青少年吸毒模式和随后的精神和行为障碍风险,吸毒和自杀行为:一个队列研究
Elisabeth R Hansen1, Sofie Kruckow1, Sarah W Feldstein Ewing2
1National Institute of Public Health, University of Southern Denmark, Copenhagen, Denmark.
The Lancet. Public health
|July 2, 2025
概括
青少年的物质使用模式,特别是实验性和早期的多重物质使用,与年轻成年期心理健康和物质使用问题的风险增加有关. 针对性预防对这些高风险年轻人至关重要.
科学领域:
- 青少年健康 青少年健康
- 心理健康研究 心理健康研究
- 药物使用流行病学.
背景情况:
- 了解青少年吸毒模式对于预测未来的心理健康和吸毒结果至关重要.
- 青少年吸毒的不同模式需要进一步调查其长期后果.
研究的目的:
- 为了确定青少年中药物使用的不同模式.
- 在这些已识别的模式中描述青少年.
- 为了确定药物使用模式是否预测精神障碍,医院接触和自杀行为.
主要方法:
- 在68301名青少年中进行的一项学校调查的潜阶级分析.
- 后勤回归用于描述不同的物质使用模式.
- 对医院和处方注册表数据 (2014-2022) 的考克斯回归分析,用于结果评估.
主要成果:
- 确定了四种物质使用模式:仅饮酒,频繁饮酒,实验性物质使用和早期多种物质使用.
- 实验性和早期多重物质使用组表现出更高的不良结果风险,包括酒精/毒品使用和自杀行为的医院接触.
- 早期出现的多种物质使用显示出最高的风险:与酒精有关的医院接触 (HR 2.25),与药物有关的医院接触 (HR 10.7),精神/行为障碍 (HR 1.58) 和自杀行为 (HR 3.20).
- 令人惊的是,与仅饮酒相比,频繁暴饮酒与精神/行为障碍的风险较低有关.
结论:
- 高风险的青少年吸毒与年轻成年期出现不良心理和吸毒结果的风险显著增加有关.
- 易受伤害的青少年使用高风险物质往往经历并发的健康和社会劣势.
- 优先考虑针对这些脆弱年轻人的有针对性的预防性干预措施是必不可少的.
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