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医用大麻患者中作为大麻给药途径的“吸电子烟”的患病率及其相关因素。

Prevalence and correlates of "Vaping" as a route of cannabis administration in medical cannabis patients.

作者信息

Cranford James A, Bohnert Kipling M, Perron Brian E, Bourque Carrie, Ilgen Mark

机构信息

Department of Psychiatry, University of Michigan, Rachel Upjohn Building, 4250 Plymouth Road, Ann Arbor, MI 48109-2700, United States.

Department of Psychiatry, University of Michigan, Rachel Upjohn Building, 4250 Plymouth Road, Ann Arbor, MI 48109-2700, United States; VA Center for Clinical Management Research (CCMR), Veterans Health Administration, 2215 Fuller Road, Mail Stop 152, Ann Arbor, MI 48105, United States.

出版信息

Drug Alcohol Depend. 2016 Dec 1;169:41-47. doi: 10.1016/j.drugalcdep.2016.10.008. Epub 2016 Oct 15.

DOI:10.1016/j.drugalcdep.2016.10.008
PMID:27770657
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5140730/
Abstract

PURPOSE

To examine the prevalence and correlates of vaporization (i.e., "vaping") as a route of cannabis administration in a sample of medical cannabis patients.

PROCEDURES

Adults ages 21 and older (N=1485M age=45.1) who were seeking medical cannabis certification (either for the first time or as a renewal) at medical cannabis clinics in southern Michigan completed a screening assessment. Participants completed measures of route of cannabis administration, cannabis use, alcohol and other substance use.

FINDINGS

An estimated 39% (n=511) of the sample reported past-month cannabis vaping, but vaping as the sole route of cannabis administration was rare. Specifically, only 30 participants (2.3% of the full sample and 5.9% of those who reported any vaping) indicated vaping as the sole route of cannabis administration. The majority (87.3%) of those who reported vaping also reported smoking (combustion) as a route of cannabis administration. Being younger than age 44, having more than a high school education, engaging in nonmedical stimulant use, being a returning medical cannabis patient, and greater frequency of cannabis use were associated with higher odds of vaping at the bivariate level and with all variables considered simultaneously.

CONCLUSIONS

Vaping appears to be relatively common among medical cannabis patients, but is seldom used as the sole route of cannabis administration.

RESULTS

highlight the importance of monitoring trends in vaping and other substance use behaviors in this population and underscore the need for longitudinal research into the motives, correlates, and consequences of cannabis vaping in medical cannabis patients.

摘要

目的

在医用大麻患者样本中,研究大麻雾化吸入(即“吸电子烟”)作为一种大麻给药途径的流行情况及其相关因素。

程序

年龄在21岁及以上(N = 1485;平均年龄 = 45.1岁)、在密歇根州南部医用大麻诊所寻求医用大麻认证(首次认证或续证)的成年人完成了一项筛查评估。参与者完成了关于大麻给药途径、大麻使用、酒精及其他物质使用的测量。

研究结果

估计39%(n = 511)的样本报告在过去一个月有过大麻雾化吸入,但仅将雾化吸入作为大麻给药途径的情况很少见。具体而言,只有30名参与者(占整个样本的2.3%,占报告有任何雾化吸入情况者的5.9%)表示仅将雾化吸入作为大麻给药途径。报告有雾化吸入情况的人中,大多数(87.3%)也报告将吸烟(燃烧)作为大麻给药途径。在双变量水平以及同时考虑所有变量的情况下,年龄小于44岁、拥有高中以上学历、使用非医用兴奋剂、是复诊医用大麻患者以及大麻使用频率较高与雾化吸入的较高几率相关。

结论

雾化吸入在医用大麻患者中似乎相对普遍,但很少被用作唯一的大麻给药途径。

结果

突出了监测该人群中雾化吸入及其他物质使用行为趋势的重要性,并强调了对医用大麻患者中大麻雾化吸入的动机、相关因素及后果进行纵向研究的必要性。

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本文引用的文献

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Marijuana use and use disorders in adults in the USA, 2002-14: analysis of annual cross-sectional surveys.2002 - 2014年美国成年人使用大麻及大麻使用障碍情况:年度横断面调查分析
Lancet Psychiatry. 2016 Oct;3(10):954-964. doi: 10.1016/S2215-0366(16)30208-5. Epub 2016 Aug 31.
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No Smoke without Tobacco: A Global Overview of Cannabis and Tobacco Routes of Administration and Their Association with Intention to Quit.无烟草不生烟雾:大麻与烟草使用途径的全球概述及其与戒烟意愿的关联
Front Psychiatry. 2016 Jul 5;7:104. doi: 10.3389/fpsyt.2016.00104. eCollection 2016.
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Comparing adults who use cannabis medically with those who use recreationally: Results from a national sample.比较医用大麻使用者与娱乐性大麻使用者:来自全国样本的结果。
Addict Behav. 2016 Oct;61:99-103. doi: 10.1016/j.addbeh.2016.05.015. Epub 2016 May 17.
4
Smoking, vaping, eating: Is legalization impacting the way people use cannabis?吸烟、吸电子烟、食用:大麻合法化是否正在影响人们使用大麻的方式?
Int J Drug Policy. 2016 Oct;36:141-7. doi: 10.1016/j.drugpo.2016.02.022. Epub 2016 Mar 2.
5
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Drug Alcohol Depend. 2016 Feb 1;159:227-33. doi: 10.1016/j.drugalcdep.2015.12.020. Epub 2015 Dec 30.
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In the weeds: a baseline view of cannabis use among legalizing states and their neighbours.乱象丛生:合法化州及其周边地区大麻使用情况的基线观察
Addiction. 2016 Jun;111(6):973-80. doi: 10.1111/add.13282. Epub 2016 Jan 26.
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Prevalence of Marijuana Use Disorders in the United States Between 2001-2002 and 2012-2013.2001 - 2002年至2012 - 2013年期间美国大麻使用障碍的患病率。
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Addiction. 2015 Nov;110(11):1706-7. doi: 10.1111/add.13075.