Neighborhood-level and individual-level correlates of cannabis use among young persons living with HIV/AIDS.
Neighborhood-level and individual-level correlates of cannabis use among young persons living with HIV/AIDS.
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DOI：
10.1016/j.drugalcdep.2015.03.017
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发表时间：
2015-06-01
影响因子：
4.2
通讯作者：
Adolescent Medicine Trials Network for HIV/AIDS Interventions
中科院分区：
文献类型：
--
作者：
Bruce D;Kahana SY;Bauermeister JA;Nichols SL;Hightow-Weidman LB;Heinze JE;Shea J;Fernández MI;Adolescent Medicine Trials Network for HIV/AIDS Interventions
除个人特征外，可能有广泛的环境或社区压力因素导致艾滋病毒/艾滋病青年群体大麻使用量增加；然而，迄今为止尚未研究社会混乱对YLHIV中大麻使用的影响。我们通过建立分层广义线性模型来评估目前接受医疗护理的YLHIV样本（N=1921）中当前大麻使用（过去3个月内任何使用）和每日大麻使用的几率，研究了个人水平和社区水平因素的影响。过去3个月每日大麻使用的最终模型包括与以下因素相关的显著积极影响：敌意（O.R.=1.08, 95% c.i.: 1.05, 1.11）、年龄（O.R.= 1.12, 95% c.i.: 1.05, 1.20）、双性恋男性（O.R.=1.72, 95% c.i.: 1.10, 2.70）、居住在谋杀率最高的四分位数（O.R.= 1.91, 95% c.i.: 1.27, 2.87）、第二高的四分位数（O.R.=1.62, 95% c.i.: 1.06, 2.46）或第三高的四分位数（O.R.=1.52, 95% c.i.: 1.01, 2.30）。本文提高了我们对与YLHIV群体中大麻使用升高相关的多层次因素的认识，并进一步加深了我们对这一人群健康的社会和结构决定因素的理解。未来对YLHIV患者大麻使用情况的研究不仅应考虑在HIV/AIDS患者生活调整背景下的大麻使用情况，还应考虑YLHIV患者生活环境特征的应激源。
In addition to individual characteristics, there may be a wide range of environmental or neighborhood stressors that contribute to elevated cannabis use in groups of youth living with HIV/AIDS (YLHIV); however, the effects of social disorganization on cannabis use in YLHIV to date have not been studied. We examined the effects of individual-level and neighborhood-level factors by developing hierarchical generalized linear models estimating odds of current cannabis use (any use during the past 3 months) and daily cannabis use among a sample of YLHIV (N=1921) currently receiving medical care. The final model for daily cannabis use in the past 3 months included significant positive effects associated with hostility (O.R.=1.08, 95% C.I.: 1.05, 1.11), being older (O.R.= 1.12, 95% C.I.: 1.05, 1.20), being a bisexual male (O.R.=1.72, 95% C.I.: 1.10, 2.70), and residing in a community with a murder rate in the highest quartile (O.R.= 1.91, 95% C.I.: 1.27, 2.87), second highest quartile (O.R.=1.62, 95% C.I.: 1.06, 2.46), or third highest quartile (O.R.=1.52, 95% C.I.: 1.01, 2.30). This paper advances our knowledge of the multilevel factors associated with elevated cannabis use among groups of YLHIV and furthers our understanding of social and structural determinants of health in this population. Future research into cannabis use among YLHIV should consider, not only cannabis use within the context of the adjustment of living with HIV/AIDS, but also the stressors that characterize the environments in which groups of YLHIV live.
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