Sorbonne University, INSERM, Institut Pierre Louis d'Épidémiologie et de Santé Publique (IPLESP), F75012 Paris, France.
Department of General Practice, Sorbonne University, F75012 Paris, France.
Int J Environ Res Public Health. 2023 Mar 2;20(5):4462. doi: 10.3390/ijerph20054462.
Levels of cannabis use are high during adolescence, but the proportion of cannabis users among adults is also progressing, often for medical reasons. This study describes the reasons and motivations for using medical cannabis among adults over 30 years old in France. This qualitative study was performed using an interpretative phenomenological analysis. People with a history of cannabis use or current cannabis users were recruited from the TEMPO cohort. Homogeneous purposive sampling was applied among those using medical cannabis. Twelve participants, among thirty-six who reported using cannabis for medical reasons, were selected and interviewed. Five superordinate themes were identified in the analysis: 1-soothing a traumatic experience through cannabis use; 2-an ambivalent relationship with the user and cannabis and with the user and close relatives; 3-cannabis, a known soft drug comparable to alcohol or tobacco, leading to an illogical demonization; 4-recreational use in the context of experimentation; and 5-a paradoxical desire for exemplary parenting. In this first recent study to describe the reasons and views adults have in order to continue using cannabis after 30 years of age, we identified ways to explain this consumption. The internal appeasement provoked by cannabis stems from a struggle to appease a violent external situation.
青少年时期大麻的使用率很高,但成年人中大麻使用者的比例也在上升,通常是出于医疗原因。本研究描述了法国 30 岁以上成年人使用医用大麻的原因和动机。这项定性研究采用解释性现象学分析。从 TEMPO 队列中招募了有大麻使用史或目前使用大麻的人。在使用医用大麻的人群中进行了同质的目的抽样。在分析中确定了五个上位主题:1. 通过使用大麻缓解创伤经历;2. 与使用者和大麻以及与使用者和近亲的矛盾关系;3. 大麻是一种已知的软性毒品,可与酒精或烟草相媲美,导致不合理的妖魔化;4. 在实验背景下的娱乐性使用;5. 渴望以身作则的育儿方式的矛盾心理。在这项首次对 30 岁以上成年人继续使用大麻的原因和观点进行描述的研究中,我们确定了解释这种消费的方法。大麻引起的内在安抚源于平息外部暴力局势的挣扎。