Use of marijuana exclusively for medical purposes
Use of marijuana exclusively for medical purposes
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DOI：
10.1016/j.drugalcdep.2018.11.009
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发表时间：
2019-02-01
影响因子：
4.2
通讯作者：
Olfson, Mark
中科院分区：
文献类型：
--
作者：
Wall, Melanie M.;Liu, Jun;Olfson, Mark
目的：描述用于医疗和非医疗目的的大麻使用者的社会人口特征、医疗条件和精神合并症。方法：数据来自全国酒精及相关疾病流行病学调查III，这是一项2012-2013年美国全国代表性的对36,309名18岁成年人的面对面访谈。结果：与非医学使用者（n = 3339）、联合使用者（n = 362）和医学使用者（n = 82）相比，每项医学检查的患病率都更高。与联合使用组相比，仅为医疗目的使用大麻的人患焦虑、酒精或非医疗处方阿片类药物使用障碍的可能性要小得多。结论：纯医用大麻使用者似乎是出于循证医学原因而使用大麻，与其他大麻使用者相比，其物质使用障碍的患病率较低。尽管如此，由于大多数医用大麻使用者也使用非医用大麻，因此在批准医用大麻时应实施精神疾病筛查和大麻使用障碍预防工作。
Objectives: To characterize the socio-demographic characteristics, medical conditions, and psychiatric comorbidities of users of marijuana for medical and non-medical purposes.Methods: Data were from the National Epidemiological Survey on Alcohol and Related Conditions III, a US nationally representative in-person interview of 36,309 adults age 18 years in 2012-2013.Results: In relation to non-medical only users (n = 3339), combined (n = 362) and medical only (n = 82) users had higher prevalence of every medical condition examined. As compared to the combined use group, those using marijuana only for medical purposes were much less likely to have anxiety, alcohol, or non-medical prescription opioid use disorders.Conclusions: Medical-only users appear to use it for evidence-based medical reasons and have lower prevalence of substance use disorder than other marijuana users. Nonetheless, because most medical marijuana users also use non-medically, screening for psychiatric disorders and prevention efforts for cannabis use disorder should be implemented when authorizing medical marijuana.