{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:55:21Z","timestamp":1790585721029,"version":"4.1.0"},"reference-count":41,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100009507","name":"Sam and Rose Stein Institute for Research on Aging","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009507","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R21DA060362"],"award-info":[{"award-number":["R21DA060362"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01DA057289"],"award-info":[{"award-number":["R01DA057289"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R21DA058404"],"award-info":[{"award-number":["R21DA058404"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000026","name":"National Institute on Drug Abuse","doi-asserted-by":"publisher","award":["R01DA055606"],"award-info":[{"award-number":["R01DA055606"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Addiction"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and aims<\/jats:title>\n                    <jats:p>Cannabis use is increasing among older adults in the United States (US); however, little is known regarding details of use or cannabis use disorder (CUD) in this population. This study aimed to describe cannabis use and CUD among older adults in the US.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Secondary analysis of the 2021\u20132024 National Survey on Drug Use and Health, an annual cross\u2010sectional nationally representative sample of noninstitutionalized people aged \u226512 living in the US.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>United States.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Noninstitutionalized individuals age \u226565\u2009years (unweighted N\u2009=\u200921\u2009189).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Measurements<\/jats:title>\n                    <jats:p>We estimated the prevalence of cannabis use by recency (any past 12\u2010month use and past 30\u2010day use), meeting two or more Diagnostic and Statistical Manual of Mental Disorders (DSM)\u20105 CUD criteria, as well as CUD severity and individual CUD criteria among adults age \u226565\u2009years who used cannabis in the past 12\u2009months. Cannabis use and CUD were compared across sociodemographic and health\u2010related characteristics, modality of use (2022\u20132024 only), and individual CUD criteria. Bivariable generalized linear regression models estimated the relative risk (RR) of CUD for older adults with each characteristic and modality of cannabis use.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>An estimated 8.9% of older adults used cannabis in the past 12\u2009months, and among them, 11.4% met criteria for CUD (76.0% mild, 20.1% moderate, and 3.9% severe CUD). Smoking was the most common modality of past 12\u2010month use (65.8%), followed by eating or drinking (40.5%), and vaping (15.4%); 19.9% had a doctor recommend any cannabis use. Among older adults with CUD, the most common CUD criteria met were spending time obtaining, using, and recovering from the drug's effects (74.4%) and craving (67.5%). Male older adults were at higher risk for CUD than their female counterparts [RR\u2009=\u20091.69, 95% confidence interval (CI): 1.12\u20132.55], as were those ever arrested and booked (RR\u2009=\u20091.59, 95% CI\u2009=\u20091.07\u20132.37), with past\u2010year mental illness (RR\u2009=\u20092.93, 95% CI: 1.85\u20134.65), past\u2010year tobacco use (RR\u2009=\u20091.52, 95% CI: 1.04\u20132.20) or drug use other than cannabis (RR\u2009=\u20093.22, 95% CI: 2.15\u20134.84), smoking as a mode of cannabis use (RR\u2009=\u20094.94, 95% CI: 2.39\u201310.23), and frequent cannabis use (e.g., \u2265300\u2009days vs. &lt;300\u2009days per year, RR\u2009=\u20093.70, 95% CI: 2.30\u20135.96).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Summary<\/jats:title>\n                    <jats:p>One in nine older adults in the United States who have used cannabis in the past 12\u2009months meet criteria for cannabis use disorder. Cannabis use screening, cannabis use disorder treatment, and additional intervention to prevent worsening severity are needed to minimize cannabis\u2010related harms among older US adults.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/add.70600","type":"journal-article","created":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:00:18Z","timestamp":1790582418000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Cannabis use and cannabis use disorder among older adults in the USA"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6882-0142","authenticated-orcid":false,"given":"Benjamin H.","family":"Han","sequence":"first","affiliation":[{"name":"University of California San Diego  La Jolla CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6478-4615","authenticated-orcid":false,"given":"Evan L.","family":"Eschliman","sequence":"additional","affiliation":[{"name":"Duke University School of Nursing  Durham NC USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8565-9415","authenticated-orcid":false,"given":"Joseph J.","family":"Palamar","sequence":"additional","affiliation":[{"name":"Department of Population Health NYU Grossman School of Medicine  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mireia","family":"Triguero Roura","sequence":"additional","affiliation":[{"name":"Center for Pharmacoepidemiology and Treatment Science Rutgers Institute for Health, Health Care Policy and Aging Research  New Brunswick NJ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pia M.","family":"Mauro","sequence":"additional","affiliation":[{"name":"Center for Pharmacoepidemiology and Treatment Science Rutgers Institute for Health, Health Care Policy and Aging Research  New Brunswick NJ USA"},{"name":"Department of Biostatistics and Epidemiology Rutgers School of Public Health  Piscataway NJ USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2025.1156"},{"key":"e_1_2_10_3_1","unstructured":"National Conference of state Legisilatures.Cannabis overview2024."},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.15288\/jsad.2018.79.423"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpsc.2020.12.016"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00406-019-00983-5"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.16833"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cger.2017.08.005"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0281826"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2024.1331"},{"key":"e_1_2_10_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.18180"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapsychiatry.2017.0724"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2025.1689719"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsat.2012.09.007"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2024.57852"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.70411"},{"key":"e_1_2_10_17_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2025.10173"},{"key":"e_1_2_10_18_1","volume-title":"Key substance use and mental health indicators in the United States: results from the 2024 National Survey on drug use and health","author":"Substance Abuse and Mental Health Services Administration","year":"2025"},{"key":"e_1_2_10_19_1","volume-title":"2023 National Survey on Drug Use and Health (NSDUH): Methodological summary and definitions","author":"Center for Behavioral Health Statistics and Quality","year":"2024"},{"key":"e_1_2_10_20_1","volume-title":"Addendum to the combined 2021\u20102024 National Survey on drug use and health public use data file","author":"Center for Behavioral Health Statistics and Quality","year":"2024"},{"key":"e_1_2_10_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2016.10.042"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.107621"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_24_1","volume-title":"2023 National Survey on drug use and health final analytic file codebook","author":"Center for Behavioral Health Statistics and Quality","year":"2024"},{"key":"e_1_2_10_25_1","unstructured":"Center for Behavioral Health Statistics and Quality.2024 National Survey on drug use and health (NSDUH): methodological summary and definitions.https:\/\/www.samhsa.gov\/data\/data-we-collect\/nsduh-national-survey-drug-use-and-health\/methodology"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2023.28934"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2019.05.008"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2025.108149"},{"key":"e_1_2_10_29_1","doi-asserted-by":"publisher","DOI":"10.1089\/can.2020.0064"},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.16741"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.15253"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215-0366(22)00161-4"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.70084"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD008940.pub4"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.14795"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1111\/acer.15015"},{"key":"e_1_2_10_37_1","doi-asserted-by":"publisher","DOI":"10.1111\/add.16499"},{"key":"e_1_2_10_38_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amepre.2026.108304"},{"key":"e_1_2_10_39_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2020.8020"},{"key":"e_1_2_10_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/ADM.0000000000001363"},{"key":"e_1_2_10_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2021.108769"},{"key":"e_1_2_10_42_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2023.05.048"}],"container-title":["Addiction"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/add.70600","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/add.70600","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/add.70600","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T08:00:22Z","timestamp":1790582422000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/add.70600"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,28]]},"references-count":41,"alternative-id":["10.1111\/add.70600"],"URL":"https:\/\/doi.org\/10.1111\/add.70600","archive":["Portico"],"relation":{},"ISSN":["0965-2140","1360-0443"],"issn-type":[{"value":"0965-2140","type":"print"},{"value":"1360-0443","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,28]]},"assertion":[{"value":"2026-02-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-08-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-09-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"add.70600"}}