Inicio y progresión en el consumo de sustancias en la población general de Cataluña, España

Abstract

Resumen AbstractInicio y progresión en el consumo de sustancias en la población general de Cataluña, EspañaThe aim of the present study was to retrospectively study the onset and progression sequence of the most frequent pathways of drug use initiation in a sample of the Spanish general population. Data come from the 2011 household survey on drug use in Catalonia, Spain, on non-institutionalized individuals aged 15-64 in the general population. The final sample was of 2,069 individuals and had the same age distribution as the general population. Progressions of drug initiation were pictured by quantifying transitions from a previous state in terms of the number of individuals and weighted percentages.Survival analyses were employed to assess the most prevalent pathways found in the descriptive analysis using additive regression models.Median ages of onset were decreasing in every cohort from 1965 to 1985-1996: from 17 to 15 in tobacco, 20 to 16 in cannabis and 21 to 18 in cocaine. In people who consumed the three drugs studied, the most frequent pathway was "tobacco-daily tobacco-cannabis-cocaine".These results demand health policies and prevention strategies in order to increase perception of the risks of legal and illegal substances.This, together with well-designed peer interventions could reduce the risk of exposure to illegal drugs such as cannabis and cocaine, thus reducing the likelihood of future problem drug use.

Psychiatric Comorbidity and Addiction Severity Differences in Patients With ADHD Seeking Treatment for Cannabis or Cocaine Use Disorders

“…After multivariate analysis, the cannabis group had an earlier onset of any SUD and earlier start of consumption of any substance. Many studies have described how cannabis is becoming as a first drug of use at younger ages, probably related to the low risk perceived of this substance (Sánchez-Niubò, Sordo, Barrio, Indave, & Domingo-Salvany, 2020). Cannabis has been described as the gateway for the use of other substances in adolescence and as a risk factor for progression to any SUD or polysubstance use (Otten, Mun, & Dishion, 2017; Rioux et al, 2018; Swift et al, 2012; Viola et al, 2014).…”

Abstinence duration and psychopathology among addiction outpatients during 18 months of COVID-19

“…These results differ from the increase in alcohol consumption described in the general population during the pandemic and are more similar to the results of a longitudinal study among AUD patients that did not find an increase in alcohol consumption during the lockdown ( 21 ). The shorter duration of abstinence among those with cannabis as their main substance could be explained by the lower perception of risk described in these patients ( 41 , 42 ). Furthermore, during the early stages of the pandemic an increase was seen in cannabis use among daily users, especially in those with greater previous severity, with greater feelings of loneliness, and as a coping strategy ( 7 , 43 , 44 ).…”

The Effects of Early Onset Tranquilizers, Sedatives, and Sleeping Pills Use on Recent Consumption Among Adolescents

“…Boys show a higher early-first-use percentage than girls and early first-use is also more prevalent in nonrepeaters. In general, boys start substance use earlier, although this gains greater notoriety with illegal substances than legal 21 . More specifically, a higher proportion of girls are hypnosedative consumers overall, but early age-at-first-use is seen more frequently in boys 22 .…”

“…In general, boys start substance use earlier, although this gains greater notoriety with illegal substances than legal. 21 More specifically, a higher proportion of girls are hypnosedative consumers overall, but early age-at-first-use is seen more frequently in boys. 22 Higher diagnosis rates for specific pathologies could explain this result; anxiety disorders are more prevalent in boys and TSSp are sometimes prescribed for this reason.…”