University of Central Florida College of Medicine, Orlando, FL, USA.
Department of Management, Policy, and Community Health, University of Texas Health Science Center at Houston School of Public Health, Houston, TX, USA.
Curr Diab Rep. 2023 Jan;23(1):1-17. doi: 10.1007/s11892-022-01496-7. Epub 2023 Jan 14.
Substance use is a major public health problem in adolescents and young adults (AYA) and is particularly dangerous for AYA with type 1 diabetes (T1D) due to additional health consequences related to T1D. Rates of substance use among AYA with T1D are difficult to ascertain. Currently, we aim to provide a summary of published rates of substance use, over the last 10 years, among AYA with T1D in the USA.
This review included a database search, abstract screening, and synthesizing of articles published in the last 10 years that reported rates of substance use among AYA with T1D. We also compared rates to national survey data from the Center for Disease Control and Substance Abuse and Mental Health Services Administration. Of 138 articles, 123 abstracts were excluded due to non-relevance or because they were conducted outside of the USA; 15 articles were evaluated, and 8 provided original data on AYA with T1D. These 8 studies were summarized and compared to nationwide survey data. Most of the published rates of substance use among AYA with T1D were similar to national survey data for alcohol, tobacco, and marijuana. Rates of illicit drug use were lower among AYA with T1D. Despite additional health consequences, alcohol, tobacco, and marijuana use is about as prevalent among AYA with T1D as in the general US population. These findings emphasize the importance of conducting more research in this area, developing effective interventions, and incorporating prevention into standard clinical practices.
物质使用是青少年和年轻人（AYA）中的一个主要公共卫生问题，对于 1 型糖尿病（T1D）的 AYA 来说尤其危险，因为与 T1D 相关的额外健康后果。AYA 中 T1D 患者的物质使用率难以确定。目前，我们旨在概述过去 10 年来美国 T1D 的 AYA 中物质使用的发表率。
本综述包括数据库搜索、摘要筛选以及对过去 10 年来发表的报告 T1D 的 AYA 中物质使用率的文章进行综合分析。我们还将这些比率与疾病控制和预防中心以及物质滥用和心理健康服务管理局的全国调查数据进行了比较。在 138 篇文章中，由于不相关或因为它们是在美国境外进行的，123 篇摘要被排除在外；评估了 15 篇文章，其中 8 篇提供了关于 T1D 的 AYA 的原始数据。对这 8 项研究进行了总结，并与全国性调查数据进行了比较。大多数发表的 T1D 的 AYA 物质使用率与酒精、烟草和大麻的全国调查数据相似。非法药物使用率在 T1D 的 AYA 中较低。尽管存在额外的健康后果，但 T1D 的 AYA 中使用酒精、烟草和大麻的情况与美国一般人群一样普遍。这些发现强调了在该领域进行更多研究、开发有效干预措施以及将预防纳入标准临床实践的重要性。
