Military Medicine,
Год журнала:
2023,
Номер
189(5-6), С. e1230 - e1239
Опубликована: Сен. 16, 2023
ABSTRACT
Introduction
Military
veterans
are
at
increased
risk
of
substance
use
disorders.
Limited
research
is
available
about
veterans’
cannabis
(CU)
during
the
coronavirus
disease
2019
(COVID-19)
pandemic.
This
study
estimated
prevalence
past
30-day
CU,
investigated
individual-level
correlates
and
evaluated
reasons
(medical,
recreational,
or
both)
CU
among
U.S.
Veterans
second
wave
COVID-19
Materials
Methods
We
used
population-based,
cross-sectional
data
from
2021
Behavioral
Risk
Factor
Surveillance
System
Survey
Marijuana
Use
model.
The
sample
included
nationally
representative
military
aged
18+
years
(n
=
11,167).
outcome
was
CU.
Individual-level
demographic,
socioeconomic,
behavioral,
clinical
were
examined.
Analyses
weighted
to
account
for
survey’s
complex
design
with
results
generalizable
nearly
2.9
million
veterans.
conducted
descriptive
statistics,
estimates,
multivariable
logistic
regression
analyses.
Results
Out
veterans,
11.1%
self-reported
as
non-Hispanic
Black,
3.7%
Hispanic,
79.1%
White;
88.5%
men,
72.8%
50+
years.
About
14.6%
current
tobacco
smokers,
4.7%
e-cigarette
users,
12.5%
binge
alcohol
drinkers,
43.4%
had
three
more
comorbid
conditions.
Overall,
8.5%
reported
in
30
days,
which
30.4%
it
medical
25.8%
nonmedical
reasons.
decreased
age,
education,
income
level.
Compared
their
counterparts,
odds
greater
those
living
urban
areas,
frequent
mental
distress,
infrequent
physical
who
least
one
condition.
Non-Hispanic
Black
89%
(adjusted
ratio
[AOR]
=1.89,
95%
confidence
interval
[CI],
1.19-3.0)
compared
White
Current
smokers
3.54
(95%
CI,
2.40-5.24)
former
1.78
1.28-2.47)
times
higher
reporting
than
never
smokers.
(AOR
3.37,
2.20-5.16)
drinking
3.18,
2.29-4.41)
also
statistically
significantly
associated
no
drinking.
Conclusions
prevalent
certain
subgroups
Thus,
identifying
high-risk
adequately
educating
them
CU’s
benefits,
risks,
safety
crucial.
Current Addiction Reports,
Год журнала:
2023,
Номер
10(3), С. 441 - 457
Опубликована: Июнь 2, 2023
Abstract
Purpose
of
Review
Veterans
are
a
large
population
that
is
disproportionately
affected
by
various
physical
and
mental
health
conditions.
The
primary
aim
this
review
to
provide
concise
overview
recent
literature
on
the
prevalence
cannabis
use
disorder
(CUD)
among
US
veterans,
associations
with
We
also
addressed
gaps
in
investigating
between
CUD
conditions
2019
data
from
Health
Administration
(VHA;
N
=
5,657,277).
Recent
Findings
In
total,
25
studies
were
reviewed.
2019,
Veteran
ranged
11.9–18.7%.
Cannabis
associated
bipolar
disorders,
psychotic
suicidality,
pain
conditions,
other
substance
use,
but
less
consistently
depressive
anxiety
posttraumatic
stress
disorder.
Analyses
VHA
indicated
was
strongly
broad
array
mortality.
Summary
prevalent
highly
comorbid
veterans.
Harm
reduction
methods
tailored
these
populations
needed.
Journal of Psychoactive Drugs,
Год журнала:
2023,
Номер
unknown, С. 1 - 8
Опубликована: Ноя. 27, 2023
The
relationship
between
cannabis
use
and
suicidal
behavior
is
complex,
with
no
consensus
in
the
literature.
We
used
electronic
health
records
of
national
services
to
identify
individuals
who
received
a
diagnosis
Cannabis
Use
Disorder
Metropolitan
area
Bologna
from
2009
2019.
In
this
cohort
we
identified
accesses
Emergency
Departments
for
suicide
attempts
Crude
Suicide
Rate
1,000
Person
Years
was
2.5,
higher
females,
patients
Alcohol
Disorders,
any
psychiatric
diagnosis,
within
one
year
first
visit,
during
COVID-19
period.
risk
over
22
times
than
general
population.
Considering
high
prevalence
population
consequent
these
data
suggest
importance
clinical
evaluation
risk.
Military Medicine,
Год журнала:
2023,
Номер
189(5-6), С. e1230 - e1239
Опубликована: Сен. 16, 2023
ABSTRACT
Introduction
Military
veterans
are
at
increased
risk
of
substance
use
disorders.
Limited
research
is
available
about
veterans’
cannabis
(CU)
during
the
coronavirus
disease
2019
(COVID-19)
pandemic.
This
study
estimated
prevalence
past
30-day
CU,
investigated
individual-level
correlates
and
evaluated
reasons
(medical,
recreational,
or
both)
CU
among
U.S.
Veterans
second
wave
COVID-19
Materials
Methods
We
used
population-based,
cross-sectional
data
from
2021
Behavioral
Risk
Factor
Surveillance
System
Survey
Marijuana
Use
model.
The
sample
included
nationally
representative
military
aged
18+
years
(n
=
11,167).
outcome
was
CU.
Individual-level
demographic,
socioeconomic,
behavioral,
clinical
were
examined.
Analyses
weighted
to
account
for
survey’s
complex
design
with
results
generalizable
nearly
2.9
million
veterans.
conducted
descriptive
statistics,
estimates,
multivariable
logistic
regression
analyses.
Results
Out
veterans,
11.1%
self-reported
as
non-Hispanic
Black,
3.7%
Hispanic,
79.1%
White;
88.5%
men,
72.8%
50+
years.
About
14.6%
current
tobacco
smokers,
4.7%
e-cigarette
users,
12.5%
binge
alcohol
drinkers,
43.4%
had
three
more
comorbid
conditions.
Overall,
8.5%
reported
in
30
days,
which
30.4%
it
medical
25.8%
nonmedical
reasons.
decreased
age,
education,
income
level.
Compared
their
counterparts,
odds
greater
those
living
urban
areas,
frequent
mental
distress,
infrequent
physical
who
least
one
condition.
Non-Hispanic
Black
89%
(adjusted
ratio
[AOR]
=1.89,
95%
confidence
interval
[CI],
1.19-3.0)
compared
White
Current
smokers
3.54
(95%
CI,
2.40-5.24)
former
1.78
1.28-2.47)
times
higher
reporting
than
never
smokers.
(AOR
3.37,
2.20-5.16)
drinking
3.18,
2.29-4.41)
also
statistically
significantly
associated
no
drinking.
Conclusions
prevalent
certain
subgroups
Thus,
identifying
high-risk
adequately
educating
them
CU’s
benefits,
risks,
safety
crucial.
