Center of Excellence in Substance Addiction Treatment and Education, VA Puget Sound Health Care, 1660 S. Columbian Way, Seattle, WA 98108, United States; Department of Psychiatry & Behavioral Sciences, University of Washington, 1959 NE, Pacific, Street Box 356560, Room BB1644, Seattle, WA 98195, United States; Mental Illness Research, Education, and Clinical Center, VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States; Center of Innovation for Veteran Centered and Value Driven Care, Health Services Research and Development, VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States.
Mental Illness Research, Education, and Clinical Center, VA Puget Sound Health Care System, 1660 S. Columbian Way, Seattle, WA 98108, United States.
Addict Behav. 2018 Sep;84:144-150. doi: 10.1016/j.addbeh.2018.04.007. Epub 2018 Apr 10.
This study sought to describe the prevalence of regular past year cannabis use (i.e., at least monthly use) in women veterans, to characterize women veterans reporting this level of use, and to examine the independent contributions of sexual trauma across the lifespan on regular past year cannabis use.
A national online survey on women veterans' health, with targeted oversampling of lesbian and bisexual women, collected data from US armed forces women veterans, 18 or older, living in the US (N = 636).
Eleven percent of women reported regular cannabis use (5% heterosexual women; 21% lesbian/bisexual women). In bivariate analysis, identifying as a sexual and/or racial ethnic minority, younger age, being unmarried, reporting lower income, receiving VA services, smoking tobacco, and screening positive for alcohol misuse were positively associated with regular cannabis use. Additionally, a greater percentage of cannabis users reported experiencing childhood and adult sexual trauma and screened positive for posttraumatic stress disorder (PTSD) when compared to peers who did not use any drugs. In a multivariate model, the number of life eras women endorsed experiencing sexual trauma was significantly associated with regular cannabis use even when adjusting for demographic variables and PTSD symptoms.
Among women veterans, regular cannabis use is fairly common among those who are sexual and racial/ethnic minorities, younger, unmarried, receiving VA services, and reporting alcohol or tobacco use, PTSD symptoms, and/or multiple sexual traumas across the lifespan. Screening and assessment may be important to consider in healthcare settings serving this veteran population.
本研究旨在描述女性退伍军人中过去一年经常使用大麻（即至少每月使用一次）的流行率，描述报告该水平使用大麻的女性退伍军人，并探讨整个生命周期的性创伤对过去一年经常使用大麻的独立影响。
一项关于女性退伍军人健康的全国性在线调查，对女同性恋和双性恋女性进行有针对性的超额抽样，从美国武装部队中收集了年龄在 18 岁及以上、居住在美国的女性退伍军人的数据（N=636）。
11%的女性报告经常使用大麻（5%异性恋女性；21%女同性恋/双性恋女性）。在单变量分析中，确定为性和/或种族少数群体、年龄较小、未婚、收入较低、接受 VA 服务、吸烟和酒精滥用筛查阳性与经常使用大麻呈正相关。此外，与未使用任何毒品的同龄人相比，更多的大麻使用者报告经历过童年和成年期的性创伤，并筛查出患有创伤后应激障碍（PTSD）。在多变量模型中，女性报告经历性创伤的生命时期数量与经常使用大麻显著相关，即使在调整人口统计学变量和 PTSD 症状后也是如此。
在女性退伍军人中，经常使用大麻在性和种族/民族少数群体、年轻、未婚、接受 VA 服务以及报告酒精或烟草使用、PTSD 症状和/或一生中多次性创伤的退伍军人中较为常见。在为这一退伍军人群体提供服务的医疗保健环境中，筛查和评估可能很重要。
