在老年人中使用大麻
Vira Pravosud1,2,3, Emily Lum1,2, Marzieh Vali1,2
1Center for Data to Discovery and Delivery Innovation, San Francisco Veterans Affairs (VA) Health Care System, San Francisco, California.
JAMA network open
|May 14, 2025
概括
大麻使用在老年退伍军人中很常见,超过三分之一的近期使用者表现出大麻使用障碍 (CUD) 的迹象. 频繁和吸入使用会增加CUD风险,强调需要在VA环境中进行例行查.
科学领域:
- 老年学是指老年学的学科.
- 公共卫生 公共卫生
- 药物使用障碍 药物使用障碍
背景情况:
- 人们对老年退伍军人 (65岁及以上) 吸食大麻的模式和因素知之甚少.
- 了解这些模式对于开发有针对性的干预和支持至关重要.
- 以前的研究还没有足够地解决这个人口群的独特需求和经验.
研究的目的:
- 调查老老兵过去30天使用大麻的患病率.
- 确定与大麻使用和大麻使用障碍 (CUD) 相关的社会人口统计学,行为和健康相关因素.
- 检查特定形式的大麻消费与CUD之间的关系.
主要方法:
- 一项涉及4503名社区居住的老年人 (65-84岁) 接受退伍军人卫生管理局护理的横截面研究.
- 通过采访收集关于社会人口统计,行为和健康特征的数据.
- 根据DSM-5标准,用于评估过去30天的大麻使用和CUD的权重多变量后勤回归.
主要成果:
- 超过一半的参与者 (58.2%) 曾经使用过大麻,其中10.3%报告过去30天的使用.
- 常见的使用原因包括疼痛,情绪和睡眠问题.
- 与最近使用相关的因素包括年龄较小,经济困难,烟草/非法毒品使用,以及居住在合法娱乐大麻的州.
- 36.3%的近期使用者对CUD的查结果呈阳性,与频繁和吸入使用相关的更高几率.
结论:
- 大麻使用在老年退伍军人中普遍存在,其中很大一部分患有CUD.
- 在这个群体中,大麻使用的风险因素反映了其他群体的风险因素.
- 吸入和频繁使用大麻与CUD的几率增加有关.
- 建议在VA临床环境中进行大麻使用的常规查,以识别和支持潜在问题的老年人.
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