Association of Marijuana, Mental Health, and Tobacco in Colorado.

Autor:	Stewart SB; Department of Family Medicine, University of Colorado School of Medicine, Aurora, CO (SBS); Department of Psychiatry, University of Colorado School of Medicine, Aurora, CO (DB, JTS, LFM); Department of Community and Behavioral Health, Colorado School of Public Health, Aurora, CO (EKB, AHL, YL); Center for Dependency, Addiction and Recovery, UCHealth, Aurora, CO (LFM); University of Colorado Cancer Center, Aurora, CO (AHL); Colorado School of Public Health, Aurora, CO (AMV); Department of Occupational and Environmental Health, Colorado School of Public Health, Aurora, CO (AMV, KAJ)., Bhatia D, Burns EK, Sakai JT, Martin LF, Levinson AH, Vaughn AM, Li Y, James KA
Jazyk:	angličtina
Zdroj:	Journal of addiction medicine [J Addict Med] 2020 Jan/Feb; Vol. 14 (1), pp. 48-55.
DOI:	10.1097/ADM.0000000000000533
Abstrakt:	Objectives: Marijuana's evolving legality may change marijuana use patterns in adults. Co-use of marijuana and tobacco are strongly associated, and populations with mental health disorders are disproportionately likely to use either substance, but neither association has been assessed in the context of legal recreational marijuana. We assessed the associations of tobacco smoking with marijuana use and with mental health disorders in Colorado in 2015. Methods: Data came from a population-based survey of adults (n = 8023). Multiple logistic regressions were used with current tobacco smoking as the primary outcome. Past 30-day marijuana use and mental health status were the independent variables of interest. Covariates included age, sex, ethnicity, poverty level, and education. Results: Adults who used marijuana in the past 30 days had 3.4 (95% confidence interval [CI] 2.7, 4.2) greater odds of currently smoking tobacco compared to adults who had not recently used marijuana, after adjusting for sociodemographic and economic factors. A mental health disorder was independently associated with tobacco smoking (adjusted odds ratio [OR] 1.7, 95% CI 1.4, 2.1). Prevalence of co-use among adults self-reporting a mental health disorder was significantly higher compared those without a mental health disorder (11.1% vs 4.3%; P < 0.0001). Conclusions: This study examined the associations between mental health, marijuana use, and tobacco smoking after the legalization of recreational marijuana in Colorado. Adults using marijuana and/or self-reporting a mental health disorder were more likely to smoke tobacco and should be targeted for cessation interventions.
Databáze:	MEDLINE
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