Livne Ofir, Mannes Zachary L, McDowell Yoanna E, Shmulewitz Dvora, Malte Carol A, Saxon Andrew J, Hasin Deborah S
Department of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
New York State Psychiatric Institute, New York, NY, USA.
Curr Addict Rep. 2023 Sep;10(3):441-457. doi: 10.1007/s40429-023-00490-7. Epub 2023 Jun 2.
Veterans are a large population that is disproportionately affected by various physical and mental health conditions. The primary aim of this review is to provide a concise overview of recent literature on the prevalence of cannabis use and cannabis use disorder (CUD) among US Veterans, and associations with mental and physical health conditions. We also addressed gaps in the literature by investigating associations between CUD and mental and physical health conditions in 2019 data from the Veterans Health Administration (VHA; N=5,657,277).
In total, 25 studies were reviewed. In 2019, the prevalence of Veteran cannabis use ranged from 11.9%-18.7%. Cannabis use and CUD were associated with bipolar disorders, psychotic disorders, suicidality, pain conditions, and other substance use, but less consistently associated with depressive disorders, anxiety disorders, and posttraumatic stress disorder. Analyses of 2019 VHA data indicated that CUD was strongly associated with a broad array of physical and mental health conditions and mortality.
Cannabis use and CUD are prevalent and highly comorbid with other conditions among US Veterans. Harm reduction methods tailored to these populations are needed.
退伍军人是一个庞大的群体，受到各种身心健康问题的影响尤为严重。本综述的主要目的是简要概述近期关于美国退伍军人中大麻使用及大麻使用障碍（CUD）的流行情况，以及与身心健康状况的关联的文献。我们还通过调查退伍军人健康管理局（VHA；N = 5,657,277）2019年数据中CUD与身心健康状况之间的关联，填补了文献中的空白。
共审查了25项研究。2019年，退伍军人中大麻使用的流行率在11.9%至18.7%之间。大麻使用和CUD与双相情感障碍、精神分裂症、自杀倾向、疼痛状况及其他物质使用有关，但与抑郁症、焦虑症和创伤后应激障碍的关联不太一致。对2019年VHA数据的分析表明，CUD与一系列广泛的身心健康状况及死亡率密切相关。
在美国退伍军人中，大麻使用和CUD很普遍，且与其他状况高度共病。需要针对这些人群量身定制减少危害的方法。
