Perceived Risk of Heroin in Relation to Other Drug Use in a Representative US Sample
Perceived Risk of Heroin in Relation to Other Drug Use in a Representative US Sample
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DOI：
10.1080/02791072.2019.1632506
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发表时间：
2019-06-24
影响因子：
2.8
通讯作者：
Mateu-Gelabert, Pedro
中科院分区：
文献类型：
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作者：
Palamar, Joseph J.;Le, Austin;Mateu-Gelabert, Pedro
风险认知度低是吸食海洛因的一个风险因素。需要进行研究以确定海洛因使用的这一危险因素是否受到其他药物使用的影响。数据分析来自 2015/2016 年全国吸毒与健康调查参与者，他们否认终生吸食海洛因 (N= 110,102)。我们研究了使用各种药物的新近度和使用药物的数量与使用海洛因风险不大的看法之间的关系。多变量模型的结果表明，终生不吸毒，尤其是最近处方阿片类药物滥用和甲基苯丙胺使用，与认为海洛因使用风险不大的较高可能性相关。最近吸食大麻与报告海洛因吸食风险不大的可能性较低有关。在一生中、过去一年和/或过去一个月中使用更多毒品往往与报告海洛因使用风险较低的可能性相关。预防专家应考虑到最近滥用处方阿片类药物尤其是导致风险认知较低的一个风险因素，而报告终生未使用药物的个人可能也需要更好地了解与海洛因使用相关的危害。
Low perception of risk is a risk factor for heroin use. Research is needed to determine whether this risk factor for heroin use is affected by the use of other drugs. Data were analyzed from participants in the 2015/2016 National Surveys on Drug Use and Health who denied lifetime heroin use (N= 110,102). We examined how recency of use of various drugs and number of drugs used relate to perceptions that using heroin is not a great risk. Results from multivariable models suggest that no lifetime drug use, and recent prescription opioid misuse and methamphetamine use, in particular, were associated with higher odds of perceiving that heroin use is not of great risk. Recent marijuana use was associated with lower odds of reporting that heroin use is not of great risk. Use of more drugs in one's lifetime, past year, and/or past month tended to be associated with lower odds of reporting heroin use as not a great risk. Prevention experts should consider that recent prescription opioid misuse in particular is a risk factor for the lower perception of risk, while individuals reporting no lifetime drug use may also require better education regarding harms associated with heroin use.