大麻和青少年的心理健康:15年来关联的变化
R Valter1, O Le Nezet2, I Obradovic2
1Département hospitalier d'épidémiologie et de santé publique, Hôpital Raymond Poincaré, Assistance Publique-Hôpitaux de Paris, Garches, France. remi.valter@chu-nantes.fr.
Social psychiatry and psychiatric epidemiology
|February 18, 2025
概括
法国青少年的大麻使用量有所下降,但经常使用者现在表现出明显更高的心理健康问题的风险,包括自杀念头和抗抑郁药的使用. 这一趋势凸显了大麻消费者形象的不断变化以及与之相关的心理健康脆弱性.
科学领域:
- 公共卫生 公共卫生
- 青少年心理学 青少年心理学
- 大麻研究 大麻研究
背景情况:
- 最近大麻市场的变化,包括THC强度的增加和心理健康问题的增加,促使对青少年大麻消费者的审查.
- 由于市场和社会变化,青少年大麻使用和心理健康趋势需要更新分析.
研究的目的:
- 研究法国青少年定期使用大麻与精神健康指标之间随着时间的推移而变化的关联.
- 分析17岁的全国样本中大麻消费,自杀念头和抗抑郁药物的使用趋势.
主要方法:
- 对17岁法国青少年 (N > 150,000) 全国代表性调查的五个波的分析.
- 利用经过性别和社会经济因素调整的多变量模型来评估趋势和关联.
- 检查了从2008年到2022年的数据,以捕捉时间变化.
主要成果:
- 常规使用大麻的比例从2008年的7.4%大幅下降到2022年的3.8%.
- 在过去的一年中,自杀念头显示出U型趋势,从2008年的16%增加到2022年的18%.
- 经常使用大麻和自杀念头之间的关系的调整后几率比率从2008年的1.44增加到2022年的2.52.
- 大麻使用与抗抑郁药使用之间的相关性调整后的几率比率从2008年的2.57上升到2022年的4.47.
结论:
- 与15年前相比,目前的大麻使用者对心理健康障碍的倾向更大.
- 潜在的解释包括弱势个体的自我选择,大麻效果的改变,或大麻作为自我治疗策略.
- 调查结果强调需要持续监测青少年大麻使用及其心理健康影响.
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