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Chunk #21 — Methods — Comparative risk assessment (CRA): Cannabis use as a risk factor for schizophrenia

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The global epidemiology and contribution of cannabis use and dependence to the global burden of disease: results from the GBD 2010 study.
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We reviewed existing literature on cannabis use as a risk factor for other health outcomes[24,31], as part of the CRA component of the study[34]. This review concluded that there was sufficient evidence to consider cannabis use as a risk factor for schizophrenia. We considered several ways in which cannabis and schizophrenia may be causally linked: 1) a model that assumed greater disorder severity among those using cannabis regularly who have already developed the disorder; 2) a model that assumed the association reflects earlier onset of schizophrenia among those who would have developed it anyway; 3) a model that assumed reduced remission from schizophrenia once it developed; and 4) a model that assumed an increased incidence of schizophrenia.