Objective

This short communication reports on the association of annual measures of young adult (age 18–24) past month cannabis use with cannabis use disorder (CUD) treatment admissions by state in the U.S. from 2008 to 2017.

Methods

Annual data on percentage of past month cannabis use and the total number of CUD treatment admissions among young adults were acquired for each state from SAMHSA NSDUH and TEDS-A data sets. For each state, the correlation over time between cannabis use and treatment admissions rate was calculated and visualized in a choropleth map. Fixed-effects regression, where effects are fixed by state, was used to investigate the association of cannabis use with treatment admissions rate.

Results

In 38 out of 50 states, including seven out of the eight states legalizing recreational cannabis during the study period, as young adult cannabis use increased, treatment admissions declined. Cannabis use is significantly and negatively associated with treatment admissions (β = −7.21, 95% CI = −11.88, −2.54), even after controlling for health insurance coverage, criminal justice referral, treatment center availability, and cannabis legalization status.

Conclusions

While it is possible that across the U.S. more young adults are using cannabis without developing CUD, we speculate that increasing social acceptance of cannabis use, and declining perception of harm, may influence treatment seeking behavior, potentially resulting in growing unmet need for CUD treatment among young adults. Monitoring state-level trends in cannabis use, CUD prevalence, and treatment admissions is key to developing CUD prevention and treatment policies targeted to timely, state-specific conditions.

中文翻译：

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随着美国过去一个月大麻使用量的增加，年轻成人大麻使用障碍治疗入院率下降：2008-2017 年各州分析

客观的

这份简短的通讯报告了美国各州从 2008 年到 2017 年上个月吸食大麻的青年（18-24 岁）年度指标与大麻吸毒症 (CUD) 治疗入院率之间的关联。

方法

从 SAMHSA NSDUH 和 TEDS-A 数据集中获取了每个州过去一个月大麻使用百分比和年轻成人 CUD 治疗总人数的年度数据。对于每个州，大麻使用与治疗入院率之间随时间推移的相关性在等值分布图中计算和可视化。固定效应回归，其中效应由州固定，用于调查大麻使用与治疗入院率的关联。

结果

在 50 个州中的 38 个州，包括在研究期间将休闲大麻合法化的八个州中的七个州，随着年轻成人大麻使用量的增加，治疗入院率下降。 即使在控制了健康保险覆盖范围、刑事司法转诊、治疗中心可用性和大麻合法化状态之后，大麻使用与治疗入院显着负相关（β = -7.21，95% CI = -11.88，-2.54）。

结论

虽然美国各地可能有更多的年轻人在使用大麻而未患 CUD，但我们推测，越来越多的社会对大麻使用的接受度和对危害的认识下降，可能会影响寻求治疗的行为，从而可能导致越来越多的人对 CUD 治疗的需求未得到满足。年轻人。监测州级大麻使用趋势、CUD 流行率和治疗入院率是制定针对及时、州特定条件的 CUD 预防和治疗政策的关键。