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首页> 外文期刊>Journal of substance abuse treatment >Older adults who use or have used marijuana: Help-seeking for marijuana and other substance use problems
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Older adults who use or have used marijuana: Help-seeking for marijuana and other substance use problems

机译：使用或使用大麻的老年人：帮助寻求大麻和其他物质使用问题

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Abstract Objective Increasing numbers of older adults are using marijuana and may experience problems related to marijuana use. This study examined relationships (1) between help-seeking for marijuana use and the presence of other substance use and/or mental disorders and (2) between help-seeking for other substance use disorders and marijuana use among adults aged 50 +. Methods The 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions provided data ( N = 14.715). Bivariate analyses were used to compare never, past-year, and ex-marijuana users on lifetime substance use and mental disorders and help-seeking for associated problems. Binary logistic regression models were used to examine the correlates of help-seeking for marijuana and other substance use problems. Results 21.20% of past-year and 13.72% of ex-marijuana users with lifetime marijuana use disorder sought help for marijuana problems. The odds of help-seeking were higher for those with lifetime marijuana use disorders if they also had other drug (OR = 2.84, 95% CI = 1.39–5.80) and/or nicotine use disorder (OR = 2.96, 95% CI = 1.28–6.87). The odds of help-seeking for alcohol problems among those with alcohol use disorder were significantly higher if they were also ex- or past-year marijuana users. The odds of help-seeking for nicotine problems among those with nicotine use disorder were significantly higher only if they were ex-marijuana users. Conclusions Adults aged 50 + with marijuana use disorder often have other substance use and mental disorders. Healthcare providers should screen for marijuana and other substance use along with mental disorders and provide education about harms from polysubstance use and referrals for treatment. Highlights ? Of the 50 + age group, 3.9% were past-year and 21.7% were ex-marijuana users. ? 10.7% of ex- and 26.9% of past-year users had lifetime marijuana use disorder. ? Of those with marijuana use disorder, 21.2% of past-year and 13.7% of ex-users had sought help for marijuana use problems. ? The odds of help-seeking were higher for those with marijuana use disorder and other drug or nicotine use disorder. ? Lifetime mental disorders were not associated with help-seeking for marijuana use problems.
机译：摘要目的越来越多的老年人正在使用大麻，可能会遇到与大麻使用相关的问题。本研究审查了在寻求大麻使用和其他物质使用和/或精神障碍之间的关系之间的关系（1）和（2）在帮助寻求其他50 +年龄的成年人中使用大麻使用。方法2012-2013 2012-2013国家流行病学调查提供了数据（n = 14.715）。双方分析用于比较终身物质使用和精神障碍以及寻求相关问题的终身物质使用和精神障碍的比较。二进制逻辑回归模型用于检查求助的求助和其他物质使用问题的相关性。结果21.20％的过去一年和13.72％的ex-marijuana用户终身大麻使用障碍寻求帮助大麻问题。如果还有其他药物（或= 2.84,95％CI = 1.39-5.80）和/或= 2.96,95％CI = 1.28 -6.87）。如果他们也是如此的大麻用户，那些有酒精使用障碍的酒精问题的帮助寻求酒精问题的几率明显更高。只有当他们是前大麻用户的用户时，才能寻求尼古丁使用障碍的尼古丁问题的几率。结论成年人50岁+大麻使用障碍通常具有其他物质使用和精神障碍。医疗保健提供者应筛选大麻和其他物质以及精神障碍，并提供关于从多辅助使用和治疗的推荐的危害的教育。强调 ？在50岁+年龄组中，3.9％的前年和21.7％是前大麻用户。还10.7％的前年用户的前年和26.9％的人有一生大麻使用障碍。还对于大麻使用障碍的人，占前一年的21.2％和13.7％的前用户已经帮助大麻使用问题。还对于有大麻使用障碍和其他药物或尼古丁使用障碍的人来说，帮助寻求的几率更高。还终身精神障碍与寻求大麻使用问题无关。

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