Prevalence and correlates of drug use and DSM-IV drug dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey

Prevalence and correlates of drug use and DSM-IV drug dependence in the United States: Results of the National Longitudinal Alcohol Epidemiologic Survey
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DOI:
10.1016/s0899-3289(96)90249-7
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发表时间:
1996-01-01
期刊:
JOURNAL OF SUBSTANCE ABUSE
影响因子:
--
通讯作者:
Grant, BF
Grant, BF
中科院分区:
其他
文献类型:
--
作者:
Grant, BF

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这项研究提供了对流行率的最新估计,并检查了美国人口中具有代表性的样本中药物使用和依赖的相关性。终生吸毒率为15.6%,4.9%的受访者报告在过去12个月内吸食过毒品。终生和12个月的药物依赖患病率估计分别为2.9%和0.8%。男性明显比女性更有可能吸毒,在二战后出生的人群中,吸毒和依赖要普遍得多。数据显示,女性的依赖率正在迅速接近年轻人群中的男性。与年龄较大的群体相比,最年轻的一组成员,即访谈时年龄在18岁至24岁之间的成员,更有可能吸毒、依赖和持续依赖,其中包括在1960年代中期青年中普遍使用非法药物的高峰期经历青春期的第二组成员。首次使用、开始依赖和持续依赖的人口统计学相关性随着进展阶段的不同而不同。讨论了这些研究结果对近期吸毒者的药物选择和依赖、责任和脆弱性随时间的变化所产生的影响。
This study presents updated estimates of the prevalence and examines the correlates of drug use and dependence in a representative sample of the U.S. population. The prevalence of lifetime drug use was 15.6%, with 4.9% of the respondents reporting drug use during the past 12 months. Lifetime and 12-month prevalence of drug dependence were estimated at 2.9% and 0.8%, respectively. Men were significantly more likely to use drugs than women, and drug use and dependence were much more common among cohorts born after World War II. The data indicated that rates of dependence among women were quickly approaching the rates among men in the younger cohorts. Members of the youngest cohort, between the ages of 18 and 24 years at the time of the interview, were more likely to use drugs, to become dependent, and to persist in dependence compared to the older cohorts, including Cohort 2 who experienced adolescence at the height of widespread introduction of illicit drugs among youth in the mid-1960s. The demographic correlates of first use, onset of dependence, and persistence of dependence varied as a function of the stage of progression. Implications of these findings are discussed in terms of changes over time in drugs of choice and dependence liability and vulnerability among recent drug users.