Authors of a new study in Journal of the American Medical Association (JAMA) that looked at survey responses from more than 175,000 people say the typical medical\u2013recreational binary may not adequately capture how people say they use marijuana, noting that \u201cwhile most patients (76.1%) reported using cannabis to manage a health symptom, very few patients identified as medical cannabis users.\u201d<\/p>\n
Among people who used marijuana, for instance, 15.6 percent said their use was for strictly medical reasons, while less than a third (31.1 percent) said their use was for both nonmedical and<\/em> medical purposes. But more than three quarters of users \u201creported using cannabis to manage a range of symptoms\u201d like pain, stress and sleep issues, the study found.<\/p>\n \u201cLess than half the patients who used cannabis reported using it for medical reasons, even though the majority of patients reported cannabis use to manage a health-related symptom,\u201d authors wrote. \u201cGiven these discrepant findings, it may be more useful for clinicians to ask patients what symptoms they are using cannabis for rather than relying on patient self-identification as a recreational or medical cannabis user.\u201d<\/p>\n \u201cThis aligns with another study that found that this type of cannabis use is clinically underrecognized,\u201d they added, \u201cand without specifically screening for medical cannabis use, clinicians may not ask and patients often do not disclose their use.\u201d<\/p>\n \u201cWhile a minority of patients reported using cannabis for strictly medical reasons, most of those who reported cannabis use reported using it to manage a specific health symptom.\u201d<\/p>\n<\/blockquote>\n The University of California, Los Angeles-based research team looked at records from \u201ca large, university-based [healthcare] system in Los Angeles, California, and encompasses a geographically diverse area\u201d that surveyed its patients during annual wellness visits between January 2021 and May 2023. Of the 175,734 patients screened, 25,278 (17.0 percent) reported using marijuana.<\/p>\n \u201cAs one of the first health systems to routinely ask about reasons for cannabis use, including health symptoms managed with cannabis,\u201d the report says, \u201cwe provide a crucial point-of-care opportunity for clinicians to understand their patients\u2019 risk for CUD [cannabis use disorder] given the association between reasons for cannabis use and the risk of disordered use.\u201d<\/p>\n Notably, the study concluded that among self-reported marijuana users, more than a third were at moderate to high risk for cannabis use disorder\u2014about 5.8 percent of all patients surveyed.<\/p>\n Of the 17.0 percent of those who said they used marijuana, just over a third 34.7 percent, \u201chad results indicative of moderate to high risk for cannabis use disorder,\u201d the report says.<\/p>\n Risk for CUD was measured through a World Health Organization screening called the Alcohol Substance Involvement Screening Test (ASSIST), which was modified by the National Institute of Drug Abuse. Authors of the study further modified the scoring algorithm in \u201cconsultation with the ASSIST developers and motivated by a desire to identify patients who were not just frequent users of cannabis but also experiencing health or social consequences as a result of their cannabis use.\u201d Scoring thresholds for low and moderate risk were increased to reflect that goal; specifically, \u201clow risk for CUD was defined as a score of 7 or less (compared with \u22643 in the original scoring algorithm)\u201d and \u201cmoderate risk for CUD was defined as a score of 8 to 26 (compared with 4\u201326 in the original scoring algorithm).\u201d<\/p>\n \u201cThe data from this study show that the prevalence of cannabis use and the risk of disordered use were highest among male patients and younger adults,\u201d the study found. \u201cComparable with findings from a recent study, more than a third of patients were at moderate to high risk for CUD (5.8% of the overall sample). This group could benefit from a primary care clinician-based brief intervention to prevent those at moderate risk for cannabis use disorders from developing more serious CUD and to evaluate and refer high-risk users for possible addiction treatment.\u201d<\/p>\n Clinicians should also \u201ctake note that if patients are using cannabis for 4 or more symptoms they might be more likely to be at risk of CUD,\u201d authors wrote, adding, \u201cDespite the commonplace use of cannabis to manage these symptoms, there is little evidence to guide clinicians on how to advise their patients regarding the benefits of cannabis for alleviating these symptoms.\u201d<\/p>\n \u201cMost patients reported that they used cannabis to manage symptoms including stress and pain.\u201d<\/p>\n<\/blockquote>\n \u201cInterestingly,\u201d they continued, \u201cwhile the prevalence of cannabis use was lowest among patients living in the most disadvantaged neighborhoods, risk for CUD was higher among this group. The influence of neighborhood on health outcomes has been well established; however, the influence of neighborhood on substance use and especially cannabis use is limited or conflicting.\u201d<\/p>\n The study cautions, however, that its sample\u2019s \u201cunderrepresentation of patients from the most disadvantaged neighborhoods prevents drawing strong conclusions on the specific links with risk of CUD.\u201d<\/p>\n Overall, in light of \u201cthe high rates of cannabis use and medical cannabis use that we found in this large urban health care system, it is essential that health care system implement routine screening of all primary care patients,\u201d the report<\/a>, published on Wednesday in JAMA Network Open, advises. \u201cIntegrating screening efforts to include information regarding cannabis use for symptom management could help enhance the identification and documentation of medical cannabis usage, particularly in the health care context.\u201d<\/p>\n \u201cWhile 4,375 patients who reported using cannabis (15.6%) did so for medical reasons only, 21,986 patients (75.7%) reported using cannabis to manage symptoms including pain (9,196 [31.7%]), stress (14,542 [50.2%]), and sleep (16,221 [56.0%]).\u201d<\/p>\n<\/blockquote>\n At the state level, most laws still draw a bright line between medical and nonmedical use, with laws commonly requiring a doctor\u2019s recommendation and registration as a medical marijuana patient before someone can access medical cannabis. But in some jurisdictions, that\u2019s slowly changing.<\/p>\n In Delaware, for example, the governor this year signed into law a bill that would significantly expand the state\u2019s medical marijuana program<\/a>, including allowing patients over the age of 65 to self-certify for medical cannabis access without the need for a doctor\u2019s recommendation and by removing the list of specific qualifying conditions that patients need to have to gain legal access to the program.<\/p>\n The newly published findings follow a JAMA-published report in April that said there\u2019s no evidence that states\u2019 adoption of laws to legalize and regulate marijuana for adults have led to an increase in youth use of cannabis. That research indicated states\u2019 adoption of recreational marijuana laws (RMLs) had no association with the prevalence of youth cannabis consumption<\/a>.<\/p>\n \u201cIn this repeated cross-sectional study, there was no evidence that RMLs were associated with encouraging youth marijuana use,\u201d it said. \u201cAfter legalization, there was no evidence of an increase in marijuana use.\u201d<\/p>\n Another JAMA-published study earlier that month that found that neither legalization nor the opening of retail stores led to increases in youth cannabis use<\/a>. That study, published in the journal JAMA Pediatrics, concluded that the reforms were actually associated with more young people reporting\u00a0not<\/em>\u00a0using marijuana, along with increases in those who say they don\u2019t use alcohol or vape products either.<\/p>\n In March, meanwhile, JAMA published findings that teen use of delta-8 THC, a psychoactive cannabinoid commonly derived from hemp, was higher in states where marijuana was illegal. In states where marijuana remains prohibited, 14 percent of high-school seniors said they had used a delta-8 product in the past year<\/a>, the federally funded research found. Where marijuana was legal, that figure was 7 percent.<\/p>\n Along with the study, JAMA published an editorial about the new findings meant to \u201cassist health professionals in advocating for stronger regulatory oversight of cannabis products.\u201d<\/p>\n In January, separate research appeared in JAMA concluding that safe drug consumption sites \u201csave lives\u201d by reducing risky behaviors and overdose deaths<\/a>.<\/p>\n Marijuana Terpenes Are \u2018As Effective As Morphine\u2019 For Pain Relief And Have Fewer Side Effects, New Study Finds<\/a><\/p>\n<\/blockquote>\n\n The post Most Consumers Use Marijuana To Treat Health Issues, But Very Few Call It \u2018Medical,\u2019 AMA Study Finds<\/a> appeared first on Marijuana Moment<\/a>.<\/p>\n
Authors of a new study in Journal of the American Medical Association (JAMA) that looked at survey responses from more than 175,000 people say the typical medical\u2013recreational binary may not adequately capture how people say they use marijuana, noting that \u201cwhile most patients (76.1%) reported using cannabis to manage aContinue Reading<\/a><\/span><\/p>\n","protected":false},"author":24,"featured_media":0,"comment_status":"false","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[18,15462],"tags":[],"_links":{"self":[{"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/posts\/75976"}],"collection":[{"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/comments?post=75976"}],"version-history":[{"count":1,"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/posts\/75976\/revisions"}],"predecessor-version":[{"id":75977,"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/posts\/75976\/revisions\/75977"}],"wp:attachment":[{"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/media?parent=75976"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/categories?post=75976"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cannabiscultivatornews.com\/home\/index.php\/wp-json\/wp\/v2\/tags?post=75976"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}\n
\n
\n
\n
\n
\nRead More: Most Consumers Use Marijuana To Treat Health Issues, But Very Few Call It \u2018Medical,\u2019 AMA Study Finds<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"