Dai Hongying Daisy, Idoate Regina, Mahroke Avina, Abresch Chad
Department of Biostatistics, University of Nebraska Medical Center, Omaha, NE, USA.
Department of Health Promotion, University of Nebraska Medical Center, Omaha, NE, USA.
J Racial Ethn Health Disparities. 2025 Jun;12(3):1787-1796. doi: 10.1007/s40615-024-02008-x. Epub 2024 Apr 24.
This study sought to examine racial disparities in marijuana use among U.S. adults living with children.
Data are drawn from the 2022 Behavioral Risk Factor Surveillance System to examine the prevalence of current (past month) and frequent (≥20 days in the last 30 days) marijuana use along with the mode of marijuana use by 7 racial and ethnic groups (non-Hispanic [NH] White, NH-Black, Hispanic, NH American Indian or Alaskan Native [AI/AN], NH-Asian, NH Native Hawaiian or other Pacific Islander only [NH/PI], and other/multiple races, n=22,659).
Compared to NH White adults with children, NH Black adults had a higher prevalence of current marijuana use (23.1% vs. 16.9%, p=0.003) and NH AI/AN adults had two times higher prevalence of frequent use (17.3% vs. 8.4%, p=0.0003). Adults living in recreational marijuana legal states (vs. no) were also more likely to report marijuana use, and there were significant age × race/ethnicity and education × race/ethnicity interactions (p<0.05) on marijuana use. Regarding the mode of use, racial minority users except Asians also reported a higher prevalence of smoking marijuana than their White counterparts.
Substantial racial disparities in marijuana use patterns among adults who live with children highlight a potential risk for adolescents' health. Addressing these differences is essential for promoting equitable health outcomes in diverse communities.
本研究旨在调查美国有子女的成年人在大麻使用方面的种族差异。
数据取自2022年行为风险因素监测系统，以调查7个种族和族裔群体（非西班牙裔[NH]白人、NH黑人、西班牙裔、NH美洲印第安人或阿拉斯加原住民[AI/AN]、NH亚洲人、仅NH夏威夷原住民或其他太平洋岛民[NH/PI]以及其他/多个种族，n = 22,659）当前（过去一个月）和频繁（过去30天内≥20天）大麻使用的患病率以及大麻使用方式。
与有子女的NH白人成年人相比，NH黑人成年人当前大麻使用的患病率更高（23.1%对16.9%，p = 0.003），NH AI/AN成年人频繁使用的患病率高出两倍（17.3%对8.4%，p = 0.0003）。生活在大麻娱乐合法化州的成年人（与未合法化州相比）也更有可能报告使用过大麻，并且在大麻使用方面存在显著的年龄×种族/族裔和教育×种族/族裔交互作用（p<0.05）。关于使用方式，除亚洲人外的少数种族使用者报告吸食大麻的患病率也高于白人同龄人。
有子女的成年人在大麻使用模式上存在显著的种族差异，这凸显了对青少年健康的潜在风险。解决这些差异对于在不同社区促进公平的健康结果至关重要。
