大麻使用与遵守COVID-19公共卫生指南之间的关系：来自法国constance队列和SAPRIS调查的前瞻性分析。

IF 4 2区社会学 Q1 SUBSTANCE ABUSE

Harm Reduction Journal Pub Date : 2025-07-18 DOI:10.1186/s12954-025-01278-w

Rita El Haddad, Emmanuel Wiernik, Sofiane Kab, Marie Zins, Guillaume Airagnes

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引用次数: 0

摘要

目的：研究2020年4月至10月期间法国成年人大麻使用频率与遵守COVID-19公共卫生指南之间的关系。方法：对参加SAPRIS调查的39,450名成年人的constance队列数据进行分析。利用二元逻辑回归分析了2019年不洗手、不戴口罩和不保持社交距离与第1 + 2波（禁闭）和第3波（解除限制）两个时间段大麻使用频率之间的关系。这些模型根据年龄、性别、教育程度、婚姻状况、住宿、烟草使用、自评健康、焦虑和抑郁症状进行了调整。结果：与过去12个月内未使用大麻相比，每月使用大麻少于一次与第3波洗手（优势比[95%置信区间]）1.46[1.28-1.66]，第1 + 2波戴口罩（1.26[1.05-1.52]）和第3波戴口罩（1.60[1.35-1.89]）以及第1 + 2波社交距离（1.32[1.16-1.50]）和第3波（1.55[1.32-1.83]）负相关。每月使用一次或更多次大麻与第3波戴口罩（1.41[1.11-1.80]）和第1 + 2波（1.27[1.06-1.52]）和第3波（1.57[1.25-1.98]）呈负相关。结论：大麻使用可能与对COVID-19公共卫生指南的遵守程度较低有关。

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The association between cannabis use and adherence to COVID-19 public health guidelines: prospective analyses from the French CONSTANCES cohort and SAPRIS survey.

Objective: To examine the association between the frequency of cannabis use and adherence to COVID-19 public health guidelines among adults in France between April and October 2020.

Methods: Data from the CONSTANCES cohort on 39,450 adults participating in the SAPRIS survey were analyzed. The associations between non-adherence to handwashing, mask-wearing and social distancing and cannabis use frequency in 2019 at two periods of time, wave 1 + 2 (confinement) and wave 3 (deconfinement), were examined using binary logistic regression. The models were adjusted for age, sex, education, marital status, accommodation, tobacco use, self-rated health, anxiety and depressive symptoms.

Results: Compared to no cannabis use during the past 12 months, cannabis use less than once per month was negatively associated with handwashing at wave 3 (Odds Ratio [95% Confidence Interval]) 1.46 [1.28-1.66], mask-wearing at wave 1 + 2 (1.26 [1.05-1.52]) and at wave 3 (1.60 [1.35-1.89]) and social distancing at wave 1 + 2 (1.32 [1.16-1.50]) and at wave 3 (1.55[1.32-1.83]). Cannabis use once per month or more was negatively associated with mask-wearing at wave 3 (1.41 [1.11-1.80]) and social distancing at wave 1 + 2 (1.27 [1.06-1.52]) and at wave 3 (1.57 [1.25-1.98]).

Conclusion: Cannabis use may be associated with less adherence to COVID-19 public health guidelines.

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来源期刊

Harm Reduction Journal Medicine-Public Health, Environmental and Occupational Health

CiteScore

5.90

自引率

9.10%

发文量

126

审稿时长

26 weeks

期刊介绍： Harm Reduction Journal is an Open Access, peer-reviewed, online journal whose focus is on the prevalent patterns of psychoactive drug use, the public policies meant to control them, and the search for effective methods of reducing the adverse medical, public health, and social consequences associated with both drugs and drug policies. We define "harm reduction" as "policies and programs which aim to reduce the health, social, and economic costs of legal and illegal psychoactive drug use without necessarily reducing drug consumption". We are especially interested in studies of the evolving patterns of drug use around the world, their implications for the spread of HIV/AIDS and other blood-borne pathogens.