Belackova Vendula, Tomkova Alexandra, Zabransky Tomas
Department of Addictology, 1st Faculty of Medicine, Charles University in Prague and General Teaching Hospital in Prague, Czech Republic.
Department of Addictology, 1st Faculty of Medicine, Charles University in Prague and General Teaching Hospital in Prague, Czech Republic.
Int J Drug Policy. 2016 Aug;34:49-57. doi: 10.1016/j.drugpo.2016.04.009. Epub 2016 Apr 20.
Cannabis social clubs (CSCs) in Spain are non-profit organisations that connect regular adult cannabis users. One of their functions is to supply cannabis to the closed circuit of members. The CSCs do not breach any international treaties. The aim of the paper is to present the findings of a qualitative study among Spanish CSCs in order to assess their potential for minimising the harm resulting from cannabis use (such as respiratory and mental health risks, the risk of dependence, and social risks).
A convenience sample of 11 CSCs was selected from four regions of Spain - the Basque country, Catalonia, the Balearic Islands, and Galicia. 94 respondents took part in 14 focus groups (FGs). The number of participants in a FG ranged from two to 12. A semi-structured interview guide and a structured questionnaire were used in the FG.
Members described a variety of risk minimising features of the CSCs: the availability of a quality product and mechanisms for its control, availability of different strains of cannabis and knowledge about their different psychoactive effects, increased control over personal cannabis use, informal information sharing and interaction, reduced stigma, and reduced criminal risks.
The fact that the CSCs have no incentive to increase members' consumption means that they should be considered to be feasible spaces for the implementation of public health policies. Policy objectives could include a requirement that CSC members have control over the quality of cannabis, that different strains of cannabis are available together with information on their effects, that quantity of cannabis at intake is restricted and planned for each member, and that harm minimisation activities are both formally and informally implemented in the clubs.
西班牙的大麻社交俱乐部（CSCs）是连接成年大麻经常使用者的非营利组织。其功能之一是向会员的封闭圈子供应大麻。这些俱乐部没有违反任何国际条约。本文旨在介绍对西班牙大麻社交俱乐部进行的一项定性研究的结果，以评估它们在将大麻使用所造成的危害（如呼吸和心理健康风险、依赖风险及社会风险）降至最低方面的潜力。
从西班牙四个地区——巴斯克地区、加泰罗尼亚、巴利阿里群岛和加利西亚——选取了11个大麻社交俱乐部作为便利样本。94名受访者参加了14个焦点小组（FGs）。每个焦点小组的参与者人数从2人到12人不等。在焦点小组中使用了半结构化访谈指南和结构化问卷。
会员们描述了大麻社交俱乐部的各种危害最小化特征：有优质产品及其控制机制，有不同品种的大麻及其不同精神活性作用的相关知识，对个人大麻使用的控制增强，有非正式的信息共享和互动，耻辱感降低，以及犯罪风险降低。
大麻社交俱乐部没有促使会员增加消费的动机，这意味着它们应被视为实施公共卫生政策的可行场所。政策目标可包括要求大麻社交俱乐部会员能够控制大麻质量，提供不同品种的大麻及其效果信息，限制并为每个会员规划每次摄入的大麻量，以及在俱乐部正式和非正式地开展危害最小化活动。
