Correlates of Recreational and Medicinal Cannabis Use Among Non-Hispanic Black and Hispanic Men with Chronic Conditions.

IF 3.9 3区 医学 Q1 HEALTH POLICY & SERVICES
Benjamin N Montemayor, Ashley L Merianos, Caroline D Bergeron, Ledric D Sherman, Wura Jacobs, Sunghyun Chung, Arham Hassan, Matthew Lee Smith
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Abstract

Non-Hispanic Black and Hispanic men experience disproportionately high rates of chronic conditions and may use cannabis to manage symptoms. However, cannabis use patterns and correlates in these populations remain underexplored. This study assessed individual and health-related correlates of current (past 30-day) cannabis use among non-Hispanic Black and Hispanic men with chronic illness. Data were drawn from a national sample of 1,982 non-Hispanic Black and Hispanic men aged ≥ 40 with at least one chronic condition. Participants completed measures of cannabis use, health perceptions, and diagnoses of conditions commonly associated with medicinal cannabis use: chronic pain, depression/anxiety, arthritis/rheumatic disease, and cancer. Logistic regression analyses examined associations between cannabis use, chronic conditions, pain, and stress, adjusting for sociodemographics. Participants had a mean age of 56.6 (± 10) years; 58.2% were non-Hispanic Black, and 21.3% reported current cannabis use. Use was significantly more common among those with chronic pain, depression/anxiety, and arthritis (p < 0.001 for all). In adjusted models, greater pain (AOR = 1.11, 95% CI: 1.07-1.16, p < 0.001), higher stress (AOR = 1.06, 1.01-1.10, p < 0.05), and more chronic conditions (AOR = 1.23, 1.10-1.38, p < 0.001) were associated with increased odds of use. Among current users, those reporting both medicinal and recreational use used cannabis more frequently (p < 0.001). Cannabis use was higher among non-Hispanic Black and Hispanic men with chronic conditions who reported greater pain, stress, and poorer physical and mental health. Dual medicinal and recreational use may signal increased cannabis-related health risks. Routine communication and monitoring of cannabis use are recommended to mitigate potential harms.

慢性疾病非西班牙裔黑人和西班牙裔男性娱乐性和药用大麻使用的相关性
非西班牙裔黑人和西班牙裔男子患慢性病的比例高得不成比例,他们可能使用大麻来控制症状。然而,这些人群的大麻使用模式和相关因素仍未得到充分探索。本研究评估了患有慢性疾病的非西班牙裔黑人和西班牙裔男性目前(过去30天)使用大麻的个人和健康相关因素。数据来自1982名年龄≥40岁且至少有一种慢性疾病的非西班牙裔黑人和西班牙裔男性的全国样本。参与者完成了大麻使用、健康认知和通常与医用大麻使用相关的病症诊断的测量:慢性疼痛、抑郁/焦虑、关节炎/风湿病和癌症。逻辑回归分析检验了大麻使用、慢性疾病、疼痛和压力之间的关系,并根据社会人口统计学进行了调整。参与者的平均年龄为56.6(±10)岁;58.2%是非西班牙裔黑人,21.3%报告目前使用大麻。在慢性疼痛、抑郁/焦虑和关节炎患者中使用更为常见
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来源期刊
CiteScore
10.80
自引率
1.70%
发文量
113
期刊介绍: The Journal of Community Health is a peer-reviewed publication that offers original articles on research, teaching, and the practice of community health and public health. Coverage includes public health, epidemiology, preventive medicine, health promotion, disease prevention, environmental and occupational health, health policy and management, and health disparities. The Journal does not publish articles on clinical medicine. Serving as a forum for the exchange of ideas, the Journal features articles on research that serve the educational needs of public and community health personnel.
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