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  6. Cannabis-related Healthcare Encounters Among U.s. Commercially Insured Adults

Cannabis-related healthcare encounters among U.S. commercially insured adults

Silvia Perez-Vilar1, Sruthi Adimadhyam2, Jillian Burk3

  • 1US Food and Drug Administration, Silver Spring, MD, USA.

American Journal of Preventive Medicine|June 14, 2025

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View abstract on PubMed

Summary

Cannabis-related healthcare encounters increased significantly among insured adults aged 18-64 from 2017 to 2022. This trend occurred across all age groups and care settings, regardless of state cannabis laws.

Area of Science:

  • Public Health
  • Healthcare Analytics
  • Cannabis Research

Background:

  • Recent studies indicate rising cannabis-related healthcare encounters among older adults, particularly in states with legalized cannabis.
  • Understanding these trends in younger adult populations is crucial given increased cannabis access.

Purpose of the Study:

  • To assess temporal trends in cannabis-related healthcare encounters among commercially insured adults aged 18-64 years in the United States.
  • To examine these trends in relation to care setting, age group, and state cannabis legal status.

Main Methods:

  • A descriptive study utilized administrative claims data from four national health insurers (2017-2022).
  • Cannabis-related healthcare encounters were identified using ICD-10-CM diagnosis codes.
  • Analyses included annual encounter rates, stratified by care setting, age, and state cannabis legal status.

Main Results:

  • Over 5.6 million cannabis-related encounters were identified among nearly 115 million eligible individuals.
  • Annual encounter rates increased from 44.0 to 75.1 per 10,000 person-years between 2017 and 2022.
  • Increasing trends were observed across all age groups and care settings, with no significant differences noted based on state cannabis legal status.

Conclusions:

  • Findings suggest an evolving cannabis landscape characterized by increased use, legalization, product potency, and decreased risk perception.
  • The rise in healthcare encounters highlights the need for further research into factors like race, socioeconomic status, and clinical characteristics.
  • These trends underscore the importance of monitoring public health impacts associated with changing cannabis policies and use patterns.

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