Prevalence and Correlates of Cannabis Use and Cannabis Use Disorder Among U.S. Veterans: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III)
Objective: The authors sought to estimate the prevalence of past-12-month and lifetime cannabis use and cannabis use disorder among U.S. veterans; to describe demographic, substance use disorder, and psychiatric disorder correlates of nonmedical cannabis use and cannabis use disorder; and to explore...
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| Veröffentlicht in: | The American journal of psychiatry 2022-01, Vol.179 (1), p.26-35 |
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| container_title | The American journal of psychiatry |
| container_volume | 179 |
| creator | Browne, Kendall C Stohl, Malki Bohnert, Kipling M Saxon, Andrew J Fink, David S Olfson, Mark Cerda, Magdalena Sherman, Scott Gradus, Jaimie L Martins, Silvia S Hasin, Deborah S |
| description | Objective:
The authors sought to estimate the prevalence of past-12-month and lifetime cannabis use and cannabis use disorder among U.S. veterans; to describe demographic, substance use disorder, and psychiatric disorder correlates of nonmedical cannabis use and cannabis use disorder; and to explore differences in cannabis use and cannabis use disorder prevalence among veterans in states with and without medical marijuana laws.
Methods:
Participants were 3,119 respondents in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions–III (NESARC-III) who identified as U.S. veterans. Weighted prevalences were calculated. Logistic regression analyses tested associations of nonmedical cannabis use and cannabis use disorder with demographic and clinical correlates and examined whether prevalence differed by state legalization status.
Results:
The prevalences of any past-12-month cannabis use and cannabis use disorder were 7.3% and 1.8%, respectively. Lifetime prevalences were 32.5% and 5.7%, respectively. Past-12-month and lifetime cannabis use disorder prevalence estimates among nonmedical cannabis users were 24.4% and 17.4%, respectively. Sociodemographic correlates of nonmedical cannabis use and use disorder included younger age, male gender, being unmarried, lower income, and residing in a state with medical marijuana laws. Nonmedical cannabis use and use disorder were associated with most psychiatric and substance use disorders examined.
Conclusions:
Among veterans, the odds of nonmedical cannabis use and use disorder were elevated among vulnerable subgroups, including those with lower income or psychiatric disorders and among survey participants residing in states with medical marijuana laws. The study findings highlight the need for clinical attention (e.g., screening, assessment) and ongoing monitoring among veterans in the context of increasing legalization of cannabis. |
| doi_str_mv | 10.1176/appi.ajp.2021.20081202 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_2627187069</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2627187069</sourcerecordid><originalsourceid>FETCH-LOGICAL-a431t-e94cbd2ad08d3265226974dbaba87dbd2ea9246a8cff8ac599efff95335e131c3</originalsourceid><addsrcrecordid>eNqFkU1v1DAQhi0EokvhL1SWuMAhwR_55LYK27JSVdAui7hFk3jSZpXYqZ1U6h_j99XZ3VbcuNgezzvvjP0QcsFZyHmafIFhaEPYD6FggvuFZdyfXpEFj2UcpEJkr8mCMSaCPJZ_zsg75_Y-ZDIVb8mZjCKWJiJekL8_LT5Ah7pGClrRwliLHYzoqGloAVpD1Tq6c6f0vxffWmesQkuXvdG3dBduQ_obR7Sg3Ve6QTd1o6OX1vR0vEN6A2NrNHR0NbQK-9Z05rat6XayD_hIjabLrjZ3pjs02hyGmOfRqp3rHP10s9ouN0WwXq8_vydvGugcfjjt52R3ufpVfA-uf1yti-V1AJHkY4B5VFdKgGKZkiKJhUjyNFIVVJClymcQchElkNVNk0Ed5zk2TeN_TMbIJa_lOfl49B2suZ_QjeXeTNY_wpUiESnPUpbkXpUcVbU1zllsysG2PdjHkrNyxlXOuEqPq5xxlc-4fOHFyX6qelQvZc98vEAeBQeDl97_sX0C0wukWg</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2627187069</pqid></control><display><type>article</type><title>Prevalence and Correlates of Cannabis Use and Cannabis Use Disorder Among U.S. Veterans: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III)</title><source>MEDLINE</source><source>PsychiatryOnline</source><source>EZB Electronic Journals Library</source><creator>Browne, Kendall C ; Stohl, Malki ; Bohnert, Kipling M ; Saxon, Andrew J ; Fink, David S ; Olfson, Mark ; Cerda, Magdalena ; Sherman, Scott ; Gradus, Jaimie L ; Martins, Silvia S ; Hasin, Deborah S</creator><creatorcontrib>Browne, Kendall C ; Stohl, Malki ; Bohnert, Kipling M ; Saxon, Andrew J ; Fink, David S ; Olfson, Mark ; Cerda, Magdalena ; Sherman, Scott ; Gradus, Jaimie L ; Martins, Silvia S ; Hasin, Deborah S</creatorcontrib><description>Objective:
The authors sought to estimate the prevalence of past-12-month and lifetime cannabis use and cannabis use disorder among U.S. veterans; to describe demographic, substance use disorder, and psychiatric disorder correlates of nonmedical cannabis use and cannabis use disorder; and to explore differences in cannabis use and cannabis use disorder prevalence among veterans in states with and without medical marijuana laws.
Methods:
Participants were 3,119 respondents in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions–III (NESARC-III) who identified as U.S. veterans. Weighted prevalences were calculated. Logistic regression analyses tested associations of nonmedical cannabis use and cannabis use disorder with demographic and clinical correlates and examined whether prevalence differed by state legalization status.
Results:
The prevalences of any past-12-month cannabis use and cannabis use disorder were 7.3% and 1.8%, respectively. Lifetime prevalences were 32.5% and 5.7%, respectively. Past-12-month and lifetime cannabis use disorder prevalence estimates among nonmedical cannabis users were 24.4% and 17.4%, respectively. Sociodemographic correlates of nonmedical cannabis use and use disorder included younger age, male gender, being unmarried, lower income, and residing in a state with medical marijuana laws. Nonmedical cannabis use and use disorder were associated with most psychiatric and substance use disorders examined.
Conclusions:
Among veterans, the odds of nonmedical cannabis use and use disorder were elevated among vulnerable subgroups, including those with lower income or psychiatric disorders and among survey participants residing in states with medical marijuana laws. The study findings highlight the need for clinical attention (e.g., screening, assessment) and ongoing monitoring among veterans in the context of increasing legalization of cannabis.</description><identifier>ISSN: 0002-953X</identifier><identifier>EISSN: 1535-7228</identifier><identifier>DOI: 10.1176/appi.ajp.2021.20081202</identifier><identifier>PMID: 34407625</identifier><language>eng</language><publisher>United States: American Psychiatric Association</publisher><subject>Alcohol-Related Disorders - epidemiology ; Cannabis ; Drug abuse ; Drug addiction ; Drug legalization ; Ethanol ; Hallucinogens ; Humans ; Male ; Marijuana Abuse - epidemiology ; Medical Marijuana ; Prevalence ; Substance abuse treatment ; Substance-Related Disorders - epidemiology ; United States - epidemiology ; Veterans ; Veterans health care</subject><ispartof>The American journal of psychiatry, 2022-01, Vol.179 (1), p.26-35</ispartof><rights>Copyright © 2022 by the American Psychiatric Association 2022</rights><rights>Copyright American Psychiatric Association Jan 2022</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a431t-e94cbd2ad08d3265226974dbaba87dbd2ea9246a8cff8ac599efff95335e131c3</citedby><cites>FETCH-LOGICAL-a431t-e94cbd2ad08d3265226974dbaba87dbd2ea9246a8cff8ac599efff95335e131c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://psychiatryonline.org/doi/epdf/10.1176/appi.ajp.2021.20081202$$EPDF$$P50$$Gappi$$H</linktopdf><linktohtml>$$Uhttps://psychiatryonline.org/doi/full/10.1176/appi.ajp.2021.20081202$$EHTML$$P50$$Gappi$$H</linktohtml><link.rule.ids>314,777,781,2842,21607,21608,21609,27905,27906,77543,77548</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34407625$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Browne, Kendall C</creatorcontrib><creatorcontrib>Stohl, Malki</creatorcontrib><creatorcontrib>Bohnert, Kipling M</creatorcontrib><creatorcontrib>Saxon, Andrew J</creatorcontrib><creatorcontrib>Fink, David S</creatorcontrib><creatorcontrib>Olfson, Mark</creatorcontrib><creatorcontrib>Cerda, Magdalena</creatorcontrib><creatorcontrib>Sherman, Scott</creatorcontrib><creatorcontrib>Gradus, Jaimie L</creatorcontrib><creatorcontrib>Martins, Silvia S</creatorcontrib><creatorcontrib>Hasin, Deborah S</creatorcontrib><title>Prevalence and Correlates of Cannabis Use and Cannabis Use Disorder Among U.S. Veterans: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III)</title><title>The American journal of psychiatry</title><addtitle>Am J Psychiatry</addtitle><description>Objective:
The authors sought to estimate the prevalence of past-12-month and lifetime cannabis use and cannabis use disorder among U.S. veterans; to describe demographic, substance use disorder, and psychiatric disorder correlates of nonmedical cannabis use and cannabis use disorder; and to explore differences in cannabis use and cannabis use disorder prevalence among veterans in states with and without medical marijuana laws.
Methods:
Participants were 3,119 respondents in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions–III (NESARC-III) who identified as U.S. veterans. Weighted prevalences were calculated. Logistic regression analyses tested associations of nonmedical cannabis use and cannabis use disorder with demographic and clinical correlates and examined whether prevalence differed by state legalization status.
Results:
The prevalences of any past-12-month cannabis use and cannabis use disorder were 7.3% and 1.8%, respectively. Lifetime prevalences were 32.5% and 5.7%, respectively. Past-12-month and lifetime cannabis use disorder prevalence estimates among nonmedical cannabis users were 24.4% and 17.4%, respectively. Sociodemographic correlates of nonmedical cannabis use and use disorder included younger age, male gender, being unmarried, lower income, and residing in a state with medical marijuana laws. Nonmedical cannabis use and use disorder were associated with most psychiatric and substance use disorders examined.
Conclusions:
Among veterans, the odds of nonmedical cannabis use and use disorder were elevated among vulnerable subgroups, including those with lower income or psychiatric disorders and among survey participants residing in states with medical marijuana laws. The study findings highlight the need for clinical attention (e.g., screening, assessment) and ongoing monitoring among veterans in the context of increasing legalization of cannabis.</description><subject>Alcohol-Related Disorders - epidemiology</subject><subject>Cannabis</subject><subject>Drug abuse</subject><subject>Drug addiction</subject><subject>Drug legalization</subject><subject>Ethanol</subject><subject>Hallucinogens</subject><subject>Humans</subject><subject>Male</subject><subject>Marijuana Abuse - epidemiology</subject><subject>Medical Marijuana</subject><subject>Prevalence</subject><subject>Substance abuse treatment</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>United States - epidemiology</subject><subject>Veterans</subject><subject>Veterans health care</subject><issn>0002-953X</issn><issn>1535-7228</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1v1DAQhi0EokvhL1SWuMAhwR_55LYK27JSVdAui7hFk3jSZpXYqZ1U6h_j99XZ3VbcuNgezzvvjP0QcsFZyHmafIFhaEPYD6FggvuFZdyfXpEFj2UcpEJkr8mCMSaCPJZ_zsg75_Y-ZDIVb8mZjCKWJiJekL8_LT5Ah7pGClrRwliLHYzoqGloAVpD1Tq6c6f0vxffWmesQkuXvdG3dBduQ_obR7Sg3Ve6QTd1o6OX1vR0vEN6A2NrNHR0NbQK-9Z05rat6XayD_hIjabLrjZ3pjs02hyGmOfRqp3rHP10s9ouN0WwXq8_vydvGugcfjjt52R3ufpVfA-uf1yti-V1AJHkY4B5VFdKgGKZkiKJhUjyNFIVVJClymcQchElkNVNk0Ed5zk2TeN_TMbIJa_lOfl49B2suZ_QjeXeTNY_wpUiESnPUpbkXpUcVbU1zllsysG2PdjHkrNyxlXOuEqPq5xxlc-4fOHFyX6qelQvZc98vEAeBQeDl97_sX0C0wukWg</recordid><startdate>202201</startdate><enddate>202201</enddate><creator>Browne, Kendall C</creator><creator>Stohl, Malki</creator><creator>Bohnert, Kipling M</creator><creator>Saxon, Andrew J</creator><creator>Fink, David S</creator><creator>Olfson, Mark</creator><creator>Cerda, Magdalena</creator><creator>Sherman, Scott</creator><creator>Gradus, Jaimie L</creator><creator>Martins, Silvia S</creator><creator>Hasin, Deborah S</creator><general>American Psychiatric Association</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>K9.</scope><scope>NAPCQ</scope></search><sort><creationdate>202201</creationdate><title>Prevalence and Correlates of Cannabis Use and Cannabis Use Disorder Among U.S. Veterans: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III)</title><author>Browne, Kendall C ; Stohl, Malki ; Bohnert, Kipling M ; Saxon, Andrew J ; Fink, David S ; Olfson, Mark ; Cerda, Magdalena ; Sherman, Scott ; Gradus, Jaimie L ; Martins, Silvia S ; Hasin, Deborah S</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a431t-e94cbd2ad08d3265226974dbaba87dbd2ea9246a8cff8ac599efff95335e131c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2022</creationdate><topic>Alcohol-Related Disorders - epidemiology</topic><topic>Cannabis</topic><topic>Drug abuse</topic><topic>Drug addiction</topic><topic>Drug legalization</topic><topic>Ethanol</topic><topic>Hallucinogens</topic><topic>Humans</topic><topic>Male</topic><topic>Marijuana Abuse - epidemiology</topic><topic>Medical Marijuana</topic><topic>Prevalence</topic><topic>Substance abuse treatment</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>United States - epidemiology</topic><topic>Veterans</topic><topic>Veterans health care</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Browne, Kendall C</creatorcontrib><creatorcontrib>Stohl, Malki</creatorcontrib><creatorcontrib>Bohnert, Kipling M</creatorcontrib><creatorcontrib>Saxon, Andrew J</creatorcontrib><creatorcontrib>Fink, David S</creatorcontrib><creatorcontrib>Olfson, Mark</creatorcontrib><creatorcontrib>Cerda, Magdalena</creatorcontrib><creatorcontrib>Sherman, Scott</creatorcontrib><creatorcontrib>Gradus, Jaimie L</creatorcontrib><creatorcontrib>Martins, Silvia S</creatorcontrib><creatorcontrib>Hasin, Deborah S</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><jtitle>The American journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Browne, Kendall C</au><au>Stohl, Malki</au><au>Bohnert, Kipling M</au><au>Saxon, Andrew J</au><au>Fink, David S</au><au>Olfson, Mark</au><au>Cerda, Magdalena</au><au>Sherman, Scott</au><au>Gradus, Jaimie L</au><au>Martins, Silvia S</au><au>Hasin, Deborah S</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prevalence and Correlates of Cannabis Use and Cannabis Use Disorder Among U.S. Veterans: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III)</atitle><jtitle>The American journal of psychiatry</jtitle><addtitle>Am J Psychiatry</addtitle><date>2022-01</date><risdate>2022</risdate><volume>179</volume><issue>1</issue><spage>26</spage><epage>35</epage><pages>26-35</pages><issn>0002-953X</issn><eissn>1535-7228</eissn><abstract>Objective:
The authors sought to estimate the prevalence of past-12-month and lifetime cannabis use and cannabis use disorder among U.S. veterans; to describe demographic, substance use disorder, and psychiatric disorder correlates of nonmedical cannabis use and cannabis use disorder; and to explore differences in cannabis use and cannabis use disorder prevalence among veterans in states with and without medical marijuana laws.
Methods:
Participants were 3,119 respondents in the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions–III (NESARC-III) who identified as U.S. veterans. Weighted prevalences were calculated. Logistic regression analyses tested associations of nonmedical cannabis use and cannabis use disorder with demographic and clinical correlates and examined whether prevalence differed by state legalization status.
Results:
The prevalences of any past-12-month cannabis use and cannabis use disorder were 7.3% and 1.8%, respectively. Lifetime prevalences were 32.5% and 5.7%, respectively. Past-12-month and lifetime cannabis use disorder prevalence estimates among nonmedical cannabis users were 24.4% and 17.4%, respectively. Sociodemographic correlates of nonmedical cannabis use and use disorder included younger age, male gender, being unmarried, lower income, and residing in a state with medical marijuana laws. Nonmedical cannabis use and use disorder were associated with most psychiatric and substance use disorders examined.
Conclusions:
Among veterans, the odds of nonmedical cannabis use and use disorder were elevated among vulnerable subgroups, including those with lower income or psychiatric disorders and among survey participants residing in states with medical marijuana laws. The study findings highlight the need for clinical attention (e.g., screening, assessment) and ongoing monitoring among veterans in the context of increasing legalization of cannabis.</abstract><cop>United States</cop><pub>American Psychiatric Association</pub><pmid>34407625</pmid><doi>10.1176/appi.ajp.2021.20081202</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; PsychiatryOnline; EZB Electronic Journals Library |
| subjects | Alcohol-Related Disorders - epidemiology Cannabis Drug abuse Drug addiction Drug legalization Ethanol Hallucinogens Humans Male Marijuana Abuse - epidemiology Medical Marijuana Prevalence Substance abuse treatment Substance-Related Disorders - epidemiology United States - epidemiology Veterans Veterans health care |
| title | Prevalence and Correlates of Cannabis Use and Cannabis Use Disorder Among U.S. Veterans: Results From the National Epidemiologic Survey on Alcohol and Related Conditions (NESARC-III) |
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