1 Centre de recherche du centre hospitalier de l`Université de Montréal (CRCHUM), Montreal, Quebec.
2 Department of Social and Preventive Medicine, Université de Montréal, Montreal, Quebec.
Can J Psychiatry. 2019 May;64(5):329-337. doi: 10.1177/0706743718804541. Epub 2018 Oct 29.
Daily cannabis use can portend problematic use or dependence. We aimed to identify early risk factors for daily cannabis use in young adults.
Data were available in a longitudinal investigation of 1294 grade 7 students age 12 to 13 years at inception recruited in 10 secondary schools in Montreal, Canada, in 1999. Data on daily cannabis use were collected in mailed self-report questionnaires from 878 participants (67.9% of 1294) at age 20. The associations between each of 23 potential risk factors measured in grade 7 and daily cannabis use at age 20 were modeled using logistic regression.
At age 20, 44% of participants reported past-year cannabis use; 10% reported daily use. Older age; male sex; higher levels of family stress and other stress; use of alcohol, cigarettes, and other tobacco products; parent(s), sibling(s), and friend(s) smoke cigarettes; higher body mass index; higher impulsivity and novelty seeking; and lower self-esteem increased the odds of daily cannabis use.
Children at risk of daily cannabis use as young adults can be identified early. They may benefit from early intervention to prevent problematic cannabis use.
每日使用大麻可能预示着存在问题使用或依赖。我们旨在确定年轻人中每日使用大麻的早期风险因素。
本研究数据来自于一项纵向研究,共纳入了 1999 年在加拿大蒙特利尔的 10 所中学入读 7 年级的 1294 名年龄在 12 至 13 岁的学生。在 20 岁时,通过邮寄自我报告问卷收集了 878 名参与者(1294 名参与者的 67.9%)的每日大麻使用数据。使用逻辑回归模型分析了 7 年级时测量的 23 个潜在风险因素中的每一个因素与 20 岁时每日大麻使用之间的关联。
在 20 岁时,44%的参与者报告了过去一年中使用过大麻;10%的参与者报告了每日使用大麻。年龄较大、男性、家庭压力和其他压力水平较高、使用酒精、香烟和其他烟草制品、父母、兄弟姐妹和朋友吸烟、体重指数较高、冲动性和寻求新奇性较高以及自尊心较低,均会增加每日使用大麻的可能性。
可以早期识别出有每日使用大麻风险的青少年。早期干预可能有助于预防问题性大麻使用。