Trends and correlates of cocaine use and cocaine use disorder in the United States from 2011 to 2015
Trends and correlates of cocaine use and cocaine use disorder in the United States from 2011 to 2015
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DOI：
10.1016/j.drugalcdep.2017.08.031
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发表时间：
2017-11-01
影响因子：
4.2
通讯作者：
Wu, Li-Tzy
中科院分区：
文献类型：
--
作者：
John, William S.;Wu, Li-Tzy
背景：最近的流行病学数据表明，美国可卡因使用和可卡因相关问题死灰复燃。人口统计学趋势和相关的问题CU需要确定潜在的因素，可能会影响增加的趋势，并告知有针对性的预防和干预strategies.Methods：在任何过去一年CU，每周CU，可卡因使用障碍（CUD）的趋势进行了检查年龄>= 12岁的人使用全国药物使用和健康调查从2011年至2015年。Logistic回归分析用于确定青少年和成人中过去一年和每周CU和CUD的相关性。结果：2011年至2015年，女性，年龄18-25岁，年龄>= 50岁，非西班牙裔黑人，以及报告低收入，过去一年吸烟，过去一年饮酒，过去一个月狂欢和重度饮酒的人中过去一年CU的患病率增加。在年龄≥ 50岁的人和报告上个月大量饮酒的人中，每周CU的流行率增加。仅在≥ 50岁的人群中发现CUD患病率显著增加。调整后的logistic回归分析显示，年龄较大，大城市居住，过去一年的烟草，酒精，大麻和海洛因的使用，以及严重抑郁发作与青少年和成人中CU或CUD的几率增加有关;然而，青少年和成人中的性别和种族/民族相关性不同。调查结果有影响，增加监测CU相关指标之间的一些高风险群体，如女性，老年人，黑人，和多物质使用者。可能需要在这些人群亚组中进行有针对性的筛查和干预策略。
Background: Recent epidemiological data suggest a resurgence in cocaine use (CU) and cocaine-related problems in the United States. Demographic trends and correlates of problem CU are needed to determine potential factors that may be influencing the increased trend and to inform targeted prevention and intervention strategies.Methods: Trends in any past-year CU, weekly CU, and cocaine use disorder (CUD) were examined among persons aged >= 12 years using the National Survey on Drug Use and Health from 2011 to 2015. Logistic regression analyses were used to determine correlates of past-year and weekly CU and CUD among adolescents and adults.Results: The prevalence of past-year CU from 2011 to 2015 increased among females, ages 18-25, ages >= 50, non-Hispanic Blacks, and persons reporting low income, past-year tobacco use, past-year alcohol use, and past month binge and heavy alcohol use. The prevalence of weekly CU increased among persons aged >= 50 years and persons reporting past-month heavy alcohol use. A significant increase in the prevalence of CUD was only found among persons aged >= 50 years. Adjusted logistic regression showed that older age, large metropolitan residence, past-year tobacco, alcohol, cannabis, and heroin use, and major depressive episode were associated with increased odds of CU or CUD among both adolescents and adults; however, sex and race/ethnicity correlates differed among adolescents and adults.Conclusions: Findings have implications for increased monitoring of CU-related indicators among some high-risk groups, such as females, older adults, Blacks, and polysubstance users. Targeted screening and intervention strategies among these population subgroups may be needed.