Literature DB >> 34644708

Comparing Cannabis Use Disorder in the General Population with Cannabis Treatment Seekers Using Multi-Source National Datasets: Who Receives Treatment?

Deirdre Mongan1, Anne Marie Carew1, Derek O'Neill1, Seán R Millar1,2, Suzi Lyons1, Brian Galvin1, Bobby P Smyth3.   

Abstract

INTRODUCTION: Given the increased prevalence of cannabis use in Ireland and increase in cannabis potency, this study aimed to estimate the size of the potential population in Ireland that may be in need of cannabis treatment and the percentage of people with cannabis use disorder (CUD) who actually access treatment. We also compared the profile of those with CUD in the general population to those who receive treatment for their cannabis use to explore whether certain subgroups are more or less likely to enter treatment.
METHOD: This was a retrospective, multi-source database study. Data were obtained from (1) Ireland's 2014/2015 national general population survey (GPS) on drug use and (2) treatment data from the Irish National Drug Treatment Reporting System (NDTRS) for 2015. The profiles of GPS cases with CUD and NDTRS cases were compared using 2-sided t tests designed for independent samples.
RESULTS: The prevalence of last year cannabis use among adults aged 15 and older was 6.5% and the prevalence of CUD was 2.6%, representing 94,515 of the Irish population. A total of 4,761 cases entered treatment for problem cannabis use. NDTRS treatment cases were significantly more likely than GPS cases to be unemployed (63.7% vs. 26.6%) and have no or primary level only educational attainment (56.3% vs. 21.2%). Over half (53.3%) of NDTRS cases first used cannabis before the age of 15 years, compared to 14.7% of CUD cases in the population. DISCUSSION/
CONCLUSION: Our findings suggest that earlier users and those with more complex or disadvantaged lives are more likely to seek treatment. A broad population health approach that engages multiple sectors such as health, social welfare, and education is recommended to ensure that there is increased opportunity for people with CUD to be identified and signposted towards treatment.
© 2021 The Author(s) Published by S. Karger AG, Basel.

Entities:  

Keywords:  Abuse and dependence; Cannabis; Prevalence; Treatment; Use

Mesh:

Substances:

Year:  2021        PMID: 34644708      PMCID: PMC8985025          DOI: 10.1159/000518648

Source DB:  PubMed          Journal:  Eur Addict Res        ISSN: 1022-6877            Impact factor:   3.015


  28 in total

1.  Motivation for change and barriers to treatment among young cannabis users.

Authors:  S Fernández-Artamendi; J R Fernández-Hermida; G García-Fernández; R Secades-Villa; O García-Rodríguez
Journal:  Eur Addict Res       Date:  2012-08-28       Impact factor: 3.015

2.  Limitations of the application of fourfold table analysis to hospital data.

Authors:  Joseph Berkson
Journal:  Int J Epidemiol       Date:  2014-02-28       Impact factor: 7.196

3.  Cannabis use and Associated Health Problems – What’s the Harm?

Authors:  B P Smyth; A O’Farrell; A Daly
Journal:  Ir Med J       Date:  2019-10-15

4.  Prevalence and correlates of treatment utilization among adults with cannabis use disorder in the United States.

Authors:  Li-Tzy Wu; He Zhu; Paolo Mannelli; Marvin S Swartz
Journal:  Drug Alcohol Depend       Date:  2017-05-29       Impact factor: 4.492

5.  Barriers and facilitators to cannabis treatment.

Authors:  Peter Gates; Jan Copeland; Wendy Swift; Greg Martin
Journal:  Drug Alcohol Rev       Date:  2011-04-26

6.  Alcohol and drug treatment systems in public health perspective: mediators and moderators of population effects.

Authors:  Thomas F Babor; Kerstin Stenius; Anders Romelsjo
Journal:  Int J Methods Psychiatr Res       Date:  2008-06       Impact factor: 4.035

Review 7.  Structure, content and reliability of the Munich-Composite International Diagnostic Interview (M-CIDI) substance use sections.

Authors:  G Lachner; H U Wittchen; A Perkonigg; A Holly; P Schuster; U Wunderlich; D Türk; E Garczynski; H Pfister
Journal:  Eur Addict Res       Date:  1998-03       Impact factor: 3.015

8.  Facilitators and barriers in treatment seeking for cannabis dependence.

Authors:  Peggy van der Pol; Nienke Liebregts; Ron de Graaf; Dirk J Korf; Wim van den Brink; Margriet van Laar
Journal:  Drug Alcohol Depend       Date:  2013-08-26       Impact factor: 4.492

9.  Measuring Unmet Demand for Alcohol and Other Drug Treatment: The Application of an Australian Population-Based Planning Model.

Authors:  Alison Ritter; Jenny Chalmers; Maria Gomez
Journal:  J Stud Alcohol Drugs Suppl       Date:  2019-01

10.  The Experience of the Treatment Demand Indicator in Europe: A Common Monitoring Tool Across 30 Countries.

Authors:  Linda Montanari; Alessandro Pirona; Bruno Guarita; Dagmar Hedrich; Jane Mounteney; Julian Vicente
Journal:  J Stud Alcohol Drugs Suppl       Date:  2019-01
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