药物使用和工作状态的共同轨迹:来自CONSTANCES队列的纵向探索性描述性发现
Rita El Haddad1, Sofiane Kab1, Pierre Meneton2
1Université Paris Cité, Paris Saclay University, Université de Versailles Saint-Quentin-en-Yvelines, INSERM UMS 011 « Population-based Cohorts Unit », Paris, France.
Substance use & misuse
|November 17, 2025
概括
这项研究确定了随着时间的推移物质使用和就业的不同模式,揭示了各种各样的个人经历. 失业率较高的某些群体也出现了增加的物质使用和较差的健康结果.
科学领域:
- 公共卫生 公共卫生
- 社会学 社会学 社会学
- 流行病学 流行病学
背景情况:
- 了解物质使用和就业之间的相互作用对于公共卫生干预至关重要.
- 以前的研究经常独立地检查这些因素,可能缺少复杂的共同轨迹.
研究的目的:
- 在一个大型的成年人群中,确定物质使用 (酒精,烟草,大麻) 和工作状态的共同轨迹.
- 描述与每个已识别的共同轨迹相关的社会人口统计和临床概况.
主要方法:
- 使用了来自法国CONSTANCES队列 (N=19,285) 的数据,并进行了5年的随访.
- 采用有限混合模型来识别物质使用和工作状态的共同轨迹集群.
- 描述了每个集群的社会人口因素 (年龄,性别,社会地位,婚姻状况) 和自我评估的健康状况.
主要成果:
- 确定了12个不同的集群,代表了不同的物质使用和工作状态轨迹.
- 最低的失业群 (4.3%) 与低风险饮酒,不吸烟和不使用大麻有关.
- 失业率最高的集群 (高达14.5%) 与更高的吸烟率,偶尔使用大麻,更低的社会地位,更差的自我健康评价和更高的整体物质使用有关.
结论:
- 在物质使用和工作状态的共同演变中表现出显著的异质性.
- 突出了健康状况不佳和大量吸毒的特定集群,这些集群通常与失业和较低的社会经济地位有关.
- 调查结果强调了需要采用综合方法来解决物质使用和就业挑战.
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