Disproportionate increase in cannabis use among people with serious psychological distress and associations with psychiatric service use in the United States, 2009–2019

IF 3.7 2区医学 Q1 PSYCHOLOGY, CLINICAL Addictive behaviors Pub Date : 2024-06-19 DOI:10.1016/j.addbeh.2024.108095

Andrew S. Hyatt, Michael William Flores, Benjamin Lê Cook

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Abstract

Background

Cannabis use is on the rise, but it is unclear how use is changing among individuals with serious psychological distress (SPD) compared to the general population as well as what associations this may have with mental health service use.

Methods

Retrospective cohort study using the National Survey on Drug Use and Health (NSDUH) 2009–19 public use files of 447,228 adults aged ≥ 18 years. Multivariable logistic regression and predictive margin methods were used to estimate linear time trends in any and greater-than-weekly levels of cannabis use by year and SPD status and rates of psychiatric hospitalization and outpatient mental health care.

Findings: Rates of any and weekly-plus cannabis use increased similarly among individuals with SPD compared to those without from 200 to 2014 but more rapidly in SPD every year from 2015 to 2019 (p < 0.001). Among individuals with SPD, no use was associated with a 4.2 % probability of psychiatric hospitalization, significantly less than less-than-weekly (5.0 %, p = 0.037) and weekly-plus cannabis use (5.1 %, p = 0.028). For outpatient mental health care, no use was associated with a 27.4 % probability (95 % CI 26.7–28.1 %) of any outpatient care, significantly less than less than weekly use (32.6 % probability, p < 0.001) and weekly-plus use (29.9 % probability, p = 0.01).

Conclusions

Cannabis use is increasing more rapidly among individuals with SPD than the general population, and is associated with increased rates of psychiatric hospitalization and outpatient service use. These findings can inform policy makers looking to tailor regulations on advertising for cannabis and develop public health messaging on cannabis use by people with mental illness.

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2009-2019 年美国有严重心理困扰的人吸食大麻的比例增长以及与使用精神科服务的关系

背景大麻的使用呈上升趋势，但与普通人群相比，有严重心理困扰（SPD）的人使用大麻的情况如何变化，以及这可能与心理健康服务的使用有什么关联，目前尚不清楚。研究采用多变量逻辑回归和预测边际方法，按年份和 SPD 状态以及精神病住院率和门诊精神健康护理率估算任何大麻使用率和每周大于大麻使用率的线性时间趋势：从 200 年到 2014 年，患有 SPD 的人与未患有 SPD 的人相比，任何大麻使用率和每周超过大麻使用率的增幅相似，但从 2015 年到 2019 年，SPD 的增幅每年都更快（p <0.001）。在 SPD 患者中，不使用大麻与 4.2% 的精神病住院概率相关，明显低于每周使用大麻以下者（5.0%，p = 0.037）和每周使用大麻以上者（5.1%，p = 0.028）。就门诊精神健康护理而言，不使用大麻与任何门诊护理的 27.4% 可能性（95% CI 26.7-28.1%）相关，明显低于低于每周使用（32.6% 可能性，p < 0.001）和每周使用以上（29.9% 可能性，p = 0.01）。这些发现可以为政策制定者提供信息，帮助他们调整大麻广告法规，并针对精神疾病患者使用大麻的情况制定公共健康信息。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Addictive behaviors 医学-药物滥用

CiteScore

8.40

自引率

4.50%

发文量

283

审稿时长

46 days

期刊介绍： Addictive Behaviors is an international peer-reviewed journal publishing high quality human research on addictive behaviors and disorders since 1975. The journal accepts submissions of full-length papers and short communications on substance-related addictions such as the abuse of alcohol, drugs and nicotine, and behavioral addictions involving gambling and technology. We primarily publish behavioral and psychosocial research but our articles span the fields of psychology, sociology, psychiatry, epidemiology, social policy, medicine, pharmacology and neuroscience. While theoretical orientations are diverse, the emphasis of the journal is primarily empirical. That is, sound experimental design combined with valid, reliable assessment and evaluation procedures are a requisite for acceptance. However, innovative and empirically oriented case studies that might encourage new lines of inquiry are accepted as well. Studies that clearly contribute to current knowledge of etiology, prevention, social policy or treatment are given priority. Scholarly commentaries on topical issues, systematic reviews, and mini reviews are encouraged. We especially welcome multimedia papers that incorporate video or audio components to better display methodology or findings. Studies can also be submitted to Addictive Behaviors? companion title, the open access journal Addictive Behaviors Reports, which has a particular interest in ''non-traditional'', innovative and empirically-oriented research such as negative/null data papers, replication studies, case reports on novel treatments, and cross-cultural research.