质使用类别。可能需要作出有针对性的努力，以接触特别容易使用多种物质的某些成年人亚群。
Trends show increased substance use among adults, yet little research on general population samples has examined differential patterns of licit and illicit substance use that can inform prevention and treatment efforts. This study identifies distinct patterns (classes) of substance use among 30-80 year olds, identifies demographic subgroups with the highest probability of class memberships, and compares classes on key indicators of functioning. Participants (n=1,877) were from the RAND American Life Panel. Online survey measures included current alcohol, tobacco, cannabis, and nonmedical prescription drug use, as well as mental, physical and social functioning. Latent class analysis identified four classes: ‘Lighter Drinking’ (46.6%), ‘Abstaining’ (33.7%), ‘Heavy Drinking with Cigarette/Cannabis Use’ (17.1%), and ‘Cigarette Smoking with Prescription Drug/Cannabis Use (2.6%). Of these classes, ‘Cigarette Smoking with Prescription Drug/Cannabis Use’ reported the worst mental and physical functioning, and greater loneliness than the ‘Lighter Drinking’ class. ‘Heavy Drinking with Cigarette/Cannabis Use’ reported worse mental and physical functioning than the ‘Lighter Drinking’ class and less social support than the ‘Lighter Drinking’ and ‘Abstaining’ classes. The ‘Abstaining’ class reported consistently worse functioning than the ‘Lighter Drinking’ class. Both polysubstance use classes were associated with younger age, less education, and lower income, and heavy drinking polysubstance use was associated with being male and unmarried. Although lighter drinking was the most common pattern, 20% of adults were classified into two polysubstance use classes associated with poorer functioning. Targeted efforts may be needed to reach certain subgroups of adults who are particularly susceptible to polysubstance use.
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DOI：
10.1056/nejmsa1607538
发表时间：
2017-01-26
期刊：
The New England journal of medicine
影响因子：
--
作者：
Kasza KA;Ambrose BK;Conway KP;Borek N;Taylor K;Goniewicz ML;Cummings KM;Sharma E;Pearson JL;Green VR;Kaufman AR;Bansal-Travers M;Travers MJ;Kwan J;Tworek C;Cheng YC;Yang L;Pharris-Ciurej N;van Bemmel DM;Backinger CL;Compton WM;Hyland AJ
通讯作者：
Hyland AJ
影响因子：
2.8
作者：
JONES, DC
通讯作者：
JONES, DC
影响因子：
6
作者：
Agrawal, Arpana;Lynskey, Michael T.;Heath, Andrew C.
通讯作者：
Heath, Andrew C.
影响因子：
2.6
作者：
Hughes, ME;Waite, LJ;Cacioppo, JT
通讯作者：
Cacioppo, JT
影响因子：
3
作者：
AKAIKE, H
通讯作者：
AKAIKE, H