PMID- 31443888
OWN - NLM
STAT- MEDLINE
DCOM- 20200817
LR  - 20200817
IS  - 1873-6483 (Electronic)
IS  - 0740-5472 (Linking)
VI  - 105
DP  - 2019 Oct
TI  - Older marijuana users in substance abuse treatment: Treatment settings for 
      marijuana-only versus polysubstance use admissions.
PG  - 28-36
LID - S0740-5472(19)30277-6 [pii]
LID - 10.1016/j.jsat.2019.07.016 [doi]
AB  - OBJECTIVE: Growing numbers of older adult marijuana users make understanding the 
      marijuana-related treatment needs and treatment-related characteristics of this 
      age group increasingly important. In this study, we examined four types of 
      marijuana-involved admissions (marijuana as the only substance; marijuana as the 
      primary substance with other secondary/tertiary substances; marijuana as the 
      secondary substance; and marijuana as the tertiary substance) by treatment 
      setting. METHODS: Data came from the 2012-2017 Treatment Episode Data 
      Set-Admissions (TEDS-A), which includes 851,652 admissions by those aged 55+. 
      Using multinomial logistic regression analysis, we focused on the 120,286 
      marijuana-involved admissions to test the hypothesis that polysubstance use would 
      be associated with a higher likelihood of using detoxification and rehabilitation 
      settings than ambulatory/outpatient settings. RESULTS: Of all marijuana-involved 
      admissions, 7.5% were marijuana-only, 12.7% were marijuana-primary, 58.4% were 
      marijuana-secondary, and 21.4% were marijuana-tertiary admissions. Compared to 
      marijuana-only admissions, admissions involving other substances were associated 
      with a higher likelihood of detoxification and rehabilitation than 
      ambulatory/outpatient treatment (e.g., RRR = 5.79, 95% CI = 5.08-6.61 for 
      detoxification and RRR = 3.19, 95% CI = 2.89-3.52 for rehabilitation among 
      marijuana-tertiary admissions). Referral source, first age of marijuana use, 
      race/ethnicity, and homelessness were significant covariates. CONCLUSIONS: Given 
      increasing numbers of older-adult marijuana users, healthcare providers should 
      screen older adults for marijuana and other substance use, and substance abuse 
      treatment programs should become more responsive to older adults' needs.
CI  - Copyright (c) 2019 Elsevier Inc. All rights reserved.
FAU - Choi, Namkee G
AU  - Choi NG
AD  - The University of Texas at Austin Steve Hicks School of Social Work, United 
      States of America. Electronic address: nchoi@austin.utexas.edu.
FAU - DiNitto, Diana M
AU  - DiNitto DM
AD  - The University of Texas at Austin Steve Hicks School of Social Work, United 
      States of America.
LA  - eng
PT  - Journal Article
DEP - 20190724
PL  - United States
TA  - J Subst Abuse Treat
JT  - Journal of substance abuse treatment
JID - 8500909
RN  - 0 (Opiate Alkaloids)
SB  - IM
MH  - Aged
MH  - Alcoholism
MH  - Cannabis/*adverse effects
MH  - Female
MH  - Hospitalization/statistics & numerical data
MH  - Humans
MH  - Male
MH  - Marijuana Abuse/*rehabilitation
MH  - Middle Aged
MH  - Opiate Alkaloids
MH  - Substance Abuse Treatment Centers/statistics & numerical data
MH  - Substance-Related Disorders/ethnology/*rehabilitation
OTO - NOTNLM
OT  - Cannabis
OT  - Detoxification
OT  - Marijuana
OT  - Polysubstance use
OT  - Rehabilitation
OT  - Substance abuse treatment
EDAT- 2019/08/25 06:00
MHDA- 2020/08/18 06:00
CRDT- 2019/08/25 06:00
PHST- 2019/05/10 00:00 [received]
PHST- 2019/07/23 00:00 [revised]
PHST- 2019/07/23 00:00 [accepted]
PHST- 2019/08/25 06:00 [entrez]
PHST- 2019/08/25 06:00 [pubmed]
PHST- 2020/08/18 06:00 [medline]
AID - S0740-5472(19)30277-6 [pii]
AID - 10.1016/j.jsat.2019.07.016 [doi]
PST - ppublish
SO  - J Subst Abuse Treat. 2019 Oct;105:28-36. doi: 10.1016/j.jsat.2019.07.016. Epub 
      2019 Jul 24.