A Qualitative Analysis of Cannabis Vaporization Among Medical Users

A Qualitative Analysis of Cannabis Vaporization Among Medical Users
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DOI:
10.1037/pha0000279
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发表时间:
2019-08-01
影响因子:
2.3
通讯作者:
Farris, Samantha G.
Farris, Samantha G.
中科院分区:
医学3区
文献类型:
--
作者:
Aston, Elizabeth R.;Scott, Brie;Farris, Samantha G.

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大麻汽化是医疗使用者缓解症状的一种流行给药方式。迄今为止,有限的研究已经考虑了导致医疗用户汽化的因素,尽管初步证据表明汽化可能提供相对于其他模式的独特治疗优势。这项研究旨在对医用大麻用户的电子烟行为和使用偏好进行深入的定性研究。定性访谈进行了罗得岛医用大麻登记卡持有人(n = 25)。访谈遵循半结构化的议程,并进行录音和转录,用于应用专题分析。总结了关键汽化主题。出现的几个主题与(a)药物剂量和管理(药物输送的灵活时间;旅行时的便利;装置/大麻制剂的类型),(B)电子烟的身体健康优势(一般健康益处;更好的医疗条件;促进戒烟),(c)vaping的一般优势(便携性、隐蔽性、效率),和(d)缺点(药物输送较弱;设备成本;技术使用障碍)。各种因素都会导致医疗使用者中的大麻汽化,既有一般因素,也有医疗特定因素。电子烟的某些方面也可能干扰大麻的有效输送,包括技术方面和设备成本。这些发现突出了汽化行为的异质性。未来的工作需要进一步确定因素,有助于大麻的治疗效果和其models of use. Public Health Significance从这项研究的结果表明,大麻汽化("vaping")是一个首选的,往往是主要的大麻给药途径,许多医疗用户。医用大麻使用者意识到与吸食大麻相比,电子烟对健康的积极影响,并经常利用电子烟来减少对健康的进一步负面影响。人与人之间有几个因素似乎会影响电子烟的偏好,包括医疗条件的类型和正在治疗的症状的性质,这需要更多的研究来进一步了解。
Cannabis vaporization is a prevailing mode of administration among medical users for symptom relief. Limited research to date has considered factors that contribute to vaporization in medical users, although initial evidence suggests that vaporization may provide unique therapeutic advantages relative to other modes. This study aimed to provide an in-depth qualitative examination of vaping behavior and use preferences among medical cannabis users. Qualitative interviews were conducted with Rhode Island medical cannabis registration card holders (n = 25). Interviews followed a semistructured agenda and were audio-recorded and transcribed for applied thematic analysis. Key vaporization themes were summarized. Several themes emerged related to (a) medication dosing and administration (flexible timing of medication delivery; ease when traveling; type of device/cannabis formulation), (b) physical health advantages of vaping (general health benefits; better for medical condition; promoting tobacco cessation), (c) general advantages of vaping (portability, concealability, efficiency), and (d) disadvantages (weaker medication delivery; device cost; technology-use barriers). Various factors contribute to cannabis vaporization among medical users that are both general and medical-specific. Certain aspects of vaping may also interfere with effective delivery of cannabis, including technology aspects and device cost. These findings highlight the heterogeneity in vaporization behavior. Future work is needed to further identify factors that contribute to the therapeutic efficacy of cannabis and its modalities of use.Public Health SignificanceFindings from this study suggest that cannabis vaporization ("vaping") is a preferred and often primary route of cannabis administration for many medical users. Medical cannabis users are aware of the positive health implications of vaping compared to smoking cannabis, and often utilize vaping to reduce further negative impact on health. There are several factors within and between persons that appear to influence vaping preferences, including the type of medical condition and nature of symptoms that are being treated, which require additional research to further understand.