Disproportionate Increases in Daily Cannabis Use Among Adults with Co-Occurring Depression and Psychological Distress, 2005-2019.

IF 2.2 3区 医学 Q2 PSYCHOLOGY
Matthew G Myers, Madison O Walsh, Kipling M Bohnert
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引用次数: 0

Abstract

Background: Prevalences and frequencies of cannabis use are increasing in the U.S., particularly among those with past-year major depressive episodes (MDE) or serious psychological distress (SPD). Relationships between comorbid MDE and SPD and past-year cannabis use, daily cannabis use, and cannabis use disorder are unexplored. Here, we compare trends (2005-2019) of cannabis use among U.S. adults with monomorbid, comorbid, or neither MDE nor SPD.

Methods: We aggregated 2005 to 2019 National Survey on Drug Use and Health data (unweighted n=590,229). Using sociodemographic-adjusted logistic regressions, we estimated and compared the trends of past-year cannabis use, daily cannabis use, and cannabis use disorder (CUD) among U.S. adults with MDE, SPD, comorbid MDE and SPD, and neither MDE nor SPD. All results are nationally representative.

Results: Individuals with MDE only, SPD only, and comorbid MDE and SPD had higher prevalences of past-year cannabis use, daily cannabis use, and CUD compared to those without MDE or SPD. Average yearly trends of past-year cannabis use increased universally but rose faster among those with MDE and/or SPD than among those without MDE or SPD. Those with comorbid MDE and SPD had the greatest increase in prevalence of daily cannabis use (327.7% from 2005 to 2019). We found no trends in CUD prevalences across all groups.

Conclusions: Daily cannabis use has risen most rapidly among those with comorbid MDE and SPD, a population with potentially more complex and severe mental health symptomology. Public health efforts may need to address daily cannabis use among individuals with mental health conditions to reduce disparities.

2005-2019年,同时患有抑郁症和心理困扰的成年人每日大麻使用量不成比例地增加。
背景:在美国,大麻使用的患病率和频率正在增加,特别是在过去一年的重度抑郁发作(MDE)或严重心理困扰(SPD)的人群中。MDE和SPD合并症与过去一年的大麻使用、每日大麻使用和大麻使用障碍之间的关系尚未探讨。在这里,我们比较了2005-2019年美国成年人中有单病、共病或既没有MDE也没有SPD的大麻使用趋势。方法:汇总2005年至2019年全国药物使用与健康调查数据(未加权n=590,229)。使用社会人口统计学调整的逻辑回归,我们估计并比较了MDE、SPD、MDE和SPD共病以及既没有MDE也没有SPD的美国成年人过去一年大麻使用、每日大麻使用和大麻使用障碍(CUD)的趋势。所有结果都具有全国代表性。结果:与没有MDE或SPD的个体相比,只有MDE、SPD以及MDE和SPD合并症的个体过去一年的大麻使用、每日大麻使用和CUD的患病率更高。过去一年大麻使用的平均年趋势普遍增加,但患有MDE和/或SPD的人比没有MDE或SPD的人增长得更快。那些同时患有MDE和SPD的人,每日大麻使用的患病率增幅最大(2005年至2019年为327.7%)。我们没有发现所有人群中CUD患病率的趋势。结论:每日大麻使用量在MDE和SPD合并症患者中增长最快,这一人群可能具有更复杂和严重的精神健康症状。公共卫生工作可能需要解决有精神健康问题的个人每天使用大麻的问题,以缩小差距。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.80
自引率
5.90%
发文量
224
审稿时长
3 months
期刊介绍: The Journal of Studies on Alcohol and Drugs began in 1940 as the Quarterly Journal of Studies on Alcohol. It was founded by Howard W. Haggard, M.D., director of Yale University’s Laboratory of Applied Physiology. Dr. Haggard was a physiologist studying the effects of alcohol on the body, and he started the Journal as a way to publish the increasing amount of research on alcohol use, abuse, and treatment that emerged from Yale and other institutions in the years following the repeal of Prohibition in 1933. In addition to original research, the Journal also published abstracts summarizing other published documents dealing with alcohol. At Yale, Dr. Haggard built a large team of alcohol researchers within the Laboratory of Applied Physiology—including E.M. Jellinek, who became managing editor of the Journal in 1941. In 1943, to bring together the various alcohol research projects conducted by the Laboratory, Dr. Haggard formed the Section of Studies on Alcohol, which also became home to the Journal and its editorial staff. In 1950, the Section was renamed the Center of Alcohol Studies.
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