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Prevalence of obesity among U.S. population with substance dependence.
- Source :
-
Drug and alcohol dependence [Drug Alcohol Depend] 2020 Dec 01; Vol. 217, pp. 108293. Date of Electronic Publication: 2020 Sep 15. - Publication Year :
- 2020
-
Abstract
- Aim: To investigate associations between substance dependence and obesity.<br />Methods: Obesity (body mass index ≥ 30 kg/m <superscript>2</superscript> ) status and the status of dependence on heroin, stimulant, marijuana, nicotine and alcohol (past-month status for nicotine and past-year status for all others) were identified from the U.S. National Survey on Drug Use and Health (NSDUH, 2015-2017) datasets. SAS Surveylogistic regression was used to estimate adjusted odds ratio (AOR) for the association between each substance dependence and obesity, adjusting for potentially confounding effects of sociodemographic factors and health condition.<br />Results: It was estimated that 10.6 % of noninstitutional U.S. residents aged 12 years or older were nicotine-dependent, 3.0 % alcohol-dependent, 1.0 % marijuana-dependent, 0.6 % stimulant-dependent, and 0.2 % heroin-dependent. Heroin-dependent individuals had 59 % lower odds of obesity relative to their non-dependent counterparts (AOR = 0.41; 95 % CI: 0.28-0.60; p < 0.0001). Lower odds of obesity were also noted for marijuana-dependent (AOR = 0.64; 95 % CI: 0.56-0.73; p < 0.0001), nicotine-dependent (AOR = 0.68; 95 % CI: 0.64-0.72; p < 0.0001) and alcohol-dependent (AOR = 0.77, 95 % CI: 0.69-0.84; p < 0.0001) individuals, but not statistically significant for stimulant-dependent individuals (AOR = 0.84; 95 % CI: 0.68-1.02; p = 0.0825).<br />Conclusions: Heroin, marijuana, nicotine and alcohol dependence were associated with lower odds of obesity than their non-dependence counterparts. Main findings based on 2015-2017 NSDUH are consistent with findings from our prior report based on clinical trials data from National Institute on Drug Abuse Clinical Trials Network, and other epidemiological evidence in the literature. These findings can alert substance abuse treatment professionals to monitor weight change, especially among weight-concerned substance abusers.<br /> (Copyright © 2020 Elsevier B.V. All rights reserved.)
- Subjects :
- Adolescent
Adult
Aged
Alcoholism diagnosis
Alcoholism epidemiology
Amphetamine-Related Disorders diagnosis
Amphetamine-Related Disorders epidemiology
Child
Cross-Sectional Studies
Female
Heroin Dependence diagnosis
Heroin Dependence epidemiology
Humans
Male
Marijuana Abuse diagnosis
Marijuana Abuse epidemiology
Middle Aged
National Institute on Drug Abuse (U.S.) trends
Obesity diagnosis
Prevalence
Substance-Related Disorders diagnosis
Tobacco Use Disorder diagnosis
Tobacco Use Disorder epidemiology
United States epidemiology
Drug Users
Health Surveys methods
Obesity epidemiology
Substance-Related Disorders epidemiology
Subjects
Details
- Language :
- English
- ISSN :
- 1879-0046
- Volume :
- 217
- Database :
- MEDLINE
- Journal :
- Drug and alcohol dependence
- Publication Type :
- Academic Journal
- Accession number :
- 32980787
- Full Text :
- https://doi.org/10.1016/j.drugalcdep.2020.108293