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

Wu, Li-Tzy

Zhu, He

Mannelli, Paolo

Swartz, Marvin S

2020-02-03T04:09:26Z

2020-02-03T04:09:26Z

2017-08

2020-02-03T04:09:25Z

The increase in cannabis potency may have treatment implications for cannabis use disorder (CUD). Given the reported increase in prevalence of cannabis use among adults, there is a need to understand substance use treatment needs for CUD.We examined demographics and behavioral health indicators of adults aged ≥18 years that met criteria for past-year CUD (n=10,943) in the 2005-2013 National Surveys on Drug Use and Health. We determined prevalence and correlates of past-year treatment use for alcohol/drug, any drug, and cannabis use related problems, to inform treatment efforts for CUD.The majority of adults with past-year CUD were young adults aged 18-25 or men, had low income, and did not attend college. Two-thirds of adults with CUD met criteria for cannabis dependence, which was comparatively common among younger adults, women, low-income or publicly insured adults, and college-educated adults. Nicotine dependence (40.92%) and alcohol (44.07%) or other drug use disorder (19.70%) were prevalent among adults with CUD. Overall, less than 13% of adults with CUD had received alcohol/drug use treatment the past year; only 7.8% received cannabis-specific treatment. There was no significant yearly variation in treatment use prevalence over 9 years. In particular, Asian-Americans, women, and college-educated adults underutilized cannabis-specific treatment.This large sample of adults with CUD reveals pervasive underutilization of cannabis-related treatment, especially in women, married adults, and those with college education, despite a high proportion of comorbid behavioral health problems.

S0376-8716(17)30228-4

0376-8716

1879-0046

https://hdl.handle.net/10161/19937

eng

Elsevier BV

Drug and alcohol dependence

10.1016/j.drugalcdep.2017.03.037

Humans

Marijuana Abuse

Tobacco Use Disorder

Prevalence

Marijuana Smoking

Comorbidity

Adolescent

Adult

Middle Aged

Patient Acceptance of Health Care

United States

Female

Male

Young Adult

Surveys and Questionnaires

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

Journal article

Wu, Li-Tzy|0000-0002-5909-2259

Mannelli, Paolo|0000-0002-7834-6138

153

162

School of Medicine

Duke

Center for Child and Family Policy

Sanford School of Public Policy

Duke Clinical Research Institute

Institutes and Centers

Duke Institute for Brain Sciences

University Institutes and Centers

Institutes and Provost's Academic Units

Psychiatry & Behavioral Sciences, Social and Community Psychiatry

Psychiatry & Behavioral Sciences

Clinical Science Departments

Medicine, General Internal Medicine

Medicine

Published

177