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The Impact of Medical Marijuana in Metropolitan Denver

医用大麻对丹佛市的影响

基本信息

批准号：
8459586
负责人：
ROBERT Edwin BOOTH
金额：
$ 51.13万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2011
资助国家：
美国
起止时间：
2011-08-01 至 2016-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8459586
关键词：
12 year old Accidents Address Adult Aggressive behavior Alcohol abuse Alcohol consumption Alcohols American Authorization documentation Cannabis Cannabis-Related Disorder Chronic Client Clinical Colorado Criminal Justice Data Demographic Aging Dependence Drug usage Epidemiology Erectile dysfunction Event Female Growth HIV HIV Seropositivity HIV risk Health Health Personnel Health behavior Heroin Industry Investigation Lead Marijuana Marijuana Abuse Marijuana Dependence Marijuana Smoking Measures Medical Methods Monitor Outcome Patients Pharmaceutical Preparations Phase Physicians Policies Policy Maker Prevalence Primary Care Physician Professional counselor Provider Public Health Recruitment Activity Reporting Research Resources Risk Behaviors Russia Sex Behavior Student Dropouts System Testing Testosterone Therapeutic Effect Time United States Universities Unsafe Sex Viagra cohort design health care service utilization information gathering marijuana user men metropolitan programs rapid growth sex sex risk skills trend young adult

项目摘要

DESCRIPTION (provided by applicant): With over 15 million past month users, marijuana is the most widely used illicit substance in the United States. This is concerning because marijuana use is associated with multiple outcomes such as accidents, aggression, risky sex that leads to HIV and school dropout. However, marijuana may also have some therapeutic effects and fourteen states have legalized medical marijuana. Colorado now has an estimated 100,000 medical marijuana patients, and this widespread use raises concerns about marijuana abuse, diversion and other consequences of use. Unfortunately, there are few data describing the impact of medical marijuana legalization. The Specific Aims and hypotheses of this proposed 5-year R01 study are: 1. During Phase I we will determine how the evolving medical marijuana industry operates from the perspective of consumers, MMC owners and prescribing physicians, as well as ascertain the views of drug treatment and health care providers concerning how medical marijuana impacts their responsibilities. As this Phase is designed to gather information to inform Phase III, there are no hypotheses. 2. In Phase II we will conduct an ongoing assessment of the epidemiology of medical marijuana, including change in the number of consumers and MMCs and consumers' and physicians' reasons for medical marijuana. Hypothesis 2: The increase in medical marijuana availability will lead to an increase in the prevalence of marijuana use and marijuana-related problems. 3. In Phase III we will assess the prevalence of marijuana abuse and dependence, diversion, other drug use, general health and health care utilization among medical and non-medical marijuana users. Hypothesis 3a: At baseline, there will be fewer medical marijuana users with cannabis dependence and they will have lower rates of other drug use and health problems than non-medical marijuana users. Hypothesis 3b: Over time, increase in rates of cannabis dependence, other drug use and health problems will be greater for medical marijuana users than non-medical marijuana users. Hypothesis 3c: Among medical marijuana users, there will be an increase in the diversion of medical marijuana over time. 4. Also in Phase III we will assess HIV-related sex risk behaviors among medical and non-medical marijuana users. Hypothesis 4a: At baseline, fewer medical marijuana users will report HIV sex-related risk behaviors than non-medical marijuana users. Hypothesis 4b: Over time, medical marijuana users will increase their engagement in HIV related sex-related risk behaviors more than non-medical marijuana users.

描述（由申请人提供）：过去一个月有超过1500万用户，大麻是美国使用最广泛的非法物质。这是令人担忧的，因为大麻的使用与多种结果有关，如事故，攻击，导致艾滋病毒和辍学的危险性行为。然而，大麻也可能有一些治疗效果，14个州已经使医用大麻合法化。科罗拉多现在估计有10万名医用大麻患者，这种广泛使用引起了人们对大麻滥用、转移和其他使用后果的担忧。不幸的是，很少有数据描述医用大麻合法化的影响。这项拟议的5年R01研究的具体目的和假设是：1。在第一阶段，我们将从消费者、MMC所有者和处方医生的角度确定不断发展的医用大麻行业如何运作，并确定药物治疗和医疗保健提供者对医用大麻如何影响其责任的看法。由于本阶段旨在收集信息以告知第三阶段，因此没有假设。2.在第二阶段，我们将对医用大麻的流行病学进行持续评估，包括消费者和MMC数量的变化以及消费者和医生使用医用大麻的原因。假设二：医用大麻供应的增加将导致大麻使用和大麻相关问题的普遍性增加。3.在第三阶段，我们将评估医用和非医用大麻使用者中大麻滥用和依赖、转移、其他药物使用、一般健康和医疗保健利用的流行程度。假设3a：在基线上，大麻依赖的医用大麻使用者将减少，他们的其他药物使用率和健康问题将低于非医用大麻使用者。假设3b：随着时间的推移，医用大麻使用者的大麻依赖率、其他药物使用率和健康问题的增加将大于非医用大麻使用者。假设3c：在医用大麻使用者中，随着时间的推移，医用大麻的转移会增加。4.在第三阶段，我们还将评估医用和非医用大麻使用者中与艾滋病毒相关的性风险行为。假设4a：在基线时，医用大麻使用者比非医用大麻使用者更少报告与艾滋病毒性相关的风险行为。假设4b：随着时间的推移，医用大麻使用者将比非医用大麻使用者更多地参与与艾滋病毒相关的性风险行为。