PMID- 31985511
OWN - NLM
STAT- MEDLINE
DCOM- 20210624
LR  - 20210624
IS  - 1935-3227 (Electronic)
IS  - 1932-0620 (Linking)
VI  - 14
IP  - 4
DP  - 2020 Jul/Aug
TI  - Trends in Cannabis Treatment Admissions in Adolescents/Young Adults: Analysis of 
      TEDS-A 1992 to 2016.
PG  - e29-e36
LID - 10.1097/ADM.0000000000000586 [doi]
AB  - OBJECTIVES: This study aims to evaluate changes in cannabis use patterns, 
      referral sources, and admissions in adolescents and young adults (YAs). As the 
      United States increasingly moves toward liberalization of cannabis laws, it is 
      critical to have baseline information of use patterns in this population. 
      METHODS: Data were drawn from Treatment Episode Data Set-Admissions (TEDS-A) for 
      adolescents (12-17 years) and young adults (18-24 years) entering treatment from 
      1992 to 2016 for primary cannabis use (N = 3,794,213). Rao-Scott chi-square tests 
      were used to test for significant changes in proportions of individuals admitted 
      to treatment for primary cannabis use and between 4-year increments from 1992 to 
      2016 (N = 1,052,724). Logistic regression assessed odds of admissions for primary 
      cannabis use versus other substances. RESULTS: Treatment admissions for cannabis 
      among adolescents/YAs rose 3-fold from 1992 (49,996) to 1996 (125,858). The 
      majority of referrals came from the criminal justice system (56%). Cannabis is 
      increasingly the sole substance of use, with polysubstance use decreasing from 
      89% in 1992 to 59% in 2016. While alcohol-related treatment admissions were most 
      common in 1992, admissions for treatment of cannabis use (followed by heroin and 
      alcohol) were highest (38%) by 2016. Being an adolescent (odds ratio [OR] 3.1, 
      95% confidence interval [CI] 3.1-3.2), non-Hispanic black (OR 6.2, 95% CI 
      6.2-6.3), male (female OR 0.6, 95% CI 0.6-0.6) with co-occurring alcohol use (OR 
      25.9, 95% CI 25.7-26.1) was associated with admission for treatment of primary 
      cannabis use as compared with other substances. CONCLUSIONS: Public health 
      efforts will be needed to ensure ongoing access and referral to treatment as the 
      legal status of cannabis continues to change. Prevention and treatment efforts 
      should target co-occurring alcohol and cannabis use.
FAU - Standeven, Lindsay R
AU  - Standeven LR
AD  - Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, 
      Baltimore, MD (LRS, MSC); Obstetrics and Gynecology, Virginia Commonwealth 
      University, Richmond, VA (AS, MT); Psychiatry, Virginia Commonwealth University, 
      Richmond, VA (MT).
FAU - Scialli, Anna
AU  - Scialli A
FAU - Chisolm, Margaret S
AU  - Chisolm MS
FAU - Terplan, Mishka
AU  - Terplan M
LA  - eng
PT  - Journal Article
PL  - Netherlands
TA  - J Addict Med
JT  - Journal of addiction medicine
JID - 101306759
RN  - 0 (Medical Marijuana)
SB  - IM
MH  - Adolescent
MH  - Alcohol Drinking
MH  - *Cannabis
MH  - Female
MH  - Hospitalization
MH  - Humans
MH  - Male
MH  - *Medical Marijuana
MH  - *Substance-Related Disorders
MH  - United States/epidemiology
MH  - Young Adult
EDAT- 2020/01/28 06:00
MHDA- 2021/06/25 06:00
CRDT- 2020/01/28 06:00
PHST- 2020/01/28 06:00 [pubmed]
PHST- 2021/06/25 06:00 [medline]
PHST- 2020/01/28 06:00 [entrez]
AID - 10.1097/ADM.0000000000000586 [doi]
PST - ppublish
SO  - J Addict Med. 2020 Jul/Aug;14(4):e29-e36. doi: 10.1097/ADM.0000000000000586.