Recent cannabis use among Veterans in the United States: Results from a national sample
Recent cannabis use among Veterans in the United States: Results from a national sample
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DOI：
10.1016/j.addbeh.2017.08.010
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发表时间：
2018-01-01
影响因子：
4.4
通讯作者：
Bohnert, Kipling M.
中科院分区：
文献类型：
--
作者：
Davis, Alan K.;Lin, Lewei A.;Bohnert, Kipling M.
背景：与平民相比，美国普通人群中退伍军人对大麻的使用知之甚少。这项研究旨在调查美国这一重要群体中最近医用和非医用大麻使用的流行率及其相关性。方法：数据来自2014年全国药物使用与健康调查。对复杂的调查设计进行了加权的双变量和多变量分析。结果：大约9%的美国退伍军人报告过去一年使用大麻。年龄较大、女性的退伍军人在过去一年使用大麻的几率较低。未婚、没有工作的退伍军人有更大的功能残疾、尼古丁依赖、重度间歇性酒精使用、酒精使用障碍和药物使用，过去一年使用大麻的几率更大。2014年，在医用大麻合法的州，过去一年使用大麻的退伍军人中约有41%是医用大麻。与使用非医疗药物的退伍军人相比，那些使用药物的人年龄更大，更不可能参与最近的大量饮酒或更不符合酒精滥用/依赖的标准。结论：与美国普通人群中的非退伍军人相比，退伍军人最近使用大麻的情况类似或略低。然而，在过去一年使用的人中，那些使用药物的人的比例是普通人群的两倍多。由于只有非医用大麻的使用与重度间歇性酒精使用和酒精使用障碍的发生率较高相关，因此解决这一高危群体中有问题的酒精消费可能很重要。
Background: Compared to civilians, little is known about cannabis use among Veterans in the general United States (US) population. This study aimed to examine the prevalence and correlates of recent medical and nonmedical cannabis use among this important US sub-population.Method: Data came from the 2014 National Survey on Drug Use and Health. Bivariate and multivariable analyses were conducted that were weighted to account for the complex survey design.Results: Approximately 9% of Veterans in the US reported past year cannabis use. Older, and female, Veterans had lower odds of past year cannabis use. Veterans who were unmarried, out of the work force, had greater functioning disability, nicotine dependence, heavy episodic alcohol use, alcohol use disorder, and drug use had greater odds of past year cannabis use. In states where medical cannabis was legal in 2014, approximately 41% of Veterans who used cannabis in the past year used medically. Those who used medically were older and less likely to engage in recent heavy episodic drinking or to meet criteria for alcohol abuse/dependence, compared to Veterans using non-medically.Conclusion: Compared to non-Veterans in the US general population, recent cannabis use was similar or slightly lower among Veterans. However, among those with past year use, the proportion of those using medically was more than double that of the general population. Because only non-medical cannabis use was associated with higher rates of heavy episodic alcohol use and alcohol use disorder, it may be important to address problematic alcohol consumption among this high-risk group.