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首页> 外文期刊>Addictive behaviors >Is serving in the armed forces associated with tobacco or cannabis initiation? A study of onset sequences before and after joining the French armed forces
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Is serving in the armed forces associated with tobacco or cannabis initiation? A study of onset sequences before and after joining the French armed forces

机译：是否在与烟草或大麻启动有关的武装部队中服役？对加入法国武装部队前后的发作顺序的研究

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摘要

The aim of this study was to evaluate whether joining the military could constitute a predictor of subsequent tobacco or cannabis use. Data from four cross-sectional surveys conducted between 2005 and 2009 in the French armed forces were used to constitute a retrospective cohort (n. =. 4208). A Markov multi-state model was fitted, estimating the probabilities at 1. year for all possible pathways between entry into the military profession, tobacco initiation and cannabis initiation. The model was adjusted for current substance use status. Substance initiation appeared to mainly occur before entering the services than during the service period (3.0 times greater likelihood for tobacco and 2.5 times greater likelihood for cannabis). Probabilities of primo-initiation (i.e. starting with that substance) before joining the services were similar for tobacco (3.6% at one year) and cannabis (3.5%). When the study was restrained to current users, although differences were not statistically significant, probabilities of substance primo-initiation during the service period seemed to be greater than before. While the substance use itinerary in the French general population most often begins by tobacco, military seem to have a higher propensity to cannabis primo-initiation, which could traduce more sensation-seeking behaviors. If certain results in our study could also evoke a propensity to substance initiation during the service period, we did not find evidence to verify the hypothesis of a military social inducing effect. Further research is needed to identify behavioral characteristics which could explain increased use during the service period.
机译：这项研究的目的是评估参军是否可以预测随后使用烟草或大麻的情况。 2005年至2009年期间对法国武装部队进行的四次横断面调查的数据被用作回顾性队列（n = 4208）。拟合了马尔可夫多州模型，估计了进入军事职业，烟草种植和大麻种植之间所有可能途径在1.年的概率。针对当前物质使用状态对模型进行了调整。物质引发似乎主要是在进入服务之前比服务期间发生的（烟草发生可能性高3.0倍，大麻发生可能性高2.5倍）。在加入服务之前，初次启动（即从该物质开始）的概率对于烟草（一年为3.6％）和大麻（3.5％）是相似的。当研究仅限于当前用户时，尽管差异在统计学上并不显着，但服务期间进行物质初次启动的可能性似乎比以前更大。尽管在法国总人口中，这种物质使用的路线通常是从烟草开始的，但军方似乎对大麻的原始引发具有更高的倾向，这可能会诱使人们采取更多寻求刺激的行为。如果我们的研究中的某些结果也能唤起在服役期间进行物质启动的倾向，则我们没有找到证据来证明军事社会诱因的假设。需要进一步的研究来确定行为特征，这可以解释服务期内使用量的增加。

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