Comparing adults who use cannabis medically with those who use recreationally: Results from a national sample
Comparing adults who use cannabis medically with those who use recreationally: Results from a national sample
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DOI：
10.1016/j.addbeh.2016.05.015
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发表时间：
2016-10-01
影响因子：
4.4
通讯作者：
Bohnert, Kipling M.
中科院分区：
文献类型：
--
作者：
Lin, Lewei A.;Ilgen, Mark A.;Bohnert, Kipling M.
目标：在美国几乎一半的州，医用大麻已经合法化，尽管这些州的法律对医用大麻和娱乐性大麻进行了区分，但在全国一级，使用医用大麻的人数以及这一群体与娱乐性大麻的个人有多大区别尚不得而知。方法：数据来源于2013年全国药物使用与健康调查（NSDUH）。据报告居住在医用大麻合法化州的所有赞同去年使用大麻的成年人被分为仅使用娱乐性大麻和使用医用大麻。比较两组的人口学和临床特征。结果：在过去一年中使用大麻的成年人中有17%用于医疗用途。在种族、教育程度、过去一年的抑郁程度和大麻使用障碍的流行程度方面，医用大麻使用者与娱乐性大麻使用者之间没有显著差异。在调整后的分析中，使用医用大麻的人更有可能健康状况较差，酒精使用障碍和非大麻药物使用水平较低。报告使用医用大麻的人中有三分之一赞同每日使用大麻，而仅报告娱乐性使用大麻的人中有11%赞同每日使用大麻。结论：使用医用大麻和休闲大麻的成年人有一些共同特征，但使用医用大麻的人健康状况不佳和每日使用大麻的比例更高。随着越来越多的国家将医用大麻合法化，必须更好地了解医用和娱乐性大麻使用者之间的异同。(C) 2016 Elsevier Ltd.版权所有。
Objectives: Cannabis has been legalized for medical use in almost half of the states in the U.S. Although laws in these states make the distinction between medical and recreational use of cannabis, the prevalence of people using medical cannabis and how distinct this group is from individuals using cannabis recreationally is unknown at a national level.Methods: Data came from the 2013 National Survey on Drug Use and Health (NSDUH). All adults endorsing past year cannabis use who reported living in a state that had legalized medical cannabis were divided into recreational cannabis use only and medical cannabis use. Demographic and clinical characteristics were compared across these two groups.Results: 17% of adults who used cannabis in the past year used cannabis medically. There were no significant differences between those who used medically versus recreationally in race, education, past year depression and prevalence of cannabis use disorders. In adjusted analyses, those with medical cannabis use were more likely to have poorer health and lower levels of alcohol use disorders and non-cannabis drug use. A third of those who reported medical cannabis use endorsed daily cannabis use compared to 11% in those who reported recreational use exclusively.Conclusions: Adults who use medical and recreational cannabis shared some characteristics, but those who used medical cannabis had higher prevalence of poor health and daily cannabis use. As more states legalize cannabis for medical use, it is important to better understand similarities and differences between people who use cannabis medically and recreationally. (C) 2016 Elsevier Ltd. All rights reserved.