Although marijuana dependence and abuse was found to be on the rise,
that is largely due to the overall increase in new users,
researchers note, while existing marijuana users experienced a 15
percent decline in pot-related disorders.
About 4 percent of adults between 2001 and 2002 reported having used
marijuana in the past year, compared to about 10 percent between
2012 and 2013. Similarly, 1.5 percent had abuse or dependence
problems - so-called marijuana use disorder - at the start of the
21st Century, compared to about 3 percent from 2012 to 2013.
"What was quite clear is the prevalence of use among adults had more
than doubled," said Deborah Hasin, the study's lead author from
Columbia University in New York.
Twenty-three U.S. states allow for medical marijuana use, and four
also allow recreational use, the researchers write in JAMA
Psychiatry. More Americans also favor marijuana legalization than
before, and fewer see the substance as risky.
Yet, the researchers write, little was known about how the
prevalence of marijuana use and disorders changed during the first
decade of the century.
For the new study, they compared data from face-to-face interviews
with over 43,000 U.S. adults between 2001 and 2002 to data from over
36,000 people collected between 2012 and 2013.
They found that reports of having used marijuana in the past year
more than doubled between the two time periods with especially large
increases among women, blacks, Hispanics, southerners and
middle-aged and older people.
The data also included information on whether participants were
experiencing abuse or dependence.
Between the two time periods, the researchers found that such
disorders were about twice as common during the 2012 and 2013
interviews. About three of every 10 marijuana users - about 7
million Americans - were diagnosed with a marijuana use disorder in
the latter survey, they write.
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Past studies have tied marijuana use to mental health issues, poor
quality of life, use of other drugs and withdrawal after heavy use,
they add.
Earlier this year, the American Academy of Pediatrics restated their
opposition to marijuana legalization based on its well-documented
negative effects on the developing brains of children and
adolescents, such as impaired memory and problem solving (see
Reuters Health story of January 26, 2015 here: http://reut.rs/1GiiDI9).
"Counteracting the perceptions that (marijuana) is harmless with a
balanced message about the potential harms is important," Hasin told
Reuters Health. "For researchers, I think it’s important to find
what characteristics put people at risk."
The researchers write that if the amount of U.S. adults using
marijuana increases, so will the number of those with marijuana use
disorders.
"People should consider this information when they’re making choices
about using marijuana, and the public should consider the
information as they consider legalization," Hasin said.
SOURCE: http://bit.ly/1jTT5q0 JAMA Psychiatry, online October 21,
2015.
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