Factors associated with health-related cannabis use intentions among a community sample of people who inject drugs in Los Angeles and San Francisco, CA 2016 to 2018.
Factors associated with health-related cannabis use intentions among a community sample of people who inject drugs in Los Angeles and San Francisco, CA 2016 to 2018.
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与健康相关的大麻使用意图相关的因素，这些人在2016年至2018年的洛杉矶和旧金山注射毒品的人群中。
DOI：
10.1016/j.drugalcdep.2020.108421
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发表时间：
2021-02-01
影响因子：
4.2
通讯作者：
Bluthenthal RN
中科院分区：
文献类型：
--
作者：
Ceasar RC;Kral AH;Simpson K;Wenger L;Goldshear JL;Bluthenthal RN
大麻的动机已经在药用大麻药房的患者中进行了广泛的研究，但对注射毒品的阿片类药物使用者的社区样本中的动机知之甚少。我们的目标是描述与身体疼痛，情感问题的自我治疗相关的大麻使用动机，以及作为阿片类药物替代品。数据来自对注射毒品者的6个月随访访谈，这些人参加了2016年至2018年在洛杉矶和加州旧金山弗朗西斯科进行的注射预防干预有效性研究。分析样本包括387名报告上个月使用大麻的注射毒品者。我们通过报告大麻使用动机开发了多变量logistic回归模型：身体疼痛缓解，情绪问题和阿片类药物替代品。注射毒品的人报告的最常见的大麻使用动机是“兴奋”，缓解身体疼痛和情绪问题，并减少阿片类药物的使用。在单独的多变量模型中，使用大麻缓解身体疼痛与使用大麻作为阿片类药物替代品的几率较高相关;大麻用于情感问题与被诊断患有抑郁症相关;大麻作为阿片类药物替代品与非处方，非注射美沙酮使用相关。注射毒品者报告说，使用大麻是出于与健康有关的动机。这一动机符合健康需求，表明这一人群出于健康原因使用大麻是可以接受的。需要开展研究，以确定大麻产品对注射吸毒者这些共同健康和精神健康需求的医疗效果。
Cannabis motivations have been studied extensively among patients of medicinal cannabis dispensaries, but less is known about motivations in community samples of opioid-using people who inject drugs. Our objective is to describe cannabis use motivations associated with self-treatment of physical pain, emotional issues, and as an opioid substitute. Data come from 6-month follow-up interviews with people who inject drugs who participated in a study on the efficacy of an injection initiation prevention intervention in Los Angeles and San Francisco, California from 2016-18. The analytic sample consists of 387 people who inject drugs who reported past-month cannabis use. We developed multivariable logistic regression models by reported cannabis use motivations: physical pain relief, emotional problems, and opioid substitute. The most common cannabis use motivations reported by people who inject drugs was to “get high,” relieve physical pain and emotional problems, and reduce opioid use. In separate multivariate models, using cannabis for physical pain relief was associated with higher odds of using cannabis as a substitute for opioids; cannabis for emotional problems was associated with being diagnosed with depression; and cannabis as a substitute for opioids was associated with non-prescribed, non-injection methadone use. People who inject drugs reported using cannabis for health-related motivations. This motivation aligns with health needs and suggests the acceptability of cannabis use for health reasons in this population. Studies to determine the medical effectiveness of cannabis products for these common health and mental health needs among people who inject drugs are needed.
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影响因子：
4.2
作者：
Caudarella, Alexander;Dong, Huiru;Hayashi, Kanna
通讯作者：
Hayashi, Kanna
影响因子：
39
作者：
Bachhuber, Marcus A.;Saloner, Brendan;Cunningham, Chinazo O.;Barry, Colleen L.
通讯作者：
Barry, Colleen L.
DOI：
10.1186/s10194-018-0862-2
发表时间：
2018-05-24
期刊：
The journal of headache and pain
影响因子：
--
作者：
Baron EP;Lucas P;Eades J;Hogue O
通讯作者：
Hogue O
影响因子：
7.6
作者：
Cooper, Ziva D.;Bedi, Gillinder;Haney, Margaret
通讯作者：
Haney, Margaret
海洛因，处方阿片类药物和非法芬太尼过量的纳洛酮：挑战和创新对动态流行作出反应。
DOI：
10.1016/j.drugpo.2017.06.005
发表时间：
2017-08
期刊：
The International journal on drug policy
影响因子：
--
作者：
Fairbairn N;Coffin PO;Walley AY
通讯作者：
Walley AY