{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:04:05Z","timestamp":1793361845008,"version":"4.5.0"},"reference-count":44,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2024,3,5]]},"abstract":"<jats:sec sec-type=\"background\" xml:lang=\"en\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p xml:lang=\"en\">We examined the association between cannabis use and cardiovascular outcomes among the general population, among never\u2010tobacco smokers, and among younger individuals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Methods and Results<\/jats:title>\n                    <jats:p xml:lang=\"en\">This is a population\u2010based, cross\u2010sectional study of 2016 to 2020 data from the Behavioral Risk Factor Surveillance Survey from 27 American states and 2 territories. We assessed the association of cannabis use (number of days of cannabis use in the past 30\u2009days) with self\u2010reported cardiovascular outcomes (coronary heart disease, myocardial infarction, stroke, and a composite measure of all 3) in multivariable regression models, adjusting for tobacco use and other characteristics in adults 18 to 74\u2009years old. We repeated this analysis among nontobacco smokers, and among men &lt;55\u2009years old and women &lt;65\u2009years old who are at risk of premature cardiovascular disease. Among the 434\u2009104 respondents, the prevalence of daily and nondaily cannabis use was 4% and 7.1%, respectively. The adjusted odds ratio (aOR) for the association of daily cannabis use and coronary heart disease, myocardial infarction, stroke, and the composite outcome (coronary heart disease, myocardial infarction, and stroke) was 1.16 (95% CI, 0.98\u20131.38), 1.25 (95% CI, 1.07\u20131.46), 1.42 (95% CI, 1.20\u20131.68), and 1.28 (95% CI, 1.13\u20131.44), respectively, with proportionally lower log odds for days of use between 0 and 30\u2009days per month. Among never\u2010tobacco smokers, daily cannabis use was also associated with myocardial infarction (aOR, 1.49 [95% CI, 1.03\u20132.15]), stroke (aOR, 2.16 [95% CI, 1.43\u20133.25]), and the composite of coronary heart disease, myocardial infarction, and stroke (aOR, 1.77 [95% CI, 1.31\u20132.40]). Relationships between cannabis use and cardiovascular outcomes were similar for men &lt;55\u2009years old and women &lt;65\u2009years old.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec xml:lang=\"en\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p xml:lang=\"en\">Cannabis use is associated with adverse cardiovascular outcomes, with heavier use (more days per month) associated with higher odds of adverse outcomes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/jaha.123.030178","type":"journal-article","created":{"date-parts":[[2024,2,28]],"date-time":"2024-02-28T06:10:41Z","timestamp":1709100641000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":180,"title":["Association of Cannabis Use With Cardiovascular Outcomes Among US Adults"],"prefix":"10.1161","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3503-6666","authenticated-orcid":false,"given":"Abra M.","family":"Jeffers","sequence":"first","affiliation":[{"name":"Center for Tobacco Control Research &amp; Education University of California San Francisco CA USA"},{"name":"Mongan Institute Health Policy Research Center, Massachusetts General Hospital Boston MA USA"},{"name":"Division of General Academic Pediatrics Boston MA USA"},{"name":"Tobacco Research and Treatment Center, Massachusetts General Hospital Massachusetts General Hospital for Children Boston MA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4620-6672","authenticated-orcid":false,"given":"Stanton","family":"Glantz","sequence":"additional","affiliation":[{"name":"Retired San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy L.","family":"Byers","sequence":"additional","affiliation":[{"name":"Department of Psychiatry &amp; Behavioral Sciences University of California San Francisco CA USA"},{"name":"Department of Medicine, Division of Geriatrics University of California San Francisco CA USA"},{"name":"Section of Mental Health Services, San Francisco Veterans Affairs Medical Center San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9124-9618","authenticated-orcid":false,"given":"Salomeh","family":"Keyhani","sequence":"additional","affiliation":[{"name":"Center for Tobacco Control Research &amp; Education University of California San Francisco CA USA"},{"name":"Department of Medicine, Division of Internal Medicine University of California San Francisco CA USA"},{"name":"Medical Service San Francisco Veterans Affairs Medical Center San Francisco CA USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2017.07.008"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2019.7517"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1080\/00952990.2019.1569668"},{"key":"e_1_3_2_5_2","volume-title":"Results from the 2019 National Survey on Drug Use and Health: Detailed tables","author":"Center for Behavioral Health Statistics and Quality","year":"2020","unstructured":"Center for Behavioral Health Statistics and Quality . 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