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• W4286267112 endingPage "109582" @default.
• W4286267112 startingPage "109582" @default.
• W4286267112 abstract "Cannabis use disorder (CUD) affects one-in-five cannabis users, presenting a major contributor to cannabis-associated disease burden. Epidemiological data identify the frequency of cannabis use as a risk factor for CUD. This review aimed to determine quantifiable risk-thresholds of the frequency of cannabis use for developing CUD. Systematic search of Medline, EMBASE, PsycInfo, CINAHL, and Web of Science for cohort/case-control studies that assessed the association between frequency of cannabis use and CUD from 2000 to 2022. Effect estimates were converted to risk ratios (RR). A random-effects multi-level multivariate meta-analytic approach was utilized, and sensitivity analyses conducted. Quality of included studies was assessed with the Newcastle Ottawa Scale. Six prospective cohort studies were included in this review, drawn from two main source studies. Random-effect modeling showed a significant log-linear dose-response association between the frequency of cannabis use and CUD risk (p < 0.0001). The risk of CUD increased from RR:2.03 (95% CI:1.85–2.22) for ‘yearly’ use, to RR:4.12 (95% CI:3.44–4.95) for ‘monthly” use, RR:8.37 (95% CI:6.37–11.00) for ‘weekly’ use, and RR:16.99 (95% CI:11.80–24.46) for ‘daily’ use. Multi-level modeling showed an absolute risk increase (ARI) from 3.5% (95% CI:2.6–4.7) for ‘yearly’ use, to 8.0% (95% CI:5.3–12.1) for ‘monthly’ use, to 16.8% (95% CI:8.8–32.0) for ‘weekly’ use, and 36% (95% CI:27.047.9) for ‘daily’ use. A limited risk of CUD as a potential outcome of cannabis use exists even at infrequent levels of use, but significantly increases as frequency of use increases. Corresponding information should be conveyed to cannabis users as part of targeted prevention messaging to promote safer cannabis use. • Cannabis use disorder (CUD) is a common adverse outcome of cannabis use. • This review aimed to identify frequency-of-use based risk-thresholds for CUD. • A dose-response relationship exists between cannabis use frequency and CUD. • Each level (yearly/monthly/weekly/daily) significantly further increases CUD risk. • Daily cannabis use is associated with 17 times the risk of CUD compared to no use." @default.
• W4286267112 created "2022-07-21" @default.
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• W4286267112 date "2022-09-01" @default.
• W4286267112 modified "2023-10-17" @default.
• W4286267112 title "Identifying risk-thresholds for the association between frequency of cannabis use and development of cannabis use disorder: A systematic review and meta-analysis" @default.
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• W4286267112 doi "https://doi.org/10.1016/j.drugalcdep.2022.109582" @default.
• W4286267112 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/35932748" @default.
• W4286267112 hasPublicationYear "2022" @default.
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