University of Colorado Anschutz Medical Campus, Aurora, 80045, USA.
J Am Acad Child Adolesc Psychiatry. 2012 Jul;51(7):694-702. doi: 10.1016/j.jaac.2012.04.004. Epub 2012 May 26.
To assess the prevalence and frequency of medical marijuana diversion and use among adolescents in substance abuse treatment and to identify factors related to their medical marijuana use.
This study calculated the prevalence and frequency of diverted medical marijuana use among adolescents (n = 164), ages 14-18 years (mean age = 16.09, SD = 1.12), in substance abuse treatment in the Denver metropolitan area. Bivariate and multivariate analyses were completed to determine factors related to adolescents' use of medical marijuana.
Approximately 74% of the adolescents had used someone else's medical marijuana, and they reported using diverted medical marijuana a median of 50 times. After adjusting for gender and race/ethnicity, adolescents who used medical marijuana had an earlier age of regular marijuana use, more marijuana abuse and dependence symptoms, and more conduct disorder symptoms compared with those who did not use medical marijuana.
Medical marijuana use among adolescent patients in substance abuse treatment is very common, implying substantial diversion from registered users. These results support the need for policy changes that protect against diversion of medical marijuana and reduce adolescent access to diverted medical marijuana. Future studies should examine patterns of medical marijuana diversion and use in general population adolescents.
评估物质滥用治疗青少年中医用大麻滥用和使用的流行率和频率，并确定与他们使用医用大麻相关的因素。
本研究计算了丹佛大都市区物质滥用治疗中年龄在 14-18 岁（平均年龄=16.09，SD=1.12）的青少年（n=164）中医用大麻滥用的流行率和频率。完成了单变量和多变量分析，以确定与青少年使用医用大麻相关的因素。
大约 74%的青少年曾使用过他人的医用大麻，他们报告平均使用过 50 次被转移的医用大麻。在调整了性别和种族/民族后，与未使用医用大麻的青少年相比，使用医用大麻的青少年的大麻常规使用年龄更早，大麻滥用和依赖症状更多，品行障碍症状更多。
在物质滥用治疗中的青少年患者中使用医用大麻非常普遍，这意味着从注册用户中大量转移。这些结果支持需要政策变化，以防止医用大麻的转移，并减少青少年获得转移医用大麻的机会。未来的研究应检查一般人群青少年中医用大麻转移和使用的模式。
