Canadian veterans who used cannabis regularly had higher rates of chronic pain, mental disorders, and suicidal thoughts but were also more likely to seek help

Regular cannabis use was associated with increased odds of tobacco smoking, arthritis, any chronic pain, several mental disorders, and suicidal ideation (AOR 1.61-3.99). Both infrequent and regular cannabis users were more likely to perceive a need for care (AOR 2.15 and 4.85) and seek professional help (AOR 2.25 and 5.56) compared to non-users.

Cross-sectional analysis of 1,992 veteran respondents from the 2018 Canadian Armed Forces Members and Veterans Mental Health Follow-up Survey. Logistic regression examined associations between past 12-month cannabis use (none, infrequent, regular) and mental disorders, chronic pain, substance use, suicidal behaviors, and help-seeking.

The dual finding matters: veterans who use cannabis regularly have complex health needs, but they are also significantly more likely to seek help. This creates a clinical opportunity for providers to address multiple needs when cannabis-using veterans present for care.

Veterans represent a population where cannabis use, mental health conditions, and chronic pain frequently intersect. This Canadian study adds to the growing literature showing cannabis-using veterans as a high-need, high-engagement population.

Cross-sectional design cannot determine whether cannabis use is a cause, consequence, or self-medication for the associated conditions. Self-reported data. Survey from 2018 may not reflect current patterns. Cannot distinguish medical from recreational use.