Yockey R Andrew, Hoopsick Rachel A
Department of Biostatistics and Epidemiology, University of North Texas Health Science Center, Fort Worth, Texas, USA.
Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, Illinois, USA.
Subst Use Misuse. 2023;58(6):822-827. doi: 10.1080/10826084.2023.2191700. Epub 2023 Mar 21.
: The legal landscape surrounding marijuana use in the United States (US) is ever changing. Although substantial research has investigated risk factors of use among different populations, much is to be gleaned among veteran populations, who are at heightened risk for mental and physical health problems, which may be precipitated or relieved by marijuana use. The present study investigated correlates and trends of recreational and medical marijuana use among a large national sample of US Veterans. : Data from the National Survey on Drug Use and Health (2013-2019) comprised of 16,350 veterans 18 years or older were analyzed. We tested for weighted linear and quadratic trends in past-year use. : Weighted analyses revealed a significant increase (56%) in overall marijuana use from 2013-2019, with nearly one in 10 veterans (9.79%) reporting past-year marijuana use. Compared to 18 to 25-year-old veterans, veterans who were aged 35-49 years (aPR: 1.44, 95% CI 1.05, 1.97), 50-64 years (aPR: 1.68, 95% CI 1.11, 2.55), and 65 years or older (aPR: 1.90, 95% CI 1.24, 2.90) were more likely to report using medical marijuana in the past year. : This increase, in the context of federal VA provider restrictions, has implications for issues of care coordination and safe supply for veterans. Given the rapidly changing and heterogenous landscape of recreational and medical marijuana policy in the US, the present study may inform harm reduction efforts and behavioral interventions.
美国围绕大麻使用的法律环境一直在变化。尽管大量研究调查了不同人群中使用大麻的风险因素，但在退伍军人人群中仍有许多有待了解的情况，他们面临精神和身体健康问题的风险更高，而这些问题可能因使用大麻而引发或缓解。本研究调查了美国退伍军人全国大样本中娱乐性和医用大麻使用的相关因素及趋势。：对来自全国药物使用和健康调查（2013 - 2019年）的16350名18岁及以上退伍军人的数据进行了分析。我们测试了过去一年使用情况的加权线性和二次趋势。：加权分析显示，2013年至2019年期间总体大麻使用量显著增加（56%），近十分之一的退伍军人（9.79%）报告过去一年使用过大麻。与18至25岁的退伍军人相比，35至49岁（调整后风险比：1.44，95%置信区间1.05，1.97）、50至64岁（调整后风险比：1.68，95%置信区间1.11，2.55）以及65岁及以上（调整后风险比：1.90，95%置信区间1.24，2.90）的退伍军人在过去一年更有可能报告使用医用大麻。：在联邦退伍军人事务部提供者限制的背景下，这种增加对退伍军人的护理协调和安全供应问题具有影响。鉴于美国娱乐性和医用大麻政策迅速变化且参差不齐的情况，本研究可能为减少伤害努力和行为干预提供参考。
