年轻成年人中的多重物质使用和心理健康
Rajit Chopra1, Marie-Pierre Sylvestre1,2, Annie Pelekanakis1,2
1École de Santé Publique, Université de Montréal, Montréal, QC, Canada.
概括
经常使用酒精,大麻和尼古丁等多种物质与年轻成年人的心理健康状况较差有关. 特定的组合,如大麻和尼古丁,与增加焦虑和较低的积极心理健康有关.
科学领域:
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
背景情况:
- 年轻成年期是心理健康和物质使用启动的关键时期.
- 了解物质使用模式与心理健康之间的关系对于公共卫生干预至关重要.
- 多种物质的使用,包括酒精,大麻和尼古丁等多种物质,在年轻成年人中很普遍.
研究的目的:
- 调查经常使用酒精,大麻和/或尼古丁与年轻成年人群中的心理健康指标之间的关联.
- 检查定期使用的物质的数量和模式与抑郁症状,焦虑症状和积极心理健康 (PMH) 有何关系.
主要方法:
- 分析了来自加拿大蒙特利尔的733名年轻成年人 (平均年龄30.6岁) 的基于人口的样本.
- 数据来自青少年尼古丁依赖研究 (循环23).
- 多变量线性回归模型评估了物质使用 (数量和模式) 与心理健康结果之间的关系,根据年龄,性别和教育进行调整.
主要成果:
- 三分之一的参与者报告说没有定期使用物质;42%使用一种物质,16%使用两种物质,5%定期使用三种物质.
- 在使用的物质数量和心理健康指标之间没有发现剂量反应关系.
- 与不使用物质相比,定期使用两种物质与更多的焦虑症状和较低的PMH有关.
- 特定的组合,特别是大麻-尼古丁和酒精-尼古丁,与增加焦虑症状和/或降低PMH有关.
结论:
- 酒精,尼古丁和大麻使用的某些组合与年轻成年人的心理健康结果有显著的关联.
- 这些发现强调了在心理健康评估中考虑特定多种物质使用模式的重要性.
- 建议对基于人口的样本进行进一步的纵向研究,以确认这些关联并为公共卫生战略提供信息.
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