Demographic risk factors for co-occurring suicidality and cannabis use disorders: Findings from a nationally representative United States sample.
Demographic risk factors for co-occurring suicidality and cannabis use disorders: Findings from a nationally representative United States sample.
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DOI：
10.1016/j.addbeh.2021.107047
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发表时间：
2021-11
影响因子：
4.4
通讯作者：
Zajac K
中科院分区：
文献类型：
--
作者：
Kelly LM;Drazdowski TK;Livingston NR;Zajac K
新兴的研究表明，自杀(即意念、企图)与大麻使用之间存在联系；然而，人们对哪些人口群体同时发生自杀和大麻使用障碍的风险增加知之甚少。这项研究在具有全国代表性的美国样本中测试了自杀、CUD及其共同出现的性别、年龄、种族/民族和性取向的差异。将五年(2015-2019年)的全国药物使用情况调查和健康调查结合在一起。多项Logistic回归检验仅自杀、仅CUD、同时发生CUD和自杀的概率的人口统计学差异，与自杀和CUD无关。协变量包括调查年份、严重抑郁发作和其他物质使用障碍。男性同时发生自杀意念和CUD的几率高于女性(AOR=2.06)。所有年龄段的人报告的同时发生自杀意念和CUD以及同时发生自杀企图和CUD的几率都低于新兴成年人(AORS=0.06-0.39)。黑人/非裔美国人(AOR=1.42)和原住民(AOR=2.16)的成年人报告说，与白人成年人相比，同时发生自杀意念和CUD的几率更高。黑人/非裔美国人(AOR=4.05)和西班牙裔/拉丁裔(AOR=2.49)成年人报告称，与白人成年人相比，共同发生CUD和自杀企图的几率更高。男女同性恋者(AOR=2.04)和双性恋者(AOR=3.16)报告称，与异性恋成年人相比，同时发生自杀意念和CUD的几率更高。男性、新兴成年人、黑人/非裔美国人、土著和性少数群体同时发生自杀意念和CUD的风险增加。新兴成年人、黑人/非裔美国人和西班牙裔/拉丁裔群体同时发生自杀未遂和CUD的风险较高。
Burgeoning research suggests a link between suicidality (i.e., ideation, attempts) and cannabis use; however, little is known about which demographic groups are at increased risk of co-occurring suicidality and cannabis use disorders (CUD). This study tested differences in suicidality, CUD, and their co-occurrence by gender, age, race/ethnicity, and sexual orientation in a nationally representative U.S. sample. Five years (2015–2019) of National Survey of Drug Use and Heath surveys were combined. Multinomial logistic regressions tested demographic differences in odds of suicidality only, CUD only, and co-occurring CUD and suicidality, relative to neither suicidality nor CUD. Covariates included survey year, major depressive episode, and other substance use disorders. Men had higher odds of co-occurring suicidal ideation and CUD than women (AOR=2.06). All older age groups reported lower odds of co-occurring suicidal ideation and CUD and co-occurring suicide attempts and CUD than emerging adults (AORs=.06-.39). Black/African American (AOR=1.42) and Native (AOR=2.16) adults reported higher odds of co-occurring suicidal ideation and CUD than White adults. Black/African American (AOR=4.05) and Hispanic/Latinx (AOR=2.49) adults reported higher odds of co-occurring CUD and suicide attempts than White adults. Gay/lesbian (AOR=2.04) and bisexual (AOR=3.16) adults reported higher odds of co-occurring suicidal ideation and CUD than heterosexual adults. Men, emerging adults, Black/African American, Native, and sexual minority groups had elevated risk of co-occurring suicidal ideation and CUD. Emerging adults, Black/African American, and Hispanic/Latinx groups had elevated risk of co-occurring suicide attempts and CUD.
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