Annals of Epidemiology
Volume 20, Issue 4 , Pages 289-297, April 2010

Associations Between Duration of Illicit Drug Use and Health Conditions: Results from the 2005–2007 National Surveys on Drug Use and Health

Office of Applied Studies, Substance Abuse and Mental Health Services Administration, U.S. Department of Health and Human Services, Rockville, MD

Received 28 July 2009; accepted 6 January 2010. published online 22 February 2010.

Purpose

To estimate and compare prevalence rates of lifetime health conditions by inferred duration of illicit drug use among the general U.S. adult population and to investigate associations between duration of use of each specific illicit drug (marijuana, cocaine, heroin, hallucinogens, or inhalant) and each lifetime health condition after controlling for potential confounding factors.

Methods

Data from respondents aged 35 to 49 (N = 29,195) from the 2005–2007 National Surveys on Drug Use and Health (NSDUH) were analyzed.

Results

The prevalence rates of a broad range of health conditions by duration of use of specific illicit drug among persons 35 to 49 years of age in the United States were estimated and compared. After adjustment for potential confounding factors, the results of 20 multivariate logistic regression models indicated positive associations between duration of marijuana use and anxiety, depression, sexually transmitted disease (STD), bronchitis, and lung cancer; between duration of cocaine use and anxiety and pancreatitis; between duration of heroin use and anxiety, hepatitis, and tuberculosis; between duration of hallucinogen use and tinnitus and STD; and between duration of inhalant use and anxiety, depression, HIV/AIDS, STD, tuberculosis, bronchitis, asthma, sinusitis, and tinnitus.

Conclusions

This study provides initial analyses on the relationships between illicit drug use and health conditions based on a large nationally representative sample. These results can help prepare for treating health problems among former and continuing illicit drug users.

Key Words: Illicit Drug Use, Health Conditions, Duration of Illicit Drug Use, National Survey on Drug Use and Health

Selected Abbreviations and Acronyms: NSDUH, National Survey on Drug Use and Health, SAMHSA, Substance Abuse and Mental Health Services Administration, ACASI, audio computer-assisted self-administered interviewing, STD, sexually transmitted disease

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PII: S1047-2797(10)00004-9

doi:10.1016/j.annepidem.2010.01.003

Annals of Epidemiology
Volume 20, Issue 4 , Pages 289-297, April 2010