Department of Community Health and Prevention, Dornsife School of Public Health, Drexel University, Philadelphia, USA.
Rory Meyers College of Nursing, New York University, New York, USA.
Drug Alcohol Rev. 2018 Feb;37(2):237-246. doi: 10.1111/dar.12534. Epub 2017 Apr 23.
While marijuana has been legal for medical purposes in California since 1996, little is known about the health histories of young adult medical marijuana patients who are a significant proportion of medical marijuana patients. We examined whether young adult medical marijuana patients reported health conditions and motivations for use that were consistent with medical use of marijuana in California.
Young adults (N = 366) aged 18 to 26 years were sampled in Los Angeles in 2014-2015 and segmented into medical marijuana 'patients' (n = 210), marijuana users with a current recommendation, and non-patient users or 'non-patients' (n = 156), marijuana users who never had a medical marijuana recommendation. Differences between patients and non-patients regarding self-reported health histories and past/current motivations for marijuana use were expressed as unadjusted risk ratios.
Compared with non-patients, patients were significantly more likely to report a range of lifetime health problems, such as psychological, physical pain and gastrointestinal. In the past 90 days, patients were significantly more likely to report motivations for marijuana use than non-patients concerning sleep, anxiety, physical pain and focusing. Psychological and pain problems were the most common health conditions reported to receive a medical marijuana recommendation. Patients were significantly less likely than non-patients to report any privacy concerns about obtaining a medical marijuana recommendation.
Patients were significantly more likely to report a range of health conditions and motivations associated with medical use than non-patients. A great majority of patients reported obtaining a medical marijuana recommendation for health problems in accordance with the California law. [Lankenau SE, Ataiants J,Mohanty S, Schrager S, Iverson E, Wong CF.Health conditions and motivations for marijuana use among young adultmedical marijuana patients and non-patient marijuana users. Drug Alcohol Rev 2017;00:000-000].
自 1996 年以来,大麻在加利福尼亚州已被批准用于医疗用途,但对于在该州大量使用医用大麻的年轻成年患者的健康史却知之甚少。我们研究了年轻成年医用大麻患者报告的健康状况和使用动机是否与加利福尼亚州医用大麻的使用相符。
2014 年至 2015 年,在洛杉矶对年龄在 18 至 26 岁的年轻人进行了抽样调查,并将其分为医用大麻“患者”(n=210)、目前有推荐使用大麻的大麻使用者和非患者使用者或“非患者”(n=156)、从未有过医用大麻推荐的大麻使用者。通过未调整的风险比来比较患者和非患者在自我报告的健康史和过去/现在使用大麻的动机方面的差异。
与非患者相比,患者报告了一系列终生健康问题,如心理、身体疼痛和胃肠道问题的可能性显著更高。在过去的 90 天里,患者报告说,与非患者相比,他们使用大麻的动机更多是为了睡眠、焦虑、身体疼痛和集中注意力。心理和疼痛问题是报告接受医用大麻推荐的最常见健康状况。患者报告说,他们在获得医用大麻推荐方面遇到的隐私问题显著少于非患者。
患者报告说有一系列与医疗用途相关的健康状况和动机的可能性显著高于非患者。绝大多数患者报告说,他们获得医用大麻推荐是为了治疗健康问题,这符合加利福尼亚州的法律。