A scoping review and meta-analysis of psychosocial and pharmacological treatments for cannabis and tobacco use among African Americans.
A scoping review and meta-analysis of psychosocial and pharmacological treatments for cannabis and tobacco use among African Americans.
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DOI：
10.1037/adb0000326
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发表时间：
2017-12
期刊：
影响因子：
--
通讯作者：
Haeny AM
中科院分区：
文献类型：
--
作者：
Montgomery L;Robinson C;Seaman EL;Haeny AM
与其他种族/族裔群体相比，非裔美国人同时使用大麻和烟草的比率更高。处理非裔美国人共同使用问题的一个可行办法是，检查单独使用大麻和烟草的治疗效果，以确定可以结合起来处理这些物质双重使用的有效办法。目前的荟萃分析试图包括报告大麻和/或烟草使用结果的研究，这些结果来自100%非裔美国人样本的随机临床试验（RCT）。共有843篇文章被考虑纳入，其中29篇由独立定性编码员审查，22篇被纳入审查中。没有关于100%非裔美国人样本的大麻使用治疗的文章，因此需要降低阈值（60%）并对大麻研究进行范围审查。少数研究（k = 7）的初步证据支持使用动机访谈和认知行为疗法来治疗非裔美国人使用大麻，但不支持应急管理。对15项烟草研究的荟萃分析结果发现，在短期和长期随访期间，治疗条件下的戒烟率高于对照条件。当检查药物治疗相对于其控制条件的影响时，也发现戒烟的显着差异。这些研究结果的临床和研究意义，为未来的心理和药理学试验大麻和烟草的使用和共同使用的非洲裔美国人。
The rates of co-occurring cannabis and tobacco use are higher among African Americans relative to other racial/ethnic groups. One plausible approach to treating co-use among African Americans is to examine the effectiveness of treatments for the sole use of cannabis and tobacco to identify effective approaches that might be combined to treat the dual use of these substances. The current meta-analysis sought to include studies that reported cannabis and/or tobacco use outcomes from randomized clinical trials (RCTs) with 100% African American samples. A total of 843 articles were considered for inclusion, 29 were reviewed by independent qualitative coders, and 22 were included in the review. There were no articles on cannabis use treatment with a 100% African American sample, resulting in a need to lower the threshold (60%) and conduct a scoping review of cannabis studies. Preliminary evidence from a small number of studies (k = 7) supports the use of Motivational Interviewing and Cognitive–Behavioral Therapy to treat cannabis use among African Americans, but not Contingency Management. Results from a meta-analysis of 15 tobacco studies found higher rates of smoking abstinence in the treatment condition relative to control conditions overall and across short and long-term follow-up periods. Significant differences in smoking abstinence were also found when examining the effects of pharmacological treatments relative to their control conditions. The clinical and research implications of these findings for future psychosocial and pharmacological trials for cannabis and tobacco use and co-use among African Americans are described.
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影响因子：
4.4
作者：
Armstrong, Rebecca;Hall, Belinda J.;Waters, Elizabeth
通讯作者：
Waters, Elizabeth
影响因子：
4.4
作者：
Cooper, TV;Klesges, RC;Clemens, LH
通讯作者：
Clemens, LH
影响因子：
3.9
作者：
Becker, Sara J.;Stein, Gabriela Livas;Hersh, Jacqueline
通讯作者：
Hersh, Jacqueline
DOI：
10.1111/j.1360-0443.2012.03837.x
发表时间：
2012-07
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Agrawal A;Budney AJ;Lynskey MT
通讯作者：
Lynskey MT
影响因子：
--
作者：
Asevedo, Elson;Mendes, Ana C.;Brietzke, Elisa
通讯作者：
Brietzke, Elisa