患有并发性精神疾病的医疗补助计划入学者中的大麻使用障碍风险:2012-2021年
Jialin Hou1, Jeffery C Talbert2, Jayani Jayawardhana1
1Department of Health Management and Policy, College of Public Health, University of Kentucky, Lexington, KY 40536, United States.
Drug and alcohol dependence
|October 12, 2025
概括
在过去的十年中,患有抑郁症,焦虑或失眠的医疗补助计划入学者更有可能被诊断为大麻使用障碍 (CUD). 这一趋势凸显了心理健康状况与CUD之间日益增长的联系,需要进一步研究.
科学领域:
- 公共卫生 公共卫生
- 精神病学是一个精神病学.
- 成 药物 药物 药物 药物
背景情况:
- 大麻使用障碍 (CUD) 患病率是一个日益严重的公共卫生问题.
- 伴随性精神疾病,如抑郁症,焦虑症和失眠症,在CUD患者中很常见.
- 了解像医疗补助计划入学者这样的弱势群体中CUD的趋势对于有针对性的干预至关重要.
研究的目的:
- 为了检查大麻使用障碍 (CUD) 在医疗补助入学者的流行趋势.
- 调查CUD与伴随性精神疾病 (抑郁,焦虑,失眠) 之间的关联.
- 分析不同性别和年龄分组的这些趋势.
主要方法:
- 从2012年到2021年使用Merative多州索赔和遭遇数据库对Medicaid注册者 (18-64岁) 的分析.
- 使用多变量逻辑回归,根据性别,年龄和种族进行调整.
- 同时还进行了对伴随性慢性疼痛患者的CUD患病率进行比较.
主要成果:
- 与没有抑郁症,焦虑症和失眠症的受试者相比,CUD的预测患病率显著增加 (1.04-1.64倍).
- 相反,在患有慢性疼痛的人群中,CUD患病率下降了0.90倍.
- 在女性和老年人 (35-64岁) 患有焦虑/抑郁症和男性和年轻人 (21-34岁) 患有失眠时,CUD患病率的相对增加较高.
结论:
- 在过去十年中,患有抑郁症,焦虑或失眠的医疗补助入学者显示,CUD诊断的明显增加.
- 连接大麻使用和精神疾病的潜在机制需要进一步调查.
- 解决与并发性精神疾病相关的CUD上升问题是公共卫生和临床实践的优先事项.
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