童年不良经历,种族和民族身份以及大麻使用结果之间的关系
Jordan A Gette1, Adriana Espinosa2
1Department of Psychiatry and Behavioral Sciences, University of Kansas Medical Center, KS, USA.
Addictive behaviors
|April 23, 2025
概括
童年不良经历 (ACE) 和早期使用大麻增加了跨种族群体的使用大麻障碍 (CUD) 风险. 这些因素因种族而异地相互作用,突出了针对大麻使用障碍的量身定制干预措施的需要.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 流行病学 流行病学
背景情况:
- 童年不良经历 (ACE) 和大麻使用年龄与大麻使用障碍 (CUD) 有关.
- 在种族和种族群体中,ACE和发病年龄对CUD的影响差异仍然不清楚.
- 了解这些差异对于制定有针对性的公共卫生战略至关重要.
研究的目的:
- 调查ACE和大麻使用年龄对终身大麻使用和CUD的独立和互动影响.
- 检查这些协会跨越不同的种族和种族群体.
- 确定从大麻使用到CUD的进展过程中的潜在差异.
主要方法:
- 采用了来自全国酒精和相关疾病流行病学调查 (NESARC-III) 的数据.
- 采用差异分析 (ANOVA) 和后勤回归,按种族和种族分层.
- 根据社会人口统计学特征进行调整,以评估ACE,发病年龄和CUD之间的关系.
主要成果:
- 美国印第安人/阿拉斯加原住民个人报告了最高的大麻使用量,CUD,ACE和最早的发病.
- 在所有组中,增加的ACE与更高的终身和过去一年大麻使用率和CUD相关.
- 在亚洲/太平洋岛屿受访者中,ACE和CUD之间的关联最强.
- 晚期发病年龄通常与较低的CUD几率相关.
- 在ACE和发病年龄之间观察到显著的相互作用,在种族群体之间产生不同的影响.
结论:
- ACE和大麻使用年龄是CUD发展的重要因素.
- 在ACE,发病年龄和CUD之间的关系中存在种族和种族差异.
- 这些发现强调了在特定的种族和种族背景下考虑ACE和发病年龄对于CUD预防和治疗的重要性.
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