Montgomery LaTrice, Mantey Dale S
a Addiction Sciences Division , University of Cincinnati College of Medicine , Cincinnati , Ohio , USA.
b University of Texas Health Science Center at Houston, School of Public Health, Austin Campus , Austin , Texas , USA.
Subst Use Misuse. 2017 Sep 19;52(11):1449-1459. doi: 10.1080/10826084.2017.1284238. Epub 2017 May 3.
Blunt use is highly prevalent in the United States and has been associated with several negative health consequences, such as an increased risk for cardiovascular and pulmonary diseases. Although recent studies have identified characteristics (e.g., gender) that are associated with blunt use, it is unclear if these factors correlate with blunt use equally across racial/ethnic groups.
Using cross-sectional data from the 2014 National Survey on Drug Use and Health, this study aimed to determine if demographic, health and substance use correlates of current (i.e., past 30-day) and lifetime blunt use were similar across 37,628 non-Hispanic African American, Hispanic/Latino and non-Hispanic White adults.
Findings revealed 8.3% of African American, 3.3% of Hispanic/Latino and 2.5% of White adults reported current blunt smoking. Across all racial/ethnic groups, age and current and lifetime cigarette and illicit drug use were associated with current and lifetime blunt use. However, gender, educational level, income, current alcohol use and self-reported health status were differentially associated with current and lifetime blunt use across racial/ethnic groups. Employment status and lifetime depression were not associated with blunt use behaviors among any of the racial/ethnic groups.
The relationship between gender, socioeconomic status, alcohol use and self-reported health status and blunt use differs among African American, Hispanic/Latino and White adults. Researchers and providers should consider the heterogeneity in factors that are associated with blunt use when designing prevention and treatment interventions for African American, Hispanic/Latino and White adult blunt smokers.
在美国，吸食大麻烟非常普遍，且与多种负面健康后果相关，比如心血管疾病和肺部疾病风险增加。尽管近期研究已确定了一些与吸食大麻烟相关的特征（如性别），但尚不清楚这些因素在不同种族/族裔群体中与吸食大麻烟的关联是否相同。
本研究利用2014年全国药物使用和健康调查的横断面数据，旨在确定37,628名非西班牙裔非裔美国人、西班牙裔/拉丁裔和非西班牙裔白人成年人中，当前（即过去30天内）和终生吸食大麻烟的人口统计学、健康和物质使用相关因素是否相似。
研究结果显示，8.3%的非裔美国人、3.3%的西班牙裔/拉丁裔和2.5%的白人成年人报告当前吸食大麻烟。在所有种族/族裔群体中，当前和终生吸食香烟及非法药物的情况与当前和终生吸食大麻烟均有关联。然而，性别、教育水平、收入、当前饮酒情况和自我报告的健康状况在不同种族/族裔群体中与当前和终生吸食大麻烟的关联存在差异。就业状况和终生抑郁在任何种族/族裔群体中均与吸食大麻烟行为无关。
在非裔美国人、西班牙裔/拉丁裔和白人成年人中，性别、社会经济地位、饮酒情况和自我报告的健康状况与吸食大麻烟之间的关系存在差异。研究人员和提供者在为非裔美国人、西班牙裔/拉丁裔和白人成年大麻烟吸食者设计预防和治疗干预措施时，应考虑与吸食大麻烟相关因素的异质性。
