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[大麻的娱乐性使用:从影响到危害。流行病学数据]

[Recreational use of cannabis: From effects to harm. Epidemiological data].

作者信息

Goullé J-P, Guerbet M

机构信息

UR ABTE EA 4651, faculté de médecine et de pharmacie, Normandie université, UNIROUEN, 22, boulevard Gambetta, 76183 Rouen cedex, France.

Académie nationale de médecine, 16, rue Bonaparte, 75272 Paris cedex 06, France.

出版信息

Bull Acad Natl Med. 2020 Jun;204(6):543-550. doi: 10.1016/j.banm.2020.04.001. Epub 2020 Apr 17.

Abstract

As the medical use of so-called "therapeutic cannabis" is in the process of being approved in France, the opening to its recreational use is the next logical step, as it has been always the chronology followed in all countries. Indeed, those who have legalized the drug have previously approved its therapeutic use. This "justifying a project phase" stage seems unavoidable. Therefore, it is appropriate to recall the effects and misdeeds of the drug during its recreational use. The general population surveys carried out in France for 25 years by public health France and the French Observatory of Drugs and Drug Addiction, have followed the evolution of psychoactive substances consumption. Particular attention was focused on cannabis use, which, in a context of wide dissemination for a quarter of a century, rose steadily higher among younger generations, but also among older adults. France is the European country with the highest prevalence of cannabis use among young people and adults. Last 25 years, its diffusion has continued to expand, and the experimentation rate multiplied by near 4. Estimated at 12.7% in 1992, it reached 44.8% in 2017. Moreover, 25% of users in the year aged from 18 to 64 years old were at high risk of problematic use or dependence in 2017. This figure is worrying because it is constantly increasing; it affects 3% of 18-64-year-old, just over a million people.

摘要

随着所谓“药用大麻”在法国的医疗用途正处于获批过程中,向其娱乐用途开放是接下来合乎逻辑的一步,因为这一直是所有国家遵循的先后顺序。事实上,那些将该毒品合法化的国家此前已批准其医疗用途。这个“为项目阶段提供正当理由”的阶段似乎不可避免。因此,回顾该毒品在娱乐用途期间的影响和危害是恰当的。法国公共卫生部门和法国毒品与药物成瘾观察站在法国进行了25年的一般人群调查,追踪了精神活性物质消费的演变情况。特别关注了大麻的使用情况,在长达四分之一世纪的广泛传播背景下,大麻在年轻一代以及老年人中的使用率稳步上升。法国是欧洲国家中年轻人和成年人中大麻使用率最高的国家。在过去的25年里,其传播范围持续扩大,尝试率几乎翻了两番。1992年估计为12.7%,到2017年达到44.8%。此外,2017年,18至64岁年龄段的用户中有25%存在使用问题或成瘾的高风险。这一数字令人担忧,因为它在不断上升;它影响了18至64岁人群的3%,超过100万人。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2aa9/7162789/a3f3fb4f2d94/gr1.jpg

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