Table 4.
Prospective associations of Wave 1 cannabis use and Wave 2 prevalent and incident nonmedical prescription opioid disorder in the NESARCA
Wave 1 any past year cannabis use predicting | N in analysis | Odds Ratio | 95% CI | Adjusted Odds RatioB | 95% CI |
---|---|---|---|---|---|
Overall population | |||||
Wave 2 prevalent opioid use disorder | 34,619 | 10.63 | 7.09–15.93 | 2.49 | 1.35–4.59 |
Wave 2 incident opioid use disorder | 34,190 | 7.76 | 4.95–12.16 | 2.18 | 1.14–4.14 |
Population without Wave 1 cannabis use disorders | |||||
Wave 2 prevalent opioid use disorder | 34,176 | 9.03 | 5.21–15.64 | 2.15 | 1.16–3.99 |
Wave 2 incident opioid use disorder | 33,798 | 5.42 | 2.99–9.82 | 1.72 | 0.81–3.63 |
Population with painC | |||||
Wave 2 prevalent opioid use disorder | 6,934 | 13.21 | 7.03–24.83 | 3.70 | 1.70–8.08 |
Wave 2 incident opioid use disorder | 6,772 | 6.70 | 3.08–14.55 | 2.14 | 0.95–4.83 |
NESARC denotes National Epidemiologic Survey on Alcohol and Related Conditions.
Adjusted for age, sex, race/ethnicity, other substance use disorders, any mood or anxiety disorder, nonmedical opioid use, family history of drug use disorder, alcohol use disorder, depression, and antisocial personality disorder at Wave 1. The “Overall population” and “Population without Wave 1 cannabis use disorders” were also adjusted for pain at Wave 1.
Pain denotes moderate to extreme pain interference in the last 2 weeks.