Table 4.
Association Between Days of Cannabis Use Per 30 Days and Cardiovascular Outcomes and Covariates in Behavioral Risk Factor Surveillance System Respondents 18 to 74 Years Old Who Have Never Used Tobacco Cigarettes*
| Variable | CHD | MI | Stroke | Composite outcome of CHD, MI, stroke |
|---|---|---|---|---|
| Cannabis use† | 1.45 (0.88–2.40) | 1.49 (1.03–2.15)‡ | 2.16 (1.43–3.25)‡ | 1.77 (1.31–2.40)‡ |
| Age per 10 y | 1.86 (1.77–1.95)‡ | 1.88 (1.78–1.99)‡ | 1.61 (1.53–1.69)‡ | 1.77 (1.71–1.83)‡ |
| Men | 1.71 (1.53–1.91)‡ | 1.97 (1.75–2.22)‡ | 1.11 (0.98–1.25) | 1.50 (1.39–1.63)‡ |
| Black race | 0.80 (0.66–0.98)‡ | 0.94 (0.75–1.17) | 1.63 (1.38–1.94)‡ | 1.14 (1.00–1.29)‡ |
| Hispanic ethnicity | 0.90 (0.75–1.07) | 0.85 (0.71–1.03) | 0.63 (0.50–0.79)‡ | 0.82 (0.72–0.93)‡ |
| Other§ | 0.90 (0.66–1.22) | 0.85 (0.64–1.13) | 0.76 (0.58–1.00)‡ | 0.87 (0.71–1.08) |
| BMI | 1.03 (1.02–1.04)‡ | 1.02 (1.01–1.03)‡ | 1.02 (1.01–1.03)‡ | 1.02 (1.02–1.03)‡ |
| Diabetes | 2.36 (2.07–2.69)‡ | 2.17 (1.91–2.47)‡ | 2.12 (1.84–2.45)‡ | 2.19 (1.99–2.41)‡ |
| Nondaily alcohol use | 0.76 (0.67–0.85)‡ | 0.74 (0.65–0.84)‡ | 0.64 (0.56–0.73)‡ | 0.71 (0.65–0.77)‡ |
| Daily alcohol use | 0.85 (0.65–1.11) | 0.72 (0.55–0.95)‡ | 0.77 (0.57–1.05) | 0.79 (0.65–0.95)‡ |
| High school diploma | 0.78 (0.61–1.01) | 0.72 (0.57–0.91)‡ | 0.77 (0.60–0.99)‡ | 0.73 (0.62–0.87)‡ |
| Some college | 0.80 (0.62–1.04) | 0.65 (0.51–0.82)‡ | 0.78 (0.61–1.00)‡ | 0.72 (0.60–0.85)‡ |
| College degree | 0.72 (0.55–0.93)‡ | 0.49 (0.39–0.62)‡ | 0.59 (0.46–0.75)‡ | 0.58 (0.49–0.69)‡ |
| Physical activity | 0.65 (0.57–0.73)‡ | 0.68 (0.59–0.77)‡ | 0.6 (0.52–0.69)‡ | 0.64 (0.58–0.70)‡ |
Data are presented as adjusted odds ratio (95% CI). BMI indicates body mass index; CHD, coronary heart disease; and MI, myocardial infarction.
Adjusting for tobacco cigarette use, age, sex, race, BMI, diabetes, alcohol use, educational attainment, and physical activity.
Days used in past 30 days divided by 30. Nonuse scored as 0/30=0, use 15 days/month scored as 15/30=0.5, and daily use scored 30/30=1; therefore, adjusted odds ratios correspond to risk of daily use compared with nonuse.
Statistical significance, P<0.05.
Includes non‐Hispanic Asian, Native American, Native Hawaiian and Pacific Islander, and those self‐reporting as multiracial.