Trends of cannabis use and related harms before and after legalization for recreational purpose in a developing country in Asia.

Trends of cannabis use and related harms before and after legalization for recreational purpose in a developing country in Asia.
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DOI:
10.1186/s12889-023-15883-6
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发表时间:
2023-05-19
期刊:
影响因子:
4.5
通讯作者:
Boonthae, Suriyan
Boonthae, Suriyan
中科院分区:
医学2区
文献类型:
--
作者:
Kalayasiri, Rasmon;Boonthae, Suriyan

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泰国是亚洲第一个于2021年2月将大麻叶的使用和购买合法化的国家,并于2022年6月在2019年允许用于医疗目的后将整个植物合法化。该研究探讨了泰国在实施娱乐性大麻津贴之前和之后的大麻使用趋势。2019年(n = 5,002),2020年(n = 5,389)和2021年(n = 5,669)泰国18至65岁人口的大麻和其他物质使用变量,大麻使用障碍和对大麻的态度来自成瘾研究中心每年最后两个月进行的年度调查。这些调查是对泰国一般人口的重复性横断面调查。至少两次年度调查的重复变量被纳入使用卡方检验和t检验进行分析。过去一年,大麻的使用率由2019年的2. 2%分别上升至2020年及2021年的2. 5%及4. 2%,而甲基安非他明、酒精及烟草的使用率则有所下降。过去一年饮用/食用大麻产品的趋势有所增加,特别是在中年组(40-49岁)中,从2019年的2.1%(95%置信区间(CI):1.3,3.1)和2020年的1.1%(95% CI:0.6,1.9)增加到2021年的3.8%(95% CI:2.8,5.0)。18至19岁的年轻人口吸食大麻的比例由2019年的0. 9%(95% CI:0. 1,3. 3)分别上升至2020年和2021年的2. 0%(95% CI:0. 5,5. 1)和2. 2%(95% CI:0. 7,5. 1)。大麻使用者的大麻使用障碍症状从2019年到2020年有所增加,然后在2021年逆转。2021年,泰国人对大麻的益处和危害有更多的健康知识,并对大麻的更多危害持态度;然而,2021年有35.6%或三分之一的样本真正相信大麻可以治愈癌症,23.2%或四分之一的样本不确定或不相信大麻会上瘾。尽管大多数物质在泰国COVID-19大流行期间的使用率较低,但大麻合法化后的使用率较高。泰国青年吸食大麻的趋势日益增长。
Thailand was the first country in Asia to legalize the use and purchase of cannabis leaves in February 2021 and the whole plant in June 2022 after the 2019 allowance for medical purposes. The study explored trends in cannabis use in Thailand before and after the recreational cannabis allowance was imposed. Cannabis and other variables of substance use, cannabis use disorder, and attitude towards cannabis of the Thai population aged 18 to 65 years in 2019 (n = 5,002), 2020 (n = 5,389) and 2021 (n = 5,669) were obtained from annual surveys conducted in the last two months of each year by the Centre for Addiction Studies. The surveys were repeat cross-sectional surveys of the general population of Thailand. Repeated variables from at least two annual surveys were included for analysis using the Chi-square test and the t-test. The prevalence of cannabis use in the past year had increased from 2.2% in 2019 to 2.5% and 4.2% in 2020 and 2021 respectively, while those of methamphetamine, alcohol, and tobacco use had decreased. Trends in past-year drinking/eating cannabis products had increased, especially among the middle age group (40–49 years) from 2.1% (95% confidence interval (CI): 1.3, 3.1) in 2019 and 1.1% (95% CI: 0.6, 1.9) in 2020 to 3.8% (95% CI: 2.8, 5.0) in 2021. The younger population aged 18–19 had an increase in cannabis smoking from 0.9% (95% CI: 0.1, 3.3) in 2019 to 2.0% (95% CI: 0.5, 5.1) and 2.2% (95% CI: 0.7, 5.1) in 2020 and 2021 respectively. Symptoms of cannabis use disorder among cannabis users increased from 2019 to 2020 and then reversed afterwards in 2021. Thais had greater health knowledge about the benefits and harms of cannabis and had attitudes toward more harm of cannabis in 2021; however, 35.6% or a third of the sample in 2021 truly believed that cannabis was a cure for cancer, and 23.2% or one-fourth were uncertain or did not believe that cannabis was addictive. Although most of the substances had a lower prevalence of use during the COVID-19 pandemic in Thailand, cannabis had a higher use after legalization. Thai youth had a growing trend to smoke cannabis.
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发表时间: 2019-08-27
影响因子: 1.2
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Madireddy, Sowmya;Patel, Rikinkumar S.;Goyal, Hemant
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