Rural reticence to inform physicians of cannabis use.

IF 3.1 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Daniel J Mallinson, Timothy J Servinsky
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引用次数: 0

Abstract

Purpose: Over 75% of Americans have legal access to medical cannabis, though physical access is not uniform and can be difficult for rural residents. Additionally, substantial stigma remains in using medical cannabis, particularly within the health care system. This article argues that rural Americans may be particularly affected by such stigma and may thus be more likely to not report cannabis use to health care providers.

Methods: Data were obtained from 1,045 adult Pennsylvanians using a self-administered web panel omnibus survey. Rurality was determined by overlaying Zip Code Tabulation Areas with urban areas, as defined by the U.S. Census Bureau. Primary outcomes were prior use of cannabidiol (CBD) or marijuana and reporting of such use to medical professionals. Covariates utilized in logistic regressions included rurality, gender, age, race/ethnicity, political affiliation, political ideology, and veteran status.

Findings: Living in an urban area was positively associated with disclosure of marijuana use to health care providers as compared to those in rural areas, although there were no differences found in CBD disclosure.

Conclusions: Stigma surrounding marijuana usage may have a disproportionate impact on health outcomes for rural residents who use marijuana. Nonreporting prevents effective holistic medical care and can result in negative drug interactions and other side effects.

农村地区不愿告知医生大麻使用情况。
目的:超过 75% 的美国人可以合法使用医用大麻,但实际使用情况并不一致,农村居民可能很难使用。此外,使用医用大麻仍然存在很大的污名化问题,特别是在医疗保健系统内。本文认为,美国农村居民可能尤其受到这种耻辱感的影响,因此更有可能不向医疗服务提供者报告使用大麻的情况:数据来自 1,045 名宾夕法尼亚州成年人,采用的是自填式网络面板综合调查。根据美国人口普查局的定义,通过将邮政编码制表区与城市地区重叠来确定乡村地区。主要结果是大麻二酚 (CBD) 或大麻的使用情况以及向医疗专业人员报告的使用情况。逻辑回归中使用的协变量包括乡村、性别、年龄、种族/民族、政治派别、政治意识形态和退伍军人身份:与居住在农村地区的人相比,居住在城市地区的人向医疗服务提供者披露使用大麻的情况呈正相关,但在披露 CBD 方面没有发现差异:对于使用大麻的农村居民而言,围绕大麻使用的污名化可能会对他们的健康结果产生不成比例的影响。知情不报会妨碍有效的整体医疗护理,并可能导致负面的药物相互作用和其他副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Rural Health
Journal of Rural Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
7.60
自引率
6.10%
发文量
86
审稿时长
>12 weeks
期刊介绍: The Journal of Rural Health, a quarterly journal published by the NRHA, offers a variety of original research relevant and important to rural health. Some examples include evaluations, case studies, and analyses related to health status and behavior, as well as to health work force, policy and access issues. Quantitative, qualitative and mixed methods studies are welcome. Highest priority is given to manuscripts that reflect scholarly quality, demonstrate methodological rigor, and emphasize practical implications. The journal also publishes articles with an international rural health perspective, commentaries, book reviews and letters.
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