Orthopedics. 2022 Nov-Dec;45(6):e309-e314. doi: 10.3928/01477447-20220907-05. Epub 2022 Sep 13.
Nationwide perspectives on cannabis have changed dramatically over recent decades. Although cannabis remains illegal at the federal level, medical cannabis (MC) is now legal in most states, and research has continued to show its effectiveness in a variety of medical conditions. However, both perception and acceptance of MC by the general public are evolving and remain poorly understood. Treating patients effectively with these novel therapeutics requires an understanding of the complex interplay of social and legal factors that could affect patient use. This cross-sectional survey study of more than 2500 patients sought to assess current patient perspectives on MC and to investigate factors related to its use that may represent barriers to broader patient use. Most respondents would consider using MC for chronic pain or other medical conditions. Most respondents were aware of the legal status of MC in their state, and 9 of 10 respondents believed that MC should be legal throughout the United States. General public knowledge of the utility of MC is an area needing improvement because older patients were significantly less likely to believe that MC is safe to use or that MC is safer than prescription opioids. As has been reported in previous literature, social stigma and cost appear to remain barriers for patient use of MC. Our findings provide further insight into current patient perspectives on MC, aiding both medical providers and researchers as we continue to provide access to and research MC. [. 2022;45(6):e309-e314.].
在过去的几十年里,全国范围内对大麻的看法发生了巨大变化。尽管大麻在联邦层面仍然是非法的,但医用大麻(MC)在大多数州现已合法化,并且研究继续表明它在各种医疗条件下都有效。然而,公众对 MC 的看法和接受程度仍在不断变化,并且仍未被充分理解。要有效地用这些新型疗法治疗患者,需要了解可能影响患者使用的复杂的社会和法律因素的相互作用。这项对超过 2500 名患者的横断面调查研究旨在评估当前患者对 MC 的看法,并调查与其使用相关的可能代表更广泛患者使用障碍的因素。大多数受访者会考虑将 MC 用于慢性疼痛或其他医疗状况。大多数受访者了解其所在州 MC 的法律地位,并且 10 名受访者中有 9 名认为 MC 在美国全境都应合法化。公众对 MC 效用的了解是一个需要改进的领域,因为年长的患者明显不太相信 MC 是安全的,或者 MC 比处方类阿片类药物更安全。正如之前的文献报道,社会污名和费用似乎仍然是患者使用 MC 的障碍。我们的研究结果进一步深入了解了当前患者对 MC 的看法,为我们继续提供 MC 的获取和研究提供了帮助。[. 2022;45(6):e309-e314.]。