Changes in medical and non-medical cannabis use among United States adults before and during the COVID-19 pandemic.
Changes in medical and non-medical cannabis use among United States adults before and during the COVID-19 pandemic.
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DOI：
10.1080/00952990.2021.2007257
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发表时间：
2022-05-04
影响因子：
2.7
通讯作者：
Cooper, Ziva D.
中科院分区：
文献类型：
--
作者：
Assaf, Ryan D.;Gorbach, Pamina M.;Cooper, Ziva D.
在SARS-CoV-2大流行期间，美国（US）的大麻药房报告销售额增加。这项研究评估了大流行之前到大流行期间大麻使用的变化;假设大麻使用在大流行期间增加。一项基于美国的成人调查评估了大流行之前和期间的使用模式。从2020年8月到2020年9月通过社交媒体招募的参与者自我报告了医疗和非医疗大麻使用情况。使用分类为≤每月、每周和每天/几乎每天;调整后的logistic回归确定了大流行前大麻使用与大流行期间频率变化之间的相关性。在1，886名受访者（63%为男性）中，1，113人报告了大麻的非医疗用途和603人的医疗用途。大流行前报告每月非医疗用药≤ 1次的患者在大流行期间增加用药的几率高于大流行前每周用药的患者（AOR 3.2 [95% CI 2.2-4.5]）。那些在大流行之前报告每月和每日使用医用大麻的人在大流行期间增加使用的几率高于大流行之前每周使用的人（AOR分别为2.3 [95%CI 1.3，3.9]; AOR 2.4 [95%CI 1.2，5.1]）。大流行期间大麻使用增加最显著的是在大流行之前报告使用大麻最少的人（与每周使用相比，每月使用增加的几率是每周使用的两到三倍）。这些发现对于与大流行期间和之后大麻使用增加有关的潜在健康后果具有重要意义，即使在大流行之前被认为受到最低限度使用保护的人群中也是如此。
During the SARS-CoV-2 pandemic, cannabis dispensaries in the United States (US) reported increased sales. This study assessed changes in cannabis use before to during the pandemic; it was hypothesized that cannabis use increased during the pandemic. A US-based survey of adults assessed patterns of use before and during the pandemic. Participants recruited via social media from 8/2020 to 9/2020 self-reported medical and non-medical cannabis use. Use was categorized as ≤ monthly, weekly, and daily/almost daily; adjusted logistic regressions determined associations between cannabis use before the pandemic with change in frequency during the pandemic. Of 1,886 respondents (63% male), 1,113 reported non-medical and 603 medical use of cannabis. Those reporting ≤monthly non-medical use before the pandemic had higher odds of increasing use during the pandemic than those using weekly before the pandemic (AOR 3.2 [95% CI 2.2–4.5]). Those reporting ≤ monthly and daily medical cannabis use before the pandemic had higher odds of increasing use during the pandemic than those using weekly before the pandemic (AOR 2.3 [95% 1.3, 3.9]; AOR 2.4 [95% CI 1.2, 5.1] respectively). The most notable increases in cannabis use during the pandemic were among those who reported using cannabis least frequently before the pandemic (two to three times odds of increased use among ≤ monthly use compared to weekly). These findings have important implications for potential health consequences related to increased cannabis use both during and after the pandemic, even in populations thought to be protected by minimal use prior to the pandemic.
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