4.2 Article

Mental and Physical Health Conditions Among US Veterans with Cannabis Use and Cannabis Use Disorders

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CURRENT ADDICTION REPORTS
卷 10, 期 3, 页码 441-457

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SPRINGERNATURE
DOI: 10.1007/s40429-023-00490-7

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Cannabis; Cannabis use disorder; Veterans; Veterans Health Administration; Mental health; Pain

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The purpose of this review is to provide a brief overview of recent literature on the prevalence of cannabis use and cannabis use disorder (CUD) among US veterans, as well as the associations with mental and physical health conditions. The review found that cannabis use and CUD are associated with various mental and physical health conditions among veterans, such as bipolar disorders, psychotic disorders, suicidality, pain conditions, and other substance use. Analysis of 2019 data from the Veterans Health Administration indicated that CUD is strongly associated with a wide range of health conditions and mortality. Harm reduction methods tailored to this population are necessary.
Purpose of ReviewVeterans 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).Recent FindingsIn 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.

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