Working under the influence of cannabis amongst medical cannabis patients with chronic pain

IF 2.5 4区医学 Q2 SUBSTANCE ABUSE

American Journal on Addictions Pub Date : 2025-03-14 DOI:10.1111/ajad.70028

Carol A. Lee PhD, Devin C. Tomlinson PhD, Kipling M. Bohnert PhD, Erin E. Bonar PhD, Lara N. Coughlin PhD, Mark A. Ilgen PhD

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Abstract

Background and Objectives

Cannabis use is increasing in the United States, and, on average, those consuming medical cannabis report more frequent cannabis use than those who use recreationally. The present analyses focus on the prevalence and correlates of working under the influence of cannabis (WUIC) amongst individuals with chronic pain who use cannabis medically.

Methods

Adults were recruited from medical cannabis certification clinics in Michigan and individuals who were employed in the past 6 months were included in the analytic sample (N = 362). Unadjusted and adjusted logistic regressions were estimated to examine factors associated with WUIC. Descriptive analyses examined WUIC by types of employment.

Results

WUIC was reported by 34% (n = 123) of employed medical cannabis patients. After adjusting for other factors, older age and having episodes of 6+ drinks were significantly associated with lower odds of WUIC. History of driving under the influence of cannabis, reporting three+ hours high on cannabis per day, and using 0.5 oz+ of cannabis per week were all significantly associated with higher odds of WUIC.

Discussion and Conclusions

Amongst individuals who use cannabis for pain and are in the workforce, WUIC is relatively common. This may be particularly concerning in jobs that are safety-sensitive. Prevention efforts for WUIC might focus on those who use cannabis several times per day and might consider how to balance the needs for pain management with workplace-related roles.

Scientific Significance

The current study extends knowledge around the prevalence and characteristics of individuals using medical cannabis who engage in WUIC.

Abstract Image

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在患有慢性疼痛的医用大麻患者中，在大麻的影响下工作。

背景和目标：在美国，大麻的使用正在增加，据报告，平均而言，医用大麻使用者使用大麻的频率高于娱乐性大麻使用者。目前的分析侧重于在医疗上使用大麻的慢性疼痛患者中在大麻影响下工作的流行情况及其相关关系。方法：从密歇根州的医用大麻认证诊所招募成年人，并将过去6个月内受雇的个人纳入分析样本（N = 362）。估计未调整和调整的逻辑回归来检查与WUIC相关的因素。描述性分析按就业类型检查WUIC。结果：34% （n = 123）的受雇医用大麻患者报告了WUIC。在对其他因素进行调整后，年龄较大和饮酒超过6次的人患WUIC的几率较低。在大麻影响下驾驶的历史，报告每天吸食大麻超过三个小时，以及每周使用0.5盎司以上的大麻，都与WUIC的高几率显著相关。讨论和结论：在劳动力中使用大麻止痛的个人中，WUIC相对常见。这在对安全敏感的工作中尤其值得关注。对WUIC的预防工作可能侧重于那些每天使用大麻几次的人，并可能考虑如何平衡疼痛管理的需求与工作场所相关的角色。科学意义：目前的研究扩展了对使用医用大麻从事WUIC的个人的患病率和特征的了解。

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

American Journal on Addictions SUBSTANCE ABUSE-

CiteScore

5.00

自引率

0.00%

发文量

118

期刊介绍： The American Journal on Addictions is the official journal of the American Academy of Addiction Psychiatry. The Academy encourages research on the etiology, prevention, identification, and treatment of substance abuse; thus, the journal provides a forum for the dissemination of information in the extensive field of addiction. Each issue of this publication covers a wide variety of topics ranging from codependence to genetics, epidemiology to dual diagnostics, etiology to neuroscience, and much more. Features of the journal, all written by experts in the field, include special overview articles, clinical or basic research papers, clinical updates, and book reviews within the area of addictions.