Department of Geography & Social Science Research Institute, Pennsylvania State University, 302 Walker Building, University Park, PA 16802, United States.
Department of Mental Health, Bloomberg School of Public Health, Johns Hopkins University, 624 N. Broadway, Baltimore, MD 21205, United States.
Spat Spatiotemporal Epidemiol. 2021 Jun;37:100418. doi: 10.1016/j.sste.2021.100418. Epub 2021 Mar 17.
This study evaluated whether neighborhood-level disorder, social cohesion, and perceived safety, were associated with days of cannabis use in the prior month in a representative sample of young adults in Alameda and San Francisco Counties in California (N = 1272). We used multiscale geographically weighted regression, modeled by county, to measure associations between cannabis use days and neighborhood attributes, adjusting for sociodemographic characteristics and self-rated health. Positive associations were found between number of cannabis use days and neighborhood disorder, and greater perceived safety. Higher levels of social cohesion predicted fewer cannabis use days. Racial/ethnic, sex and, socioeconomic compositions of participants residing in areas with significant neighborhood-level associations varied substantially, suggesting that risk factors for young adult cannabis use may be highly localized. Public health efforts in cannabis education and intervention should be tailored to fit the culture and composition of local neighborhoods.
本研究评估了在加利福尼亚州阿拉米达县和旧金山县的代表性年轻成年人样本中，邻里环境混乱程度、社会凝聚力和感知安全是否与前一个月的大麻使用天数有关（N=1272）。我们使用多尺度地理加权回归，按县建模，以衡量大麻使用天数与邻里属性之间的关联，同时调整社会人口统计学特征和自我评估健康状况。研究发现，大麻使用天数与邻里环境混乱程度和更高的感知安全呈正相关。更高的社会凝聚力水平预示着更少的大麻使用天数。居住在具有显著邻里关联地区的参与者的种族/民族、性别和社会经济构成差异很大，这表明年轻成年人使用大麻的风险因素可能高度本地化。大麻教育和干预的公共卫生工作应该根据当地社区的文化和构成进行调整。
