{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T00:53:23Z","timestamp":1782521603960,"version":"3.54.5"},"reference-count":21,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2019,1,2]],"date-time":"2019-01-02T00:00:00Z","timestamp":1546387200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100000026","name":"University of Calgary Faculty of Nursing","doi-asserted-by":"publisher","award":["Special Call Grant 10019958"],"award-info":[{"award-number":["Special Call Grant 10019958"]}],"id":[{"id":"10.13039\/100000026","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Can J Psychiatry"],"published-print":{"date-parts":[[2019,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The study sought to describe a Canadian sample of university students\u2019 medicinal use of cannabis, including prevalence of cannabis use disorder (CUD) and replacement of traditional treatments with cannabis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>A random sample of 4000 university students was asked to complete a cross-sectional web-based survey. The survey was completed by 2212 (average age 23.2 years, SD = 5.2 years), representing a 55.3% response rate. To be eligible, students had to be enrolled in a class on campus and were 18 years or older.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Result:<\/jats:title>\n                    <jats:p>Half (52%) of respondents used cannabis at least once in their lifetime, with \u223c11% reporting medicinal cannabis use. Recreational motives to use cannabis were common among medicinal users (85%), several (38%) replaced traditional medication with cannabis, and more than a third received authorization by a health care provider. Of the medicinal users, 13.6% met the criteria for CUD. Common ailments for medicinal cannabis use were anxiety, sleep problems, depression, and pain. When mental health\u2013related categories are combined, 78.2% of medicinal users used for at least 1 mental health condition.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Medicinal cannabis use occurs among university students. None of the ailments listed by medicinal users meet the Canadian Family Physicians prescribing guidelines, and most are not among those viewed by the National Academies of Science, Engineering, and Medicine as having strong evidence for therapeutic value. The results raise concerns for health care providers who are authorizing or counselling patients\u2019 considering medicinal cannabis.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0706743718818420","type":"journal-article","created":{"date-parts":[[2019,1,3]],"date-time":"2019-01-03T02:49:37Z","timestamp":1546483777000},"page":"351-355","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":30,"title":["Cannabis Use for Medicinal Purposes among Canadian University Students"],"prefix":"10.1177","volume":"64","author":[{"given":"Jacqueline M.","family":"Smith","sequence":"first","affiliation":[{"name":"Faculty of Nursing, University of Calgary, Calgary, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Mader","sequence":"additional","affiliation":[{"name":"Faculty of Nursing, University of Calgary, Calgary, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrew C. H.","family":"Szeto","sequence":"additional","affiliation":[{"name":"Department of Psychology and Office of the Provost, University of Calgary, Calgary, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amelia M.","family":"Arria","sequence":"additional","affiliation":[{"name":"Department of Behavioural and Community Health, Centre on Young Adult Health and Development, School of Public Health, University of Maryland, College Park, MD, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ken C.","family":"Winters","sequence":"additional","affiliation":[{"name":"Oregon Research Institute, Eugene, OR, USA"},{"name":"Department of Psychology, University of Minnesota, Minneapolis, MN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Chris R.","family":"Wilkes","sequence":"additional","affiliation":[{"name":"Alberta Health Services, Alberta"},{"name":"Cumming School of Medicine, University of Calgary, Calgary, Alberta"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2019,1,2]]},"reference":[{"key":"bibr1-0706743718818420","unstructured":"Health Canada, Government of Canada: Market Data. 2018 [cited 2018 Jul 31]. www.canada.ca\/en\/health-canada\/services\/drugs-health-products\/medical-use-marijuana\/licensed-producers\/market-data.html."},{"key":"bibr2-0706743718818420","unstructured":"Cavazos-Rehg PA, Krauss MJ, Cahn E, et al. Marijuana promotion online: an investigation of dispensary practices [cited 2018 Jul 31]. Prev Sci. 2018;1\u201311. doi.org\/10.1007\/s11121-018-0889-2."},{"key":"bibr3-0706743718818420","doi-asserted-by":"crossref","unstructured":"De Aquino JP, Sherif M, Radhakrishnan R, et al. The psychiatric consequences of cannabinoids [cited 2018 July 31]. Clin Ther. 2018;1\u20139. 2018;40(9):1448\u20131456.","DOI":"10.1016\/j.clinthera.2018.03.013"},{"key":"bibr4-0706743718818420","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.6199"},{"issue":"2","key":"bibr5-0706743718818420","first-page":"11","volume":"64","author":"Allan MG","year":"2018","journal-title":"Can Fam Physician"},{"key":"bibr6-0706743718818420","volume-title":"The Health Effects of Cannabis and Cannabinoids: The Current State of Evidence and Recommendations for Research","author":"National Academies of Sciences, Engineering, and Medicine","year":"2017"},{"key":"bibr7-0706743718818420","unstructured":"Substance Abuse and Mental Health Services Administration. 2017. Key substance use and mental health indicators in the United States: results from the 2016 National Survey on Drug Use and Health (HHS Publication No. SMA 17-5044, NSDUH Series H-52) [cited 2018 Jul 31]. https:\/\/www.samhsa.gov\/data\/."},{"key":"bibr8-0706743718818420","doi-asserted-by":"publisher","DOI":"10.1016\/j.drugalcdep.2017.12.041"},{"key":"bibr9-0706743718818420","doi-asserted-by":"crossref","unstructured":"Wen H, Hockenberry JM, Druss BG. The effect of medicinal marijuana laws on marijuana-related attitude and perception among US adolescents and young adults [cited 2018 Jul 31]. 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