Marijuana use among community-dwelling older adults: A population-based study

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2024-04-12 DOI:10.1002/gps.6086

Natacha M. De Genna, Erin Jacobsen, Mary Ganguli

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引用次数: 0

Abstract

Objectives

There is a paucity of population-level data on marijuana use and mental health and functioning in older adults.

Methods

We analyzed cross-sectional data (n = 910) from a well-characterized cohort, the Monongahela-Youghiogheny Healthy Aging Team (MYHAT) study. MYHAT is an age-stratified random sample of the population age 65 years and older from a small-town in the USA. Half the sample was female and half were over 75 (Mean age = 77). Most participants were non-Hispanic White. Marijuana use was assessed by self-report and symptoms of mood disorders were screened using the modified Centers for Epidemiological Studies-Depression Scale and the Generalized Anxiety Disorder screener. Cognition was assessed by the Mini-Mental State Examination and a neuropsychological test battery; functioning using the OARS Activities of Daily Living and Instrumental Activities of Daily Living; and overall assessment using the Clinical Dementia Rating (CDR®).

Results

One in five MYHAT participants had a history of marijuana use and 5% reported recent use, primarily for pain (41%) and recreation/relaxation (37%). Recent use was associated with cigarette and alcohol use, symptoms of depression or anxiety, and impairments in attention.

Conclusions

Twenty-percent of community-dwelling older adults living in a US state where recreational marijuana use is illegal had a history of marijuana use. Recent marijuana use was less common but, consistent with prior research, associated with other substance use and poorer mental health.

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居住在社区的老年人吸食大麻的情况：基于人口的研究

目标有关老年人吸食大麻与心理健康和功能的人群数据很少。方法我们分析了 Monongahela-Youghiogheny 健康老龄化团队（MYHAT）研究中一个特征明确的队列的横截面数据（n = 910）。MYHAT 是美国一个小镇 65 岁及以上人口的年龄分层随机抽样。样本中有一半是女性，一半是 75 岁以上的老人（平均年龄 = 77 岁）。大多数参与者为非西班牙裔白人。大麻使用情况通过自我报告进行评估，情绪障碍症状则通过修改后的流行病学研究中心抑郁量表和广泛性焦虑症筛查器进行筛查。认知能力通过小型精神状态检查和神经心理测试进行评估；功能通过 OARS 日常生活活动和日常生活工具活动进行评估；总体评估通过临床痴呆评级 (CDR®) 进行评估。结果五分之一的 MYHAT 参与者有吸食大麻的历史，5% 的参与者表示最近吸食过大麻，主要用于止痛（41%）和娱乐/放松（37%）。近期使用大麻与吸烟和酗酒、抑郁或焦虑症状以及注意力障碍有关。结论居住在美国娱乐性吸食大麻非法的州的社区老年人中，有 20% 有吸食大麻的历史。近期吸食大麻的情况并不常见，但与之前的研究一致，吸食大麻与使用其他物质和较差的心理健康有关。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.