由于大麻使用而在急诊室访问后出现焦虑障碍的发展:基于人口的队列研究
Daniel T Myran1,2,3,4,5, Lyndsay D Harrison1,4, Michael Pugliese3
1Clinical Epidemiology Program, Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
EClinicalMedicine
|March 28, 2024
概括
大麻使用与更高的焦虑障碍风险有关,特别是在年轻男性中. 这项研究强调了关于大麻消费和心理健康结果的认识和政策考虑的需要.
科学领域:
- 公共卫生 公共卫生
- 流行病学 流行病学
- 心理健康研究 心理健康研究
背景情况:
- 全球大麻使用量正在增加,人们对大麻对心理健康的影响感到担忧.
- 关于大麻使用与患焦虑症的风险之间的关联存在不确定性.
研究的目的:
- 为了估计发生焦虑症病例的风险,医疗保健的访问是在使用大麻的紧急诊所 (ED) 后进行的.
- 为了确定与大麻相关的ED访问后焦虑障碍的风险增加相关的因素.
主要方法:
- 基于人口的队列研究,使用加拿大安大略省 (2008-2019) 的卫生行政数据.
- 包括10-105岁的个人,没有先前的焦虑障碍诊断.
- 使用存活率分析,比较大麻ED访问的个人和一般人群之间的焦虑障碍发病率.
主要成果:
- 大麻ED访问的个人在3年内有3.7倍的后续ED访问或因焦虑障碍住院的风险.
- 当包括门诊访问时,风险甚至更高 (3.88倍).
- 与年轻女性 (3.22倍) 相比,大麻ED访问的年轻男性的风险不成比例地增加 (5.67倍).
结论:
- 使用大麻的急诊室访问与焦虑障碍诊断的风险显著增加有关.
- 在年轻的男性中,风险增加尤为明显,这表明需要针对性的干预措施.
- 调查结果强调了在大麻政策和公共卫生战略中考虑心理健康影响的重要性.
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