Associations of cannabis use, opioid use, and their combination with serious psychological distress among Ontario adults
Considering the widespread use of cannabis and opioids, examining the use of cannabis, opioids and their combination with serious psychological distress (SPD) is important. A total of N = 12,358 adults participating in the Monitor surveillance study between 2014 and 2019 were included. Cannabis and...
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| Veröffentlicht in: | Stress and health 2022-02, Vol.38 (1), p.38-46 |
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| creator | Nigatu, Yeshambel T. Elton‐Marshall, Tara Mann, Robert E. Hamilton, Hayley A. |
| description | Considering the widespread use of cannabis and opioids, examining the use of cannabis, opioids and their combination with serious psychological distress (SPD) is important. A total of N = 12,358 adults participating in the Monitor surveillance study between 2014 and 2019 were included. Cannabis and opioid use reflected any use of the substances in the past 12 months. SPD was defined as having a score of 13 or more on the Kessler‐6 questionnaire, a 6‐item scale that includes feeling nervous, hopeless, restless or fidgety, sad or depressed. Odds ratios (ORs) were estimated from logistic regression models accounting for complex survey design and sociodemographic factors. Overall, 12.8% of the sample reported cannabis use only, 18% reported opioid use only, and 4.9% reported both cannabis and opioid use. Use of both cannabis and opioids was significantly associated with SPD in both women (OR = 4.24; 95% CI, 2.34 to 7.69), and in men (OR = 2.99; 95% CI, 1.56 to 5.73) compared to use of neither. The joint association of cannabis and opioids with SPD was additive. Addressing those who use both cannabis and opioids may help reduce the burden of SPD among adults in Ontario. |
| doi_str_mv | 10.1002/smi.3071 |
| format | Article |
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A total of N = 12,358 adults participating in the Monitor surveillance study between 2014 and 2019 were included. Cannabis and opioid use reflected any use of the substances in the past 12 months. SPD was defined as having a score of 13 or more on the Kessler‐6 questionnaire, a 6‐item scale that includes feeling nervous, hopeless, restless or fidgety, sad or depressed. Odds ratios (ORs) were estimated from logistic regression models accounting for complex survey design and sociodemographic factors. Overall, 12.8% of the sample reported cannabis use only, 18% reported opioid use only, and 4.9% reported both cannabis and opioid use. Use of both cannabis and opioids was significantly associated with SPD in both women (OR = 4.24; 95% CI, 2.34 to 7.69), and in men (OR = 2.99; 95% CI, 1.56 to 5.73) compared to use of neither. The joint association of cannabis and opioids with SPD was additive. Addressing those who use both cannabis and opioids may help reduce the burden of SPD among adults in Ontario.</description><identifier>ISSN: 1532-3005</identifier><identifier>EISSN: 1532-2998</identifier><identifier>DOI: 10.1002/smi.3071</identifier><identifier>PMID: 34038026</identifier><language>eng</language><publisher>England: Wiley Subscription Services, Inc</publisher><subject>Adult ; Analgesics, Opioid - therapeutic use ; Cannabis ; Drug use ; Female ; Humans ; interaction ; Male ; Marijuana ; Narcotics ; Ontario - epidemiology ; Opioids ; Psychological Distress ; psychological well‐being ; Regression analysis ; Stress, Psychological - epidemiology</subject><ispartof>Stress and health, 2022-02, Vol.38 (1), p.38-46</ispartof><rights>2021 John Wiley & Sons Ltd.</rights><rights>2022 John Wiley & Sons Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3161-46ae641cd72fd9d1fe6d8876f8829a60b922dbe393cdec25f09208c6d9ab37233</citedby><cites>FETCH-LOGICAL-c3161-46ae641cd72fd9d1fe6d8876f8829a60b922dbe393cdec25f09208c6d9ab37233</cites><orcidid>0000-0002-5192-4188</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fsmi.3071$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fsmi.3071$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34038026$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nigatu, Yeshambel T.</creatorcontrib><creatorcontrib>Elton‐Marshall, Tara</creatorcontrib><creatorcontrib>Mann, Robert E.</creatorcontrib><creatorcontrib>Hamilton, Hayley A.</creatorcontrib><title>Associations of cannabis use, opioid use, and their combination with serious psychological distress among Ontario adults</title><title>Stress and health</title><addtitle>Stress Health</addtitle><description>Considering the widespread use of cannabis and opioids, examining the use of cannabis, opioids and their combination with serious psychological distress (SPD) is important. A total of N = 12,358 adults participating in the Monitor surveillance study between 2014 and 2019 were included. Cannabis and opioid use reflected any use of the substances in the past 12 months. SPD was defined as having a score of 13 or more on the Kessler‐6 questionnaire, a 6‐item scale that includes feeling nervous, hopeless, restless or fidgety, sad or depressed. Odds ratios (ORs) were estimated from logistic regression models accounting for complex survey design and sociodemographic factors. Overall, 12.8% of the sample reported cannabis use only, 18% reported opioid use only, and 4.9% reported both cannabis and opioid use. Use of both cannabis and opioids was significantly associated with SPD in both women (OR = 4.24; 95% CI, 2.34 to 7.69), and in men (OR = 2.99; 95% CI, 1.56 to 5.73) compared to use of neither. The joint association of cannabis and opioids with SPD was additive. Addressing those who use both cannabis and opioids may help reduce the burden of SPD among adults in Ontario.</description><subject>Adult</subject><subject>Analgesics, Opioid - therapeutic use</subject><subject>Cannabis</subject><subject>Drug use</subject><subject>Female</subject><subject>Humans</subject><subject>interaction</subject><subject>Male</subject><subject>Marijuana</subject><subject>Narcotics</subject><subject>Ontario - epidemiology</subject><subject>Opioids</subject><subject>Psychological Distress</subject><subject>psychological well‐being</subject><subject>Regression analysis</subject><subject>Stress, Psychological - epidemiology</subject><issn>1532-3005</issn><issn>1532-2998</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kD1PwzAQQC0EoqUg8QuQJRYGUvyROs6IKj4qFXUA5sixndZVEhdfotJ_T9oUNqa74d076SF0TcmYEsIeoHJjThJ6goZ0wlnE0lSeHndOyGSALgDWhJBkkshzNOAx4ZIwMUTfjwBeO9U4XwP2BdaqrlXuALdg77HfOO9Mv6va4GZlXcDaV7mrDzd465oVBhucbwFvYKdXvvRLp1WJjYMmWACsKl8v8aJuVIdhZdqygUt0VqgS7NVxjtDn89PH9DWaL15m08d5pDkVNIqFsiKm2iSsMKmhhRVGykQUUrJUCZKnjJnc8pRrYzWbFCRlRGphUpXzhHE-Qre9dxP8V2uhyda-DXX3MmOCxYwksosxQnc9pYMHCLbINsFVKuwySrJ94qxLnO0Td-jNUdjmlTV_4G_TDoh6YOtKu_tXlL2_zQ7CHzijhtA</recordid><startdate>202202</startdate><enddate>202202</enddate><creator>Nigatu, Yeshambel T.</creator><creator>Elton‐Marshall, Tara</creator><creator>Mann, Robert E.</creator><creator>Hamilton, Hayley A.</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7TS</scope><scope>K9.</scope><orcidid>https://orcid.org/0000-0002-5192-4188</orcidid></search><sort><creationdate>202202</creationdate><title>Associations of cannabis use, opioid use, and their combination with serious psychological distress among Ontario adults</title><author>Nigatu, Yeshambel T. ; Elton‐Marshall, Tara ; Mann, Robert E. ; Hamilton, Hayley A.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3161-46ae641cd72fd9d1fe6d8876f8829a60b922dbe393cdec25f09208c6d9ab37233</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Adult</topic><topic>Analgesics, Opioid - therapeutic use</topic><topic>Cannabis</topic><topic>Drug use</topic><topic>Female</topic><topic>Humans</topic><topic>interaction</topic><topic>Male</topic><topic>Marijuana</topic><topic>Narcotics</topic><topic>Ontario - epidemiology</topic><topic>Opioids</topic><topic>Psychological Distress</topic><topic>psychological well‐being</topic><topic>Regression analysis</topic><topic>Stress, Psychological - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nigatu, Yeshambel T.</creatorcontrib><creatorcontrib>Elton‐Marshall, Tara</creatorcontrib><creatorcontrib>Mann, Robert E.</creatorcontrib><creatorcontrib>Hamilton, Hayley A.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Stress and health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nigatu, Yeshambel T.</au><au>Elton‐Marshall, Tara</au><au>Mann, Robert E.</au><au>Hamilton, Hayley A.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations of cannabis use, opioid use, and their combination with serious psychological distress among Ontario adults</atitle><jtitle>Stress and health</jtitle><addtitle>Stress Health</addtitle><date>2022-02</date><risdate>2022</risdate><volume>38</volume><issue>1</issue><spage>38</spage><epage>46</epage><pages>38-46</pages><issn>1532-3005</issn><eissn>1532-2998</eissn><abstract>Considering the widespread use of cannabis and opioids, examining the use of cannabis, opioids and their combination with serious psychological distress (SPD) is important. A total of N = 12,358 adults participating in the Monitor surveillance study between 2014 and 2019 were included. Cannabis and opioid use reflected any use of the substances in the past 12 months. SPD was defined as having a score of 13 or more on the Kessler‐6 questionnaire, a 6‐item scale that includes feeling nervous, hopeless, restless or fidgety, sad or depressed. Odds ratios (ORs) were estimated from logistic regression models accounting for complex survey design and sociodemographic factors. Overall, 12.8% of the sample reported cannabis use only, 18% reported opioid use only, and 4.9% reported both cannabis and opioid use. Use of both cannabis and opioids was significantly associated with SPD in both women (OR = 4.24; 95% CI, 2.34 to 7.69), and in men (OR = 2.99; 95% CI, 1.56 to 5.73) compared to use of neither. The joint association of cannabis and opioids with SPD was additive. Addressing those who use both cannabis and opioids may help reduce the burden of SPD among adults in Ontario.</abstract><cop>England</cop><pub>Wiley Subscription Services, Inc</pub><pmid>34038026</pmid><doi>10.1002/smi.3071</doi><tpages>9</tpages><orcidid>https://orcid.org/0000-0002-5192-4188</orcidid></addata></record> |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adult Analgesics, Opioid - therapeutic use Cannabis Drug use Female Humans interaction Male Marijuana Narcotics Ontario - epidemiology Opioids Psychological Distress psychological well‐being Regression analysis Stress, Psychological - epidemiology |
| title | Associations of cannabis use, opioid use, and their combination with serious psychological distress among Ontario adults |
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