多种物质使用轨迹:过去一年的内部化和外部化问题是否与多种物质使用轨迹随着时间的推移有关?
Tzung-Shiang Ou1, Lesa Huber2, Jonathan T Macy2
1Department of Kinesiology and Health Science, Utah State University, Logan, UT 84322, USA.
Addictive behaviors
|August 22, 2024
概括
内化问题预测与香烟相关的多种物质使用的风险更高,而外化问题预测与大麻相关的多种物质使用. 预防工作应针对这些特定模式.
科学领域:
- 精神病学是一个精神病学.
- 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:
- 多种物质的使用是美国重要的公共卫生问题,与许多不良结果有关.
- 了解多种物质使用的发展轨迹对于有效的预防和干预策略至关重要.
研究的目的:
- 确定美国成年人中多种物质使用的不同纵向轨迹.
- 检查内部化和外部化的问题在塑造这些多物质使用轨迹中的预测作用.
主要方法:
- 利用了来自烟草和健康人口评估研究 (第1至第5波,2013至2019年) 的15076名成年人 (18岁以上) 的数据.
- 基于雇员群体的轨迹建模,以识别多种物质的使用模式,包括香烟,电子烟,酒精,大麻,止痛药和可卡因.
- 进行了加权的多项物流回归,以评估内部化/外部化问题与轨迹组成员关系之间的关系,控制人口统计.
主要成果:
- 确定了五种不同的多种物质使用轨迹:最小风险 (45.6%),低风险 (10.7%),导致香烟的高风险 (23.5%),导致香烟和大麻共同导致的高风险 (12.3%),以及导致大麻的高风险 (7.8%).
- 更高的内化问题与吸烟导致的风险增加有关 (RRR: 1.07-1.17) 和吸烟与大麻共同导致的风险 (RRR: 1.04-1.21) 多种物质使用轨迹.
- 更高的外部化问题预测了参与大麻领先的多物质使用轨迹的可能性更高 (RRR: 1.01-1.10).
结论:
- 多种物质使用的预防和干预计划应根据特定物质组合和相关的心理问题量身定制.
- 内化问题是以香烟为中心的多物质使用轨迹的关键预测因素,需要有针对性的干预.
- 外向化问题与以大麻为中心的多物质使用轨迹有关,这表明需要不同的预防方法.
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