频率是不够的:在保留区的美洲印第安人青年中,描述大麻使用强度的异质模式
Meghan A Crabtree1, Linda R Stanley1, Mark A Prince1
1Tri-Ethnic Center for Prevention Research, Department of Psychology, Colorado State University, 1879 Campus Delivery, Fort Collins, CO 80523-1879, USA.
The International journal on drug policy
|October 23, 2024
概括
美国印第安人青年表现出多样化的大麻使用模式,而不仅仅是频率. 沉重的大麻使用者报告了更多的问题,强调了针对应激和减少危害的定制干预措施的必要性.
科学领域:
- 青少年健康 青少年健康
- 药物使用研究研究 药物使用研究
- 公共卫生 公共卫生
背景情况:
- 保护区的美洲印第安人 (AI) 青年报告大麻使用率高于全国平均水平.
- 大麻使用,特别是大量使用,对青少年构成重大健康风险.
- 现有的研究通常仅依赖于频率,可能缺少复杂的大麻使用模式.
研究的目的:
- 根据多个强度指标,对AI青少年的大麻使用进行分类.
- 调查大麻使用类别中存在的问题使用特征和结果的差异.
主要方法:
- 隐性类分析 (LCA) 适用于799名AI年轻人 (第7-12年级) 使用大麻12个月.
- 根据频率,中毒程度和持续时间分类使用.
- 辅助分析检查了预测因素 (年龄,开始年龄,性别) 和结果 (药物使用,压力驱动的使用,戒烟问题,后果).
主要成果:
- 确定了四个不同的大麻使用类别:轻度使用 (19%),偶尔中毒 (32%),中频使用 (28%) 和重度使用 (21%).
- 年龄和早期启动年龄预测了更重的使用类.
- 在问题性使用和负面结果方面观察到显著的阶级间差异,重用类显示出最多的问题,特别是压力驱动的使用和后果.
结论:
- 在AI青少年中,大麻使用的强度是多方面的,超出了简单的频率.
- 干预措施应应对各种使用模式,强调应对压力的技能和降低风险青少年的伤害.
- 量身定制的预防工作对于最大限度地为面临大麻相关问题的AI年轻人带来好处至关重要.
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