Midanik Lorraine T, Tam Tammy W, Weisner Constance
Alcohol Research Group, Public Health Institute, Emeryville, CA 94608, USA.
Drug Alcohol Depend. 2007 Sep 6;90(1):72-80. doi: 10.1016/j.drugalcdep.2007.02.024. Epub 2007 Apr 18.
This study estimates the prevalence, assesses predictors and evaluates factors associated with concurrent and simultaneous use of drugs and alcohol in the United States population. Using data from the 2000 National Alcohol Survey (n=7612), respondents were asked if they used specific drugs in the last 12 months. Current drinkers who reported using each type of drug were asked if they used alcohol and the drug at the same time. Approximately 10% reported using marijuana in the last 12 months (concurrent use); 7% reported drinking alcohol and using marijuana at the same time (simultaneous use). Approximately 5% of current drinkers reported using drugs other than marijuana in the last 12 months; 1.7% reported drinking alcohol and using drugs other than marijuana at the same time. Being younger, having less than a high school education, not having a regular partner and having heavier drinking patterns were associated with using alcohol and marijuana simultaneously. Simultaneous use of marijuana and alcohol as well as other drugs and alcohol were significantly related to social consequences, alcohol dependence, and depression. These results mirror clinical populations in which increasingly younger clients report use of alcohol and drugs and need treatment for both.
本研究估计了美国人群中药物与酒精同时使用和并发使用的患病率，评估了预测因素，并对相关因素进行了评价。利用2000年全国酒精调查的数据（n = 7612），询问受访者在过去12个月内是否使用过特定药物。报告使用过每种药物的当前饮酒者被问及是否同时使用酒精和该药物。约10%的受访者报告在过去12个月内使用过大麻（并发使用）；7%的受访者报告同时饮酒和使用大麻（同时使用）。约5%的当前饮酒者报告在过去12个月内使用过大麻以外的药物；1.7%的受访者报告同时饮酒和使用大麻以外的药物。年龄较小、未接受高中教育、没有固定伴侣以及饮酒量较大与同时使用酒精和大麻有关。同时使用大麻和酒精以及其他药物和酒精与社会后果、酒精依赖和抑郁显著相关。这些结果反映了临床人群的情况，即越来越多的年轻患者报告同时使用酒精和药物，并且两者都需要治疗。
