Cannabis Legalization and Opioid Use Disorder in Veterans Health Administration Patients
The results of this cohort study suggest that MCL and RCL enactment was associated with greater OUD prevalence in VHA patients over time, with the greatest increases among middle-aged and older patients and those with chronic pain. The findings did not support state cannabis legalization as a means of reducing the burden of OUD during the ongoing opioid epidemic.
Authors
- Deborah S. Hasin (ORCID: https://orcid.org/0000-0002-6533-7021)
- Scott E. Sherman (ORCID: https://orcid.org/0000-0003-1752-7303)
- Mark Olfson (ORCID: https://orcid.org/0000-0002-3958-5662)
- Zachary L. Mannes (ORCID: https://orcid.org/0000-0002-0357-6051)
- Carol A. Malte (ORCID: https://orcid.org/0000-0002-6126-0733)
- Andrew J. Saxon (ORCID: https://orcid.org/0000-0003-3880-2589)
- David S. Fink
- Dana Sacco
- Sílvia S. Martins (ORCID: https://orcid.org/0000-0003-3059-9993)
- Charles Maynard (ORCID: https://orcid.org/0000-0002-1644-7814)
- Daniel M. Alschuler (ORCID: https://orcid.org/0000-0001-7337-5987)
- Sarah Gutkind (ORCID: https://orcid.org/0000-0002-9489-7597)
- Ofir Livne (ORCID: https://orcid.org/0000-0001-6673-0231)
- Magdalena Cerdá (ORCID: https://orcid.org/0000-0001-8441-7046)
- Katherine M. Keyes (ORCID: https://orcid.org/0000-0002-5624-021X)
- Melanie M. Wall (ORCID: https://orcid.org/0000-0001-6673-3467)
- Salomeh Keyhani (ORCID: https://orcid.org/0000-0001-9124-9618)
Institutions
- San Francisco VA Medical Center (US)
- University of California, San Francisco (US)
- University of Washington (US)
- Cornell University (US)
- Columbia University Irving Medical Center (US)
- VA NY Harbor Healthcare System (US)
- NYU Langone Health (US)
- Health Services Research & Development (US)
- VA Puget Sound Health Care System (US)
- Weill Cornell Medicine (US)
- New York State Psychiatric Institute
- Columbia University (US)
- Center for Excellence in Education (US)
Publication Details
- Journal
- JAMA Health Forum
- Published
- 2025-06-13
- DOI
- https://doi.org/10.1001/jamahealthforum.2025.1369
- Citations
- 1
- Primary Topic
- Cannabis and Cannabinoid Research
- Type
- article
- Field-Weighted Citation Impact
- 1.39