Literature DB >> 29223914

Cannabis use disorder and male sex predict medical cannabis card status in a sample of high risk adolescents.

Janet Kim1, Marilyn E Coors1, Susan E Young1, Kristen M Raymond1, Christian J Hopfer1, Tamara L Wall2, Robin P Corley3, Sandra A Brown2, Joseph T Sakai4.   

Abstract

OBJECTIVE: To examine if a substance use disorder (SUD), especially cannabis use disorder in adolescence, predicts future medical cannabis card status among high-risk youth.
METHODS: Data collection occurred in Denver and San Diego. We recruited adolescents, with or at high risk for SUD and conduct problems (hereafter probands) and their siblings (n=654). Baseline (Wave 1) assessments took place between 1999 and 2008, and follow-up (Wave 2) took place between 2010 and 2013. In initial bivariate analyses, we examined whether baseline DSM-IV cannabis abuse/dependence (along with other potential predictors) was associated with possessing a medical cannabis card in young adulthood (Wave 2). Significant predictors were then included in a multiple binomial regression. Self-reported general physical health was also evaluated at both time points. Finally, within Wave 2, we tested whether card status was associated with concurrent substance dependence.
RESULTS: About 16% of the sample self-reported having a medical cannabis card at follow-up. Though bivariate analyses demonstrated that multiple predictors were significantly associated with Wave 2 card status, in our multiple binomial regression only cannabis abuse/dependence and male sex remained significant. At Wave 2, those with a medical cannabis card were significantly more likely to endorse criteria for concurrent cannabis dependence. There was no significant difference in self-reported general physical health.
CONCLUSIONS: Cannabis abuse/dependence and male sex positively predicted future medical cannabis card holder status among a sample of high risk adolescents. Physicians conducting evaluations for medical cannabis cards should carefully evaluate and consider past and concurrent cannabis addiction.
Copyright © 2017 Elsevier B.V. All rights reserved.

Entities:  

Keywords:  Adolescents; Marijuana; Medical marijuana; Substance use disorder

Mesh:

Substances:

Year:  2017        PMID: 29223914      PMCID: PMC6043896          DOI: 10.1016/j.drugalcdep.2017.11.007

Source DB:  PubMed          Journal:  Drug Alcohol Depend        ISSN: 0376-8716            Impact factor:   4.492


  42 in total

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