Characterizing substance use and mental health profiles of cigar, blunt, and non-blunt marijuana users from the National Survey of Drug Use and Health
Characterizing substance use and mental health profiles of cigar, blunt, and non-blunt marijuana users from the National Survey of Drug Use and Health
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DOI：
10.1016/j.drugalcdep.2015.12.017
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发表时间：
2016-03-01
影响因子：
4.2
通讯作者：
Villanti, Andrea C.
中科院分区：
文献类型：
--
作者：
Cohn, Amy;Johnson, Amanda;Villanti, Andrea C.
背景：在美国，在雪茄中吸食大麻(钝化使用)越来越受欢迎。研究表明，钝化吸食者在各种人口统计和物质使用因素上与吸食雪茄或大麻的专有吸食者不同。对钝器和雪茄的错误报告也很常见，特别是在年轻人中，并可能导致不准确的流行率估计。为了确定亚型差异，本研究调查了吸食30天以上的钝器、雪茄和大麻四个相互排斥的群体(仅吸食雪茄、仅钝器吸食、非钝器吸食或双重吸食)的患病率与人口学、心理健康和药物使用的相关性。方法：对2013年全国药物使用与健康调查的数据进行分析。模特、年轻的黑人受访者以及在过去30天内使用过烟草、酒精或其他药物的人报告仅钝化或双重钝化雪茄的几率最高。那些报告只钝化和双重雪茄钝化使用的人也支持比那些报告仅使用雪茄和不钝化大麻的人更多的大麻和酒精使用障碍症状。较低的大麻风险认知与使用大麻的几率增加有关，无论是否钝化。严重的抑郁发作与非钝性大麻的使用是唯一相关的。关于错误分类，报告过去30天钝化使用但没有过去30天吸食大麻的受访者是更年轻的黑人，女性，受教育程度和收入较低。讨论：那些报告仅钝化使用和双重钝化雪茄使用的人显示出最严重的风险特征。宣传钝化使用的健康后果和风险应针对特定的亚组。(C)2015爱思唯尔爱尔兰有限公司。保留所有权利。
Background: Smoking marijuana in a cigar (blunt use) is gaining popularity in the U.S. Research suggests that blunt users differ from exclusive cigar or marijuana users on a variety of demographic and substance use factors. Misreporting of blunts and cigars is also common, particularly among young people, and may lead to inaccurate prevalence estimates. To determine subtype differences, this study investigated the prevalence and demographic, mental health, and substance use correlates of four mutually-exclusive groups of blunt, cigar, and marijuana past 30-day users (cigar-only, blunt-only, non-blunt marijuana, or dual cigar-blunt).Method: Data were analyzed from the 2013 National Survey of Drug Use and Health.Results: In weighted multinomial logistic regression. models, respondents who were younger, Black, and who had used tobacco, alcohol, or other drugs in the past 30-days had the highest odds of reporting blunt-only or dual cigar-blunt use. Those reporting blunt-only and dual cigar-blunt use also endorsed a greater number of marijuana and alcohol use disorder symptoms compared to those reporting cigar-only and non-blunt marijuana use. Lower marijuana risk perceptions were associated with increased odds of marijuana use with or without blunts. Major depressive episode was uniquely associated with non-blunt marijuana use. With respect to misclassifiers, respondents who reported past 30-day blunt use but not past 30-day marijuana use were younger, Black, female, and had lower education and income.Discussion: Those who report blunt-only and dual cigar-blunt use showed the most severe risk profiles. Communicating health consequences and risks of blunt use should be directed toward specific subgroups. (C) 2015 Elsevier Ireland Ltd. All rights reserved.