Cannabis use patterns among people with HIV before and after legalization

Drug and alcohol dependence reports Pub Date : 2024-10-28 DOI:10.1016/j.dadr.2024.100291

AW Hahn , SA Ruderman , RM Nance , JAC Delaney , BM Whitney , S. Eltonsy , L. Haidar , LN Drumright , J. Ma , KH Mayer , C. O’Cleirigh , L. Bamford , E. Cachay , NT Fox , G. Burkholder , K. Cropsey , MA Owens , G. Chander , HM Crane , RJ Fredericksen

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Abstract

Background

Cannabis use is highly prevalent and detrimental among people with HIV (PWH). Legislative changes in several states altered the legality and accessibility of cannabis. We examined pre-post legislative changes in current, daily, and severe use in PWH in clinical care.

Methods

PWH engaged in the Centers for AIDS Research Network of Integrated Clinical Systems (CNICS) cohort from 3 sites/states were asked about past 3-month cannabis use on a routine clinical assessment of health behavior before and after legalization. A fourth site in a state without legalization served as a comparator. We used linear regression to estimate changes in use prevalence from 1 year before to 1 year after legalization.

Results

Among PWH (n=7885), from 1 year before to 1 year after legalization, cannabis use prevalence increased slightly in Boston, MA (32–38 %), Birmingham, AL (26–27 %), and San Diego, CA (25–29 %); and decreased in Seattle, WA (44–41 %). Contemporaneously, daily cannabis use increased modestly (less than 5 %) at all sites. Severe use (cannabis-specific ASSIST score ≥27) decreased or plateaued at all sites. No site showed significant change in prevalence trends of current, daily, or severe use 1 year before and after legalization in linear regression (p >0.05).

Conclusion

Few changes prevailed in cannabis use patterns around dates of legalization among PWH in care in the U.S. Relaxation of cannabis policy does not appear to result in an immediate increase in use among PWH.

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艾滋病毒感染者在大麻合法化前后的大麻使用模式

背景吸食大麻在艾滋病病毒感染者（PWH）中非常普遍，而且对他们有害。一些州的立法变化改变了大麻的合法性和可获得性。我们研究了临床护理中的艾滋病病毒感染者当前、每日和严重使用大麻情况在立法前后的变化。方法在大麻合法化前后，我们在对健康行为的常规临床评估中询问了三个州的艾滋病研究中心综合临床系统网络（CNICS）队列中的艾滋病病毒感染者过去三个月的大麻使用情况。位于未实行大麻合法化的州的第四个研究机构作为比较对象。我们使用线性回归法估算了从合法化前一年到合法化后一年期间使用率的变化。结果在威尔士人（人数=7885）中，从合法化前一年到合法化后一年期间，马萨诸塞州波士顿（32-38%）、阿拉巴马州伯明翰（26-27%）和加利福尼亚州圣地亚哥（25-29%）的大麻使用率略有上升；而华盛顿州西雅图（44-41%）的大麻使用率则有所下降。与此同时，所有地点的大麻日使用率都略有上升（低于 5%）。所有地点的严重使用率（大麻特异性 ASSIST 评分≥27 分）均有所下降或趋于平稳。在合法化前后 1 年的线性回归中，没有任何地点的当前使用、每日使用或严重使用的流行趋势出现明显变化（p >0.05）。

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

Drug and alcohol dependence reports Psychiatry and Mental Health

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审稿时长

100 days