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Cannabis use is associated with mental health problems, and young people
in particular are at risk.
To investigate the association between cannabis use and mental health in
Data from 5551 adolescents aged 12–16 years were drawn from the Dutch
Health Behaviour in School-Aged Children school survey, carried out as
part of the international 2001 World Health Organization project.
After adjusting for confounding factors, cannabis use was linked to
externalising problems (delinquent and aggressive behaviour) but not to
internalising problems (withdrawn behaviour, somatic complaints and
depression). An increasing frequency of use resulted in stronger links.
No significant gender or age by cannabis interaction effects were
In a country with a liberal drug policy like The Netherlands, cannabis
use is associated with aggression and delinquency, just as in other
countries. Cannabis use was not associated with internalising problems.
Alcohol use and regular smoking were strong confounding factors.
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