Department of Molecular & Integrative Physiology, University of Michigan, Ann Arbor, MI, USA.
Department of Anesthesiology, University of Michigan Medical School, Ann Arbor, MI, USA.
J Psychoactive Drugs. 2023 Nov-Dec;55(5):660-671. doi: 10.1080/02791072.2023.2242353. Epub 2023 Jul 29.
Naturalistic psychedelic use among Canadians is common. However, interactions about psychedelic use between patients and clinicians in Canada remain unclear. Via an anonymous survey, we assessed health outcomes and integration of psychedelic use with health care providers (HCP) among Canadian adults reporting past use of a psychedelic. The survey included 2,384 participants, and most (81.2%) never discussed psychedelic use with their HCP. While 33.7% used psychedelics to self-treat a health condition, only 4.4% used psychedelics with a therapist and 3.6% in a clinical setting. Overall, 44.8% ( = 806) of participants were aware of substance testing services, but only 42.4% ever used them. Multivariate regressions revealed that therapeutic motivation, higher likelihood of seeking therapist guidance, and non-binary gender identification were significantly associated with higher odds of discussing psychedelics with one's primary HCP. Having used a greater number of psychedelics, lower age, non-female gender, higher education, and a therapeutic motivation were significantly associated with higher odds of awareness of substance testing. We conclude that naturalistic psychedelic use in Canada often includes therapeutic goals but is poorly connected to conventional healthcare, and substance testing is uncommon. Relevant training and education for HCPs is needed, along with more visible options for substance testing.
加拿大人自然使用迷幻药物的现象很普遍。然而，加拿大患者与临床医生之间关于迷幻药物使用的交流仍不清楚。通过一项匿名调查，我们评估了报告过去使用迷幻药物的加拿大成年人的健康结果和迷幻药物使用与医疗保健提供者（HCP）的整合情况。该调查包括 2384 名参与者，大多数（81.2%）从未与他们的 HCP 讨论过迷幻药物的使用情况。虽然 33.7%的人使用迷幻药物来治疗健康状况，但只有 4.4%的人在治疗师的指导下使用迷幻药物，3.6%的人在临床环境中使用迷幻药物。总的来说，44.8%（=806）的参与者了解物质检测服务，但只有 42.4%的人曾经使用过这些服务。多变量回归显示，治疗动机、更有可能寻求治疗师的指导以及非二元性别认同与更有可能与主要 HCP 讨论迷幻药物使用的几率显著相关。使用过更多数量的迷幻药物、年龄较小、非女性性别、较高的教育程度和治疗动机与更高的物质检测意识几率显著相关。我们的结论是，加拿大自然使用迷幻药物的现象通常包括治疗目标，但与传统医疗保健的联系很差，而且物质检测也不常见。需要对 HCP 进行相关培训和教育，并提供更明显的物质检测选择。
