自我报告为改善身体、心理和睡眠健康而使用大麻与出现问题性大麻使用风险之间的关联。
Association of self-reported use of cannabis for the purpose of improving physical, mental, and sleep health with problematic cannabis use risk.
机构信息
School of Public Health, Indiana University, 1025 E. 7th St., SPH 116, Bloomington, IN, 47405, USA.
School of Human Services, University of Cincinnati, Cincinnati, USA.
出版信息
BMC Public Health. 2023 Aug 16;23(1):1560. doi: 10.1186/s12889-023-16324-0.
BACKGROUND
Little is known about health-focused cannabis use purposes and their associations with risk for problematic cannabis use. This cross-sectional study examined three broad cannabis use purposes and association with risk for problematic use among young adult cannabis users who report using for > 1 health reasons.
METHODS
Young adults completed an electronic survey as part of an ongoing study on substance use and health. Those who self-reported past 6-month use of ≥ 1 cannabis products-smoking, vaping, dabbing, eating, and blunts-were included in the analysis. Their purposes for use were coded into three categories: sleep, mental, and physical health. Problematic cannabis use (PCU) was measured with the three-level structure Cannabis Abuse Screening Test (CAST-3). Adjusted multivariable regression models were used to estimate use purposes associated with with problematic cannabis use at the p < 0.05 level.
RESULTS
Participants (n = 954) were mostly female (63.94%) and Hispanic (54.93%). Mental health was the most endorsed reason (73.38%) for use among study sample. Among participants, 36.3% were classified as being at severe risk (CAST-3 score ≥ 8). There was a significant association between PCU risk and reporting cannabis use for physical health (p < 0.01), mental health, and sleep health (p < 0.01) purposes. Those who used cannabis for physical heath purposes had about four times the risk (adjusted relative risk ratio (aRRR) = 4.38, 95% CI = 3.06-6.69), those who used for mental health had about three times the risk (aRRR = 2.81, 95% CI = 1.86-4.72), and those who used for sleep health had almost two times the risk (aRRR = 1.83, 95% CI = 1.17-2.63) for severe PCU.
CONCLUSION
All cannabis use purposes examined increased risk of problematic cannabis use. Physical health use purposes was associated with highest PCU risk. This study demonstrates the risk for cannabis use disorder associated with self-medicating with cannabis.
背景
对于以健康为重点的大麻使用目的及其与大麻使用问题风险的关联，人们知之甚少。本横断面研究调查了三种广泛的大麻使用目的，并探讨了在报告因 >1 个健康原因而过去 6 个月使用≥1 种大麻产品（吸烟、蒸气、鼻吸、食用和钝器）的年轻成年大麻使用者中，这些目的与使用问题的关联。使用目的被编码为三个类别：睡眠、精神和身体健康。使用三水平结构大麻滥用筛查测试 (CAST-3) 来衡量使用问题。使用调整后的多变量回归模型来估计与使用问题相关的目的，在 p<0.05 水平上进行评估。
结果
参与者（n=954）主要为女性（63.94%）和西班牙裔（54.93%）。精神健康是研究样本中最常被报告的使用原因（73.38%）。在参与者中，36.3%被归类为处于严重风险（CAST-3 评分≥8）。PCU 风险与报告大麻用于身体健康（p<0.01）、心理健康和睡眠健康（p<0.01）目的之间存在显著关联。那些出于身体健康目的使用大麻的人，其风险大约增加了四倍（调整后的相对风险比（aRRR）=4.38，95%置信区间（CI）=3.06-6.69），那些出于精神健康目的使用大麻的人，其风险大约增加了三倍（aRRR=2.81，95%CI=1.86-4.72），而那些出于睡眠健康目的使用大麻的人，其风险增加了近两倍（aRRR=1.83，95%CI=1.17-2.63）。
结论
所有研究的大麻使用目的都增加了大麻使用问题的风险。身体健康使用目的与最高的 PCU 风险相关。本研究表明，使用大麻进行自我治疗与大麻使用障碍的风险相关。
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