Trends in cocaine use among United States females of reproductive age, 2005-2019.
Trends in cocaine use among United States females of reproductive age, 2005-2019.
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2005-2019 年美国育龄女性可卡因使用趋势。
DOI：
10.1111/ajad.13502
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发表时间：
2024
期刊：
影响因子：
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通讯作者：
Alshaarawy,Omayma
中科院分区：
文献类型：
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作者：
Orndorff,Madelyn;Shipp,GayleM;Kerver,JeanM;Ondersma,StevenJ;Alshaarawy,Omayma
可卡因使用的流行率在美国有所增加，估计有550万人在2019年至少使用过一次。我们报告的趋势可卡因使用的育龄女性谁参加了全国调查药物使用和健康（NSDUH，2005-2019）。MethodsInterviewers为NSDUH招募和评估美国非制度化人口的代表性样本。每年估计女性（15-44岁;n= 295，751）的可卡因吸毒流行率。Joinpoint回归，然后用于测试显着变化的trends.ResultsApproximately 2.4%的女性（n= 8136）报告过去12个月的可卡因使用。Joinpoint回归显示，2005年至2011年可卡因使用流行率最初下降，随后强劲增长（2011-2019年年度百分比变化= 5.2; 95%置信区间= 2.6，7.8%）。这种非线性趋势，观察到所有的亚组，除了青少年和孕妇的可卡因使用的患病率下降observed.Discussion and ConclusionsAlthough可卡因使用的患病率在美国女性中仍然稀少，摄取后，一段时间的初步下降是令人担忧的，强调需要继续提高公众健康意识和采取行动。科学意义育龄妇女使用避孕药尤其重要，考虑到过渡到无序使用的可能性增加以及怀孕期间使用的风险。以前的研究没有报告特定于育龄女性的可卡因使用估计数，或者只报告了共同药物使用模式，没有详细说明具体的可卡因使用趋势。
Background and ObjectivesThe prevalence of cocaine use has increased in the United States, with an estimated 5.5 million people have used it at least once in 2019. We report trends in cocaine use for reproductive age females who participated in the National Survey on Drug Use and Health (NSDUH, 2005–2019).MethodsInterviewers for NSDUH recruited and assessed a representative sample of the US noninstitutionalized population. The prevalence of cocaine use was estimated annually for females (15–44 years;n= 295,751). Joinpoint regression was then used to test for significant changes in trends.ResultsApproximately 2.4% of females (n= 8136) reported past 12‐month cocaine use. Joinpoint regression revealed an initial decline in cocaine use prevalence between 2005 and 2011, followed by a robust increase (2011–2019 annual percent change = 5.2; 95% confidence interval = 2.6, 7.8%). This nonlinear trend was observed for all subgroups, except for adolescent and pregnant females for whom a decrease in cocaine use prevalence was observed.Discussion and ConclusionsAlthough the prevalence of cocaine use remains scarce among US females, the uptake in use after a period of initial decline is concerning, highlighting the need for continued public health awareness and action.Scientific SignificanceCocaine use among females of reproductive age is particularly concerning given the increased likelihood of transitioning to disordered use and the risk of use during pregnancy. Previous studies have not reported cocaine use estimates specific to reproductive age females or only reported co‐drug use patterns, without detail of specific cocaine use trends.