Epidemiology and Biometry Branch, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane, Room 3075, Rockville, MD 20852, United States; New York State Psychiatric Institute, 1051 Riverside Drive, Unite 123, New York, NY 10032, United States.
Epidemiology and Biometry Branch, National Institute on Alcohol Abuse and Alcoholism, National Institutes of Health, 5635 Fishers Lane, Room 3075, Rockville, MD 20852, United States.
Addict Behav. 2018 Jan;76:52-60. doi: 10.1016/j.addbeh.2017.07.012. Epub 2017 Jul 14.
The objective of this study was to present current information on the prevalence, correlates, comorbidity and quality of life among men and women with cannabis use disorder (CUD).
In 2012-2013, 36,309 respondents ≥18years old participated in face-to-face interviews in the National Epidemiologic Survey on Alcohol and Related Conditions-III.
Prevalence of 12-month CUD was greater among men (3.5%) than women (1.7%). Women experienced shorter duration from onset of cannabis use to onset of CUD than men (mean=5.8years, men; mean=4.7years, women). In both men and women, prevalences of CUD were greater among young adults, Blacks, and those with lower income and greater among Native American women relative to White women. CUD was highly comorbid with other substance use disorders, PTSD, ASPD and borderline and schizotypal PDs for men and women. Quality of life for individuals with CUD was low regardless of gender.
DSM-5 CUD among men and women is highly prevalent, comorbid and characterized by low quality of life. Results highlighted the need for integrated treatment of CUD and comorbid disorders and the urgency of identifying and implementing effective prevention and intervention approaches, especially for those sociodemographic subgroups for which both men and women are at greater risk for the disorder.
本研究旨在介绍男性和女性 cannabis 使用障碍（CUD）患者的患病率、相关因素、共病和生活质量。
2012-2013 年，36309 名年龄≥18 岁的受访者参与了国家酒精相关情况和条件 III 流行病学调查的面对面访谈。
12 个月 CUD 的患病率在男性（3.5%）中高于女性（1.7%）。女性从开始使用大麻到出现 CUD 的时间短于男性（男性平均为 5.8 年，女性平均为 4.7 年）。在男性和女性中，CUD 的患病率在年轻人、黑人、收入较低者中较高，与白人女性相比，美国原住民女性中 CUD 的患病率较高。CUD 与其他物质使用障碍、创伤后应激障碍、反社会人格障碍和边缘型及分裂型人格障碍高度共病。无论性别如何，CUD 患者的生活质量都很低。
DSM-5 中男性和女性的 CUD 患病率很高，共病严重，生活质量低。结果强调了需要综合治疗 CUD 和共病障碍，以及迫切需要确定和实施有效的预防和干预方法，特别是对于那些男性和女性都面临更高风险的社会人口亚组。
Zotero 插件