大麻使用障碍的流行:对人口调查的元分析
Cassandra L Boness1, Rory A Pfund2, Samuel Acuff3
1Center on Alcohol, Substance use, and Addictions (CASAA), University of New Mexico, Albuquerque, New Mexico.
Journal of studies on alcohol and drugs
|June 26, 2024
概括
由于方法上的差异,大麻使用和大麻使用障碍流行率的估计有很大差异. 这一元分析强调了对泛化的担忧,并提出了改善未来大麻流行病学研究的建议.
科学领域:
- 流行病学 流行病学
- 公共卫生 公共卫生
- 药物使用研究研究 药物使用研究
背景情况:
- 流行病学调查对于估计大麻使用和大麻使用障碍的人口患病率至关重要.
- 现有调查中的差异性估计引发了对可靠性和理解趋势的担忧,例如政策影响.
- 进行了一项元分析,以确定患病率估计中的不可靠性来源.
研究的目的:
- 确定大麻使用和大麻使用障碍的流行率估计中不可靠的潜在来源.
- 综合现有的流行数据并评估异质性.
- 测试流行率估计的潜在调节者,包括国家,年份和方法.
主要方法:
- 进行了系统的搜索,以确定全国代表性的大麻使用障碍的患病率估计.
- 使用元分析来综合流行数据,评估异质性,并检查影响因素.
- 包括39份手稿/报告,其中有259个独特的流行率估计 (1980-2013,N=973,281).
主要成果:
- 去年大麻使用率为12.83%,终身使用率为38.31%.
- 过去一年大麻使用障碍的患病率为2.59%;终身患病率为6.77%.
- 观察到显著的异质性,部分取决于国家,数据收集年份和方法特征.
结论:
- 与方法因素相关的流行率估计中的显著异质性,引发了对概括性的担忧.
- 方法的变化会影响大麻使用的可靠性和大麻使用障碍的流行数据.
- 提供了建议,以提高未来流行率估计的有效性和可靠性.
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