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Cross-national differences in clinically significant cannabis problems: epidemiologic evidence from 'cannabis-only' smokers in the United States, Mexico, and Colombia

dc.creatorFiestas, Fabián
dc.creatorRadovanovic, Mirjana
dc.creatorMartins, Silvia S.
dc.creatorMedina-Mora, María E.
dc.creatorPosada-Villa, José
dc.creatorAnthony, James C.
dc.date.accessioned2017-06-30T03:53:13Z
dc.date.available2017-06-30T03:53:13Z
dc.date.issued2010
dc.identifier2353es_ES
dc.identifier.urihttp://repositorio.inprf.gob.mx/handle/123456789/6998
dc.language.isoenges_ES
dc.publisherBIOMED CENTRAL LTD, 236 GRAYS INN RD, FLOOR 6, LONDON WC1X 8HL, ENGLANDes_ES
dc.relation10 (152) 1-10 p.es_ES
dc.relationversión del editores_ES
dc.rightsAcceso Cerradoes_ES
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_ES
dc.subjectMEDICINA Y CIENCIAS DE LA SALUDes_ES
dc.subject.meshWorld Health Organizationes_ES
dc.subject.meshCardiovascular Risk Factorses_ES
dc.subject.meshSimultaneous Polydrug Usees_ES
dc.subject.meshGeneral Populationes_ES
dc.subject.meshMental disorderses_ES
dc.subject.meshAsian-Americanses_ES
dc.subject.meshDrug-Dependencees_ES
dc.subject.meshMarijuana usees_ES
dc.subject.meshPrevalencees_ES
dc.subject.meshConcurrentes_ES
dc.titleCross-national differences in clinically significant cannabis problems: epidemiologic evidence from 'cannabis-only' smokers in the United States, Mexico, and Colombiaes_ES
dc.typeArticlees_ES
dc.contributor.affiliationMichigan State Univ, Coll Human Med, Dept Epidemiol, E Lansing, MI 48824 USAes_ES
dc.contributor.emailjanthony@msu.edues_ES
dc.relation.jnabreviadoBMC PUBLIC HEALTHes_ES
dc.relation.journalBMC Public Healthes_ES
dc.identifier.placeLondreses_ES
dc.date.published2010es_ES
dc.identifier.organizacionInstituto Nacional de Psiquiatría Ramón de la Fuente Muñizes_ES
dc.identifier.eissn1471-2458es_ES
dc.identifier.doi10.1186/1471-2458-10-152es_ES
dc.description.monthMares_ES
dc.description.abstractotrodiomaBackground: Epidemiological studies show wide variability in the occurrence of cannabis smoking and related disorders across countries. This study aims to estimate cross-national variation in cannabis users' experience of clinically significant cannabis-related problems in three countries of the Americas, with a focus on cannabis users who may have tried alcohol or tobacco, but who have not used cocaine, heroin, LSD, or other internationally regulated drugs. Methods: Data are from the World Mental Health Surveys Initiative and the National Latino and Asian American Study, with probability samples in Mexico (n = 4426), Colombia (n = 5,782) and the United States (USA| n = 8,228). The samples included 212 'cannabis only' users in Mexico, 260 in Colombia and 1,724 in the USA. Conditional GLM with GEE and 'exact' methods were used to estimate variation in the occurrence of clinically significant problems in cannabis only (CO) users across these surveyed populations. Results: The experience of cannabis-related problems was quite infrequent among CO users in these countries, with weighted frequencies ranging from 1% to 5% across survey populations, and with no appreciable cross-national variation in general. CO users in Colombia proved to be an exception. As compared to CO users in the USA, the Colombia smokers were more likely to have experienced cannabis-associated 'social problems' (odds ratio, OR = 3.0| 95% CI = 1.4, 6.3| p = 0.004) and 'legal problems' (OR = 9.7| 95% CI = 2.7, 35.2| p = 0.001). Conclusions: This study's most remarkable finding may be the similarity in occurrence of cannabis-related problems in this cross-national comparison within the Americas. Wide cross-national variations in estimated population-level cumulative incidence of cannabis use disorders may be traced to large differences in cannabis smoking prevalence, rather than qualitative differences in cannabis experiences. More research is needed to identify conditions that might make cannabis-related social and legal problems more frequent in Colombia than in the USA.es_ES
dc.subject.kwEvidencia epidemiológicaes_ES
dc.subject.kwFumadores de cannabises_ES
dc.subject.kwEstados Unidoses_ES
dc.subject.kwMéxicoes_ES
dc.subject.kwColombiaes_ES
dc.subject.kwCanabises_ES
dc.subject.koEpidemiologic evidencees_ES
dc.subject.koCannabis smokerses_ES
dc.subject.koUnited Stateses_ES
dc.subject.koMexicoes_ES
dc.subject.koColombiaes_ES
dc.subject.koCannabises_ES


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