早期物质使用障碍和随后的NEET - - 不在教育,就业或培训 - - 一项国家队列研究
Hélio Manhica1, Diego Yacamán-Méndez1,2, Hugo Sjöqvist1
1Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden.
European journal of public health
|August 1, 2023
概括
成年期出现的物质使用障碍 (SUD) 增加了男性和女性在以后的生活中没有就业,教育或培训 (NEET) 的风险. 家庭因素和其他精神疾病在很大程度上解释了这种关联.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康 心理健康
背景情况:
- 药物使用问题与不利的劳动力市场结果有关.
- 新兴的成年期对于物质使用障碍 (SUD) 和职业发展都是一个关键时期.
- 了解早期SUD对就业的长期影响对于公共卫生干预至关重要.
研究的目的:
- 调查成年期新兴物质使用障碍 (SUD) 与晚年没有就业,教育或培训 (NEET) 的可能性之间的联系.
- 检查该协会中的性别差异.
- 探索家庭和精神病学因素在调解SUD和NEET状态之间的关系中的作用.
主要方法:
- 一项全国性队列研究,使用了1981年至1987年间出生的人的数据.
- 在新兴成年期 (17-24岁) 评估了物质使用障碍 (SUD).
- 使用后勤回归和同胞比较分析来估计NEET身份 (25-34岁) 的几率比率 (OR),控制各种共变量.
主要成果:
- 新兴成年期的物质使用障碍 (SUD) 与男性和女性没有就业,教育或培训 (NEET) 的可能性增加显著相关.
- 在女性中,SUD和NEET之间的关联在NEET身份中度过的年龄积累方面更为明显.
- 兄弟姐妹对比分析表明家族因素,但当考虑其他精神病诊断时,这种风险在很大程度上减弱了.
结论:
- 早期物质使用障碍 (SUD) 是男女之间以后不从事就业,教育或培训 (NEET) 的重要危险因素.
- 虽然家庭因素起着作用,但这种关联在很大程度上可以通过其他精神疾病的同时出现来解释.
- 这些发现突出了SUD,心理健康和社会经济结果之间的复杂相互作用,强调了综合治疗方法的必要性.
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