Zaller Nickolas, Topletz Ariel, Frater Susan, Yates Gail, Lally Michelle
a Associate Professor, University of Arkansas for Medical Sciences-Health Behavior and Health Education , Little Rock , AR.
J Psychoactive Drugs. 2015 Jan-Mar;47(1):18-23. doi: 10.1080/02791072.2014.999901.
Little is understood regarding medicinal marijuana dispensary users. We sought to characterize socio-demographics and reasons for medicinal marijuana use among medical cannabis dispensary patients in Rhode Island. Participants (n=200) were recruited from one of two Compassion Centers in Rhode Island and asked to participate in a short survey, which included assessment of pain interference using the Brief Pain Inventory (BPI). The majority of participants were male (73%), Caucasian (80%), college educated (68%), and had health insurance (89%). The most common reason for medicinal marijuana use was determined to be chronic pain management. Participants were more likely to have BPI pain interference scores of > 5 if they were older (OR: 1.36, 95% CI: 1.04-1.78) or reported using cannabis as a substitute for prescription medications (OR: 2.47, 95% CI: 1.23-4.95), and were less likely to have interference scores of >5 if they had higher income levels (OR: 0.53, 95% CI: 0.40-0.70) or reported having ever received treatment for an alcohol use disorder. One-fifth of participants had a history of a drug or alcohol use disorder. Most participants report that medicinal cannabis improves their pain symptomology, and are interested in alternative treatment options to opioid-based treatment regimens.
关于医用大麻药房使用者，人们了解得很少。我们试图描述罗德岛医用大麻药房患者的社会人口统计学特征以及使用医用大麻的原因。参与者（n = 200）从罗德岛的两个同情中心之一招募，并被要求参与一项简短调查，其中包括使用简明疼痛量表（BPI）评估疼痛干扰情况。大多数参与者为男性（73%）、白人（80%）、受过大学教育（68%）且有医疗保险（89%）。使用医用大麻最常见的原因被确定为慢性疼痛管理。如果参与者年龄较大（比值比：1.36，95%置信区间：1.04 - 1.78）或报告使用大麻替代处方药（比值比：2.47，95%置信区间：1.23 - 4.95），他们的BPI疼痛干扰得分更有可能大于5；如果收入水平较高（比值比：0.53，95%置信区间：0.40 - 0.70）或报告曾接受过酒精使用障碍治疗，则干扰得分大于5的可能性较小。五分之一的参与者有药物或酒精使用障碍史。大多数参与者报告称医用大麻改善了他们的疼痛症状，并且对基于阿片类药物的治疗方案的替代治疗选择感兴趣。
