Historique
Périodique
Cocaine use and the occurrence of panic attacks in the community: a case-crossover approach
(Usage de cocaïne et occurence d'attaques de panique dans la population générale : une approche par la méthode de croisement de cas)
Auteur(s) :
O'BRIEN, M. S. ;
WU, L. T. ;
ANTHONY, J. C.
Année
2005
Page(s) :
285-297
Langue(s) :
Anglais
Refs biblio. :
24
Domaine :
Drogues illicites / Illicit drugs
Discipline :
EPI (Epidémiologie / Epidemiology)
Thésaurus géographique
ETATS-UNIS
Thésaurus mots-clés
COMORBIDITE
;
CONSOMMATION
;
COCAINE
;
PANIQUE
;
EPIDEMIOLOGIE
;
ENQUETE
;
ETUDE DE CAS
Note générale :
Substance Use and Misuse, 2005, 40, (3), 285-297
Note de contenu :
tabl.
Résumé :
ENGLISH :
The epidemiologic case-crossover method is a powerful tool for research on suspected hazards of illegal drug use, the advantage being a subject-as-own-control approach that constrains stable individual-level susceptibility traits. Here, we use the case-crossover method to estimate the magnitude of excess occurrence of panic attacks during months of cocaine use vs. months of no cocaine use, motivated by a prior estimate that cocaine users have three-fold excess risk of panic attack. The self-report data on cocaine and panic are from assessments of a nationally representative sample of 1071 recent panic cases age 18 years or older identified as part of the National Household Surveys on Drug Abuse conducted in the United States during 19941997. Based on case-crossover estimates, cocaine use is associated with a three- to- four-fold excess occurrence of panic attack (estimated relative risk (RR) = 3.3, p = 0.049 ; 95% confidence interval : 1.0, 13.7). Year-by-year, the RR estimates from four independent yearly replicates (19941997) are 5.0, 2.0, 3.0, and 3.0. While there are several important limitations, this study adds new evidence about a previously reported suspected causal association linking cocaine use to occurrence of panic attacks, and illustrates advantages of the epidemiologic case-crossover approach and new directions in research on hazards of illegal drug use. (Review' s abstract)
Affiliation :
Department of Epidemiology, B601 West Fee Hall, Michigan State University, East Lansing, MI 48824. E-mail : janthony@msu.edu
Etats-Unis. United States.
Etats-Unis. United States.