Decreasing perceived risk associated with regular cannabis use among older adults in the United States from 2015 to 2019.
Decreasing perceived risk associated with regular cannabis use among older adults in the United States from 2015 to 2019.
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DOI：
10.1111/jgs.17213
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发表时间：
2021-09
影响因子：
6.3
通讯作者：
Palamar JJ
中科院分区：
文献类型：
--
作者：
Han BH;Funk-White M;Ko R;Al-Rousan T;Palamar JJ
在美国，老年人的大麻使用量急剧增加。虽然使用大麻的风险和益处仍不清楚，但监测使用大麻的风险因素非常重要，包括对危害的认知度较低。本研究的目的是估计近期全国老年人吸食大麻风险的趋势。趋势分析。共有 18,794 名年龄 ≥ 65 岁的成年人参加了 2015-2019 年全国吸毒与健康调查，这是一项针对美国非机构化个人的全国性横断面代表性调查。我们估计了认为每周吸食一到两次大麻的人面临身体和其他方面伤害的巨大风险的老年人的患病率。我们对队列年份进行了检查，并根据人口特征、慢性病诊断、过去一个月的吸烟和酗酒情况以及全因急诊科的使用情况进行了分层。 2015 年至 2019 年间，与经常使用相关的感知风险从 52.6% 下降至 42.7%，下降了 18.8% (p<0.001)。尤其是那些从未结婚的人（减少 32.6%）、酗酒（减少 31.3%）、吸烟（减少 26.8%）、患有肾病（减少 32.1%）、哮喘（减少 31.7%）、心脏病（减少 16.5%）、慢性阻塞性肺病（减少 21.5%）、患有两种或多种慢性病（一种减少 20.2%），以及报告去年急诊科使用情况的人员（减少 21.0%）（ps<0.05）。老年人经常使用大麻的感知风险正在下降。我们发现患有慢性疾病和高风险行为（包括吸烟和酗酒）的人的风险感知急剧下降。随着吸食大麻的老年人数量增加，需要努力提高人们对大麻可能产生的不利影响的认识，特别关注弱势群体。
Cannabis use among older adults is increasing sharply in the United States (U.S.). While the risks and benefits of cannabis use remain unclear, it is important to monitor risk factors for use, including low perception of harm. The objective of this study was to estimate recent national trends in perceived risk of cannabis use among older adults. Trend analysis. A total of 18,794 adults age ≥65 years participating in the 2015–2019 National Survey on Drug Use and Health, a cross-sectional nationally representative survey of non-institutionalized individuals in the U.S. We estimated the prevalence of older adults who believe that people who smoke cannabis once or twice a week are at great risk of harming themselves physically and in other ways. This was examined across cohort years and stratified by demographic characteristics, diagnosis of chronic disease, past-month tobacco and binge alcohol use, and all-cause emergency department use. Between 2015 and 2019, perceived risk associated with regular use decreased from 52.6% to 42.7%, an 18.8% decrease (p<0.001). Decreases in perceived risk were detected in particular among those never married (a 32.6% decrease), those who binge drink (a 31.3% decrease), use tobacco (a 26.8% decrease), have kidney disease (a 32.1% decrease), asthma (a 31.7% decrease), heart disease (a 16.5% decrease), chronic obstructive pulmonary disease (a 21.5% decrease), two or more chronic conditions (a 20.2% decrease), and among those reporting past-year emergency department use (a 21.0% decrease) (ps<0.05). The perceived risk of regular cannabis use is decreasing among older adults. We detected sharp decreases in risk perception among those with chronic disease and high-risk behaviors, including tobacco and binge alcohol use. As the number of older adults who use cannabis increases, efforts are needed to raise awareness of the possible adverse effects with special emphasis on vulnerable groups.
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影响因子：
6
作者：
Pacek, Lauren R.;Weinberger, Andrea H.;Goodwin, Renee D.
通讯作者：
Goodwin, Renee D.
影响因子：
2.8
作者：
Palamar, Joseph J.;Le, Austin;Mateu-Gelabert, Pedro
通讯作者：
Mateu-Gelabert, Pedro
DOI：
10.1111/add.13670
发表时间：
2017-03
期刊：
Addiction (Abingdon, England)
影响因子：
--
作者：
Han BH;Sherman S;Mauro PM;Martins SS;Rotenberg J;Palamar JJ
通讯作者：
Palamar JJ
在社区居民老年人中使用大麻的特征和模式。
影响因子：
6.3
作者：
Reynolds IR;Fixen DR;Parnes BL;Lum HD;Shanbhag P;Church S;Linnebur SA;Orosz G
通讯作者：
Orosz G
影响因子：
17.7
作者：
Compton, WM;Thomas, YF;Colliver, JD
通讯作者：
Colliver, JD