No Detectable Association Between Frequency of Marijuana Use and Health or Healthcare Utilization Among Primary Care Patients Who Screen Positive for Drug Use

被引:21
作者
Fuster, Daniel [1 ,2 ]
Cheng, Debbie M. [1 ,2 ,3 ]
Allensworth-Davies, Donald [4 ]
Palfai, Tibor P. [5 ]
Samet, Jeffrey H. [1 ,2 ,6 ]
Saitz, Richard [1 ,2 ,7 ]
机构
[1] Boston Med Ctr, Gen Internal Med Sect, Clin Addict Res & Educ CARE Unit, Dept Med, Boston, MA 02118 USA
[2] Boston Univ, Sch Med, Boston, MA 02118 USA
[3] Boston Univ, Dept Biostat, Sch Publ Hlth, Boston, MA 02118 USA
[4] Cleveland State Univ, Sch Hlth Sci, Cleveland, OH 44115 USA
[5] Boston Univ, Dept Psychol, Boston, MA 02118 USA
[6] Boston Univ, Dept Community Hlth Sci, Sch Publ Hlth, Boston, MA 02118 USA
[7] Boston Univ, Dept Epidemiol, Sch Publ Hlth, Boston, MA 02118 USA
关键词
marijuana; primary care; health status; health service utilization; EMERGENCY-DEPARTMENT UTILIZATION; SUBSTANCE-ABUSE TREATMENT; CANNABIS USE DISORDERS; HOSPITAL UTILIZATION; ILLICIT DRUG; MYOCARDIAL-INFARCTION; GENERAL-POPULATION; ALCOHOL-PROBLEMS; CONTROLLED-TRIAL; MENTAL-HEALTH;
D O I
10.1007/s11606-013-2605-z
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Marijuana is the most commonly used illicit drug, yet its impact on health and healthcare utilization has not been studied extensively. To assess the cross-sectional association between frequency of marijuana use and healthcare utilization (emergency department and hospitalization) and health (comorbidity, health status), we studied patients in an urban primary care clinic who reported any recent (past 3-month) drug use (marijuana, opioids, cocaine, others) on screening. Frequency of marijuana use in the past 3 months was the main independent variable [daily/ almost daily, less than daily and no use (reference group)]. Outcomes assessed were past 3-month emergency department or hospital utilization, the presence of medical comorbidity (Charlson index a parts per thousand yen 1), and health status with the EuroQol. We used separate multivariable regression models adjusting for age, sex, tobacco and other substance use. All 589 participants reported recent drug use: marijuana 84 % (29 % daily, 55 % less than daily), cocaine 25 %, opioid 23 %, other drugs 8 %; 58 % reported exclusive marijuana use. Frequency of marijuana use was not significantly associated with emergency department use {adjusted odds ratio [AOR] 0.67, [95 % confidence interval (CI) 0.36, 1.24] for daily; AOR 0.69 [95 % CI 0.40,1.18] for less than daily versus no use}, hospitalization [AOR 0.79 (95 % CI 0.35, 1.81) for daily; AOR 1.23 (95 % CI 0.63, 2.40) for less than daily versus no use], any comorbidity [AOR 0.62, (95 % CI 0.33, 1.18) for daily; AOR 0.67 (95 % CI 0.38, 1.17) for less than daily versus no use] or health status (adjusted mean EuroQol 69.1, 67.8 and 68.0 for daily, less than daily and none, respectively, global p = 0.78). Among adults in primary care who screen positive for any recent illicit or non-medical prescription drug use, we were unable to detect an association between frequency of marijuana use and health, emergency department use, or hospital utilization.
引用
收藏
页码:133 / 139
页数:7
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