在一个没有合法大麻市场的州，评估癌症患者与医疗服务提供者就大麻问题进行沟通时的种族差异。
Evaluating racial disparities in cancer patient-provider communication about cannabis in a state without a legal cannabis marketplace.
作者信息
Wedel Amelia V, Walters Kyle J, Tomko Rachel L, Rojewski Alana M, McClure Erin A
机构信息
Department of Counseling Psychology, Santa Clara University, 455 El Camino Real, Santa Clara, CA, 95050, USA.
Department of Individual, Family, and Community Education, University of New Mexico, Albuquerque, NM, USA.
出版信息
Support Care Cancer. 2025 Jan 8;33(2):78. doi: 10.1007/s00520-024-09131-9.
PURPOSE
Cancer survivors in a state with no legal access to cannabis may be hesitant to discuss their cannabis use with providers, particularly in light of legal consequences which disproportionately affect certain racial groups. This study examined potential racial disparities in the relationship of cannabis use status with patient-provider discussions of and attitudes toward cannabis in a state where there is no legal cannabis marketplace.
METHODS
Survivors of cancer (N = 1003, M = 62.36; 13% Black/African-American; 41% male) completed a cross-sectional survey. Weight-adjusted regressions examined racial differences in the relationship between cannabis use status with (a) comfort and discussion of cannabis with providers, and (b) beliefs about impact of legalization on patients' and providers' comfort discussing cannabis.
RESULTS
No racial differences were observed in rates of cannabis use or discussion, and patients who used cannabis were more comfortable discussing cannabis. Black patients who had used cannabis reported the greatest comfort discussing cannabis with providers, but also the greatest perceived improvement in comfort in the event of legalization.
CONCLUSIONS
Results highlight comfort and willingness to discuss cannabis with cancer care providers, particularly among Black patients who already use cannabis, which was not the hypothesized direction of findings. Further work is needed to inform recommendations for provider-led communication about cannabis.
目的
在一个大麻没有合法使用途径的州，癌症幸存者可能会犹豫是否与医疗服务提供者讨论他们使用大麻的情况，尤其是考虑到法律后果对某些种族群体的影响 disproportionately。本研究调查了在一个没有合法大麻市场的州，大麻使用状况与患者-医疗服务提供者关于大麻的讨论及态度之间关系中潜在的种族差异。
方法
癌症幸存者（N = 1003，M = 62.36；13%为黑人/非裔美国人；41%为男性）完成了一项横断面调查。加权回归分析了大麻使用状况与以下方面关系中的种族差异：（a）与医疗服务提供者讨论大麻时的舒适度，以及（b）关于大麻合法化对患者和医疗服务提供者讨论大麻时舒适度影响的信念。
结果
在大麻使用或讨论率方面未观察到种族差异，使用大麻的患者在讨论大麻时更自在。使用过大麻的黑人患者报告称与医疗服务提供者讨论大麻时最自在，但在大麻合法化情况下，他们也感觉舒适度提升最大。
结论
结果凸显了与癌症护理提供者讨论大麻的舒适度和意愿，尤其是在已经使用大麻的黑人患者中，这与研究假设的结果方向不同。需要进一步开展工作，为医疗服务提供者主导的关于大麻的沟通提供建议。
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