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首页> 外文期刊>Journal of substance use >Cannabis use, dependence and withdrawal in indigenous male inmates
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Cannabis use, dependence and withdrawal in indigenous male inmates

机译：土著男性囚犯的大麻使用，依赖和戒断

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Background: No studies have investigated cannabis withdrawal in indigenous or incarcerated populations, and there is currently no standard treatment for cannabis withdrawal in Australian prisons.Aims: This cross sectional survey examines cannabis use, dependence and involuntary (abrupt cessation) withdrawal in incarcerated indigenous males for the purpose of improving clinical management.Methods: 101 consenting inmates (18-40 years) from an Australian correction centre were interviewed. Demographic characteristics, lifetime cannabis use (LCU), severity of dependence, cannabis withdrawal symptoms, psychological well-being and alcohol use were measured and compared using univariate and multivariate analyses.Results: Cannabis withdrawal symptoms were reported in 57% of current cannabis users compared with 16% of non-users (p<0.01), indicating detectable cannabis dependence and withdrawal in a unique indigenous inmate population. Multivariate analysis revealed statistically significant associations between LCU and cannabis dependence (OR=8.1; 95% CI: 2.2-29.1) when controlling for psychological well-being and alcohol consumption.Conclusions: Upon admission to a correction centre, cannabis users should be assessed and monitored for physical and psychological symptoms of withdrawal.Implications: Routine cannabis withdrawal monitoring will maximise staff and inmate safety. This improvement to policy will ensure appropriate risk management of staff and inmates.
机译：背景：尚无研究调查土著或被监禁​​人口中的大麻撤离情况，目前澳大利亚监狱中没有针对大麻撤离的标准治疗方法。目的：这项横断面调查研究了被囚禁的土著男性中大麻的使用，依赖和非自愿（突然戒断）撤离情况。方法：对来自澳大利亚矫正中心的101名同意服刑的囚犯（18-40岁）进行了访谈。通过单因素和多因素分析对人口统计学特征，终生大麻使用量（LCU），依赖性严重程度，大麻戒断症状，​​心理健康状况和饮酒情况进行了测量和比较。结果：目前有57％的大麻使用者报告了大麻戒断症状的非使用者中有16％（p <0.01），表明在独特的土著囚犯中可检测到的大麻依赖和撤离。多变量分析显示，在控制心理健康和饮酒方面，LCU与大麻依赖之间存在统计学上的显着联系（OR = 8.1; 95％CI：2.2-29.1）。结论：进入矫正中心后，应评估大麻使用者并监测是否有戒断的生理和心理症状。含义：常规大麻戒断监测将最大程度地提高工作人员和囚犯的安全。政策上的改进将确保对工作人员和囚犯进行适当的风险管理。

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