University of Central Florida, Department of Sociology, United States.
University of Central Florida, Department of Sociology, United States.
Addict Behav. 2019 Jan;88:182-186. doi: 10.1016/j.addbeh.2018.08.042. Epub 2018 Sep 6.
Cocaine use (CU) is serious a public health issue affecting U.S. adults, including Blacks. Cocaine-related overdose deaths have also trended upwards among this population. However, there remains a lack of research on correlates of CU among a nationally representative sample of Black adults.
The current study examines the prevalence and correlates of past-year CU among Black adults aged 18 and older (N = 9,821). Data from the National Survey on Drug Use and Health (2015-2016) were used and a weighted logistic regression model was estimated.
Findings showed 2.4% of Black adults reported past-year CU-significantly higher than rates of CU among other assessed racial groups. Opioid use/misuse, encounters with drug dealers, easier access to cocaine, unemployment, and being 35 or older were associated with increased odds of CU. Greater risk perception of CU and religiosity were associated decreased odds of CU.
Results identified several correlates associated with past-year CU among Black adults. Findings suggest addressing CU among this population will likely require the development of multilevel prevention and intervention strategies and an increased focus on opioid use/misuse as opioids have been recently implicated in cocaine-related overdose deaths.
可卡因使用（CU）是一个严重的公共卫生问题，影响着美国成年人，包括黑人。可卡因相关的过量死亡人数在这一人群中也呈上升趋势。然而，在全国代表性的黑人成年人样本中，关于 CU 的相关性研究仍然缺乏。
本研究调查了年龄在 18 岁及以上的黑人成年人过去一年中 CU 的流行率和相关性（N=9821）。使用了国家毒品使用与健康调查（2015-2016 年）的数据，并估计了加权逻辑回归模型。
研究结果显示，2.4%的黑人成年人报告过去一年中有 CU，这一比例明显高于其他评估种族群体的 CU 发生率。阿片类药物使用/滥用、与毒贩的接触、更容易获得可卡因、失业以及 35 岁或以上与 CU 的几率增加有关。对 CU 的风险感知增加和宗教信仰与 CU 的几率降低有关。
研究结果确定了一些与黑人成年人过去一年 CU 相关的因素。研究结果表明，针对这一人群的 CU，可能需要制定多层次的预防和干预策略，并更加关注阿片类药物的使用/滥用，因为阿片类药物最近与可卡因相关的过量死亡有关。
