Cigarette use is increasing among people with illicit substance use disorders in the United States, 2002-14: emerging disparities in vulnerable populations.
Cigarette use is increasing among people with illicit substance use disorders in the United States, 2002-14: emerging disparities in vulnerable populations.
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DOI：
10.1111/add.14082
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发表时间：
2018-04
期刊：
影响因子：
--
通讯作者：
Goodwin RD
中科院分区：
文献类型：
--
作者：
Weinberger AH;Gbedemah M;Wall MM;Hasin DS;Zvolensky MJ;Goodwin RD
虽然吸烟量随着时间的推移而下降，但尚不清楚这种下降是否同样发生在物质使用障碍（SUD）患者中。本研究估计了2002年至2014年美国（US）有和无SUD人群的吸烟趋势。使用逻辑回归模型评估当前吸烟率的线性时间趋势。美国：数据来自2002年至2014年全国家庭药物使用调查（NSDUH），这是一项年度美国横断面研究。一个代表性的，基于人口的样本，美国人年龄12岁及以上（总分析人群：N= 723，283）。最近一个月的当前吸烟定义为一生中至少吸烟100支，并报告在过去30天内吸烟至少一支香烟的部分或全部。如果受访者符合以下一种或多种非法药物的滥用或依赖标准，则将其归类为患有任何SUD：大麻，致幻剂，吸入剂，镇静剂，可卡因，海洛因，止痛药，模拟物和镇静剂。第二个SUD变量包括上文列出的所有药物，但不包括大麻使用障碍。另一个变量包括符合大麻滥用或依赖标准的答卷人。在任何SUD患者中，吸烟率从2002年到2014年没有变化（p=0.08）。然而，当将CUD与其他SUD分开时，在不包括CUD的SUD患者中观察到吸烟率显著增加（p<0.001），而在CUD患者中吸烟率下降（p<0.001）。无SUD者吸烟率下降（p <0.001）。2014年，吸烟在任何SUD（55.5%）、SUD（不包括CUD）（63.3%）和CUD（51.4%）患者中仍然显著高于无这些疾病的患者（18.2%、18.6%和18.6%; ps<0.001）。从2002年到2014年，美国物质使用障碍（SUD）患者（不包括大麻使用障碍（CUD））的吸烟率有所增加，而CUD患者的吸烟率则有所下降。2014年，与未患SUD的人群相比，患有SUD（包括CUD）的人群的吸烟率高出数倍。
While cigarette smoking has declined over time, it is not known whether this decline has similarly occurred among persons with substance use disorders (SUDs). The current study estimated trends in smoking from 2002 to 2014 among United States (US) persons with and without SUDs. Linear time trends of current smoking prevalence were assessed using logistic regression models. USA: data were drawn from the 2002 to 2014 National Household Survey on Drug Use (NSDUH), an annual US cross-sectional study. A representative, population-based sample of US persons age 12 and older (total analytic population: N=723,283). Past-month current smoking was defined as having smoked at least 100 lifetime cigarettes and reporting smoking part or all of at least one cigarette during the past 30 days. Respondents were classified as having any SUD if they met criteria for abuse or dependence for one or more of the following illicit drugs: cannabis, hallucinogens, inhalants, tranquilizers, cocaine, heroin, pain relievers, simulants, and sedatives. A second SUD variable included all drugs listed above excluding cannabis use disorder (CUD). An additional variable included respondents who met criteria for cannabis abuse or dependence. Among those with any SUD, the prevalence of smoking did not change from 2002 to 2014 (p=0.08). However, when CUDs were separated from other SUDs, a significant increase in prevalence of smoking was observed among those with SUDs excluding CUDs (p<0.001) while smoking decreased among those with CUDs (p<0.001). Smoking declined among those without SUDs (ps<0.001). In 2014, smoking remained significantly more common among those with any SUD (55.5%), SUDs excluding CUDs (63.3%), and CUDs (51.4%) compared with those without these respective disorders (18.2%, 18.6%, and 18.6%; ps<0.001). The prevalence of cigarette smoking in the US increased from 2002 to 2014 among people with substance use disorders (SUDs) excluding cannabis use disorders (CUDs) and declined among those with CUDs. In 2014, the prevalence of smoking was multifold higher among those with SUDs, including CUDs, compared with those without SUDs.
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