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儿童早期预测大麻使用起始年龄的因素:一项前瞻性出生研究。

Early childhood predictors of age of initiation to use of cannabis: a birth prospective study.

机构信息

School of Population Health, University of Queensland, Brisbane, Australia.

出版信息

Drug Alcohol Rev. 2013 May;32(3):232-40. doi: 10.1111/j.1465-3362.2012.00520.x. Epub 2012 Oct 14.

Abstract

INTRODUCTION AND AIMS

Early age of cannabis use predicts subsequent illicit drug abuse and other psychosocial problems. Identification of factors associated with early cannabis use may contribute to the development of preventive interventions. This study aimed to examine the early life predictors of age of initiation to cannabis.

DESIGN AND METHODS

Data were from Mater Hospital and University of Queensland Study of Pregnancy, a population-based prospective birth cohort study. Participants were a cohort of 3488 young adults who self-reported frequency and age of onset of cannabis use at the 21 year follow up.

RESULTS

Of 3488 young adults, 48.9% (51.8% men and 46.4% women) reported having ever used cannabis. For those who had ever used cannabis, age of onset had mean and median of 15.8 and 16.0 years, respectively. In multivariate analysis child's gender, change in maternal marital status, quality of marital relationship, maternal cigarette smoking and alcohol consumption and maternal depression when the child was 5 years statistically significantly predicted age of initiation to cannabis use.

DISCUSSION AND CONCLUSIONS

The present study explores the impact of early childhood factors associated with age of onset of cannabis use. It is suggested that the family environment within which children are reared, including factors such as parents' marital circumstances, has a major influence on initiation to cannabis use in adolescence. Research is needed to disentangle the pathways of association between these early life factors and early initiation to use of cannabis.

摘要

引言和目的

早期吸食大麻会预测随后的非法药物滥用和其他心理社会问题。确定与早期大麻使用相关的因素可能有助于预防干预措施的发展。本研究旨在探讨与大麻起始年龄相关的早期生活预测因素。

设计和方法

数据来自 Mater 医院和昆士兰大学妊娠研究,这是一项基于人群的前瞻性出生队列研究。参与者是一个 3488 名年轻人的队列,他们在 21 岁的随访中自我报告了大麻使用的频率和起始年龄。

结果

在 3488 名年轻人中,48.9%(51.8%的男性和 46.4%的女性)报告曾经使用过大麻。对于那些曾经使用过大麻的人,起始年龄的平均值和中位数分别为 15.8 岁和 16.0 岁。在多变量分析中,孩子的性别、母亲婚姻状况的变化、婚姻关系质量、母亲吸烟和饮酒以及孩子 5 岁时的母亲抑郁情况在统计学上显著预测了大麻使用的起始年龄。

讨论和结论

本研究探讨了与大麻起始年龄相关的早期儿童因素的影响。研究表明,儿童成长的家庭环境,包括父母婚姻状况等因素,对青少年大麻使用的起始有重大影响。需要研究来阐明这些早期生活因素与早期使用大麻之间的关联途径。

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