scholarly journals Patterns of Marijuana Use and Health Impact: A Survey Among Older Coloradans

2019 ◽  
Vol 5 ◽  
pp. 233372141984370 ◽  
Author(s):  
Hillary D. Lum ◽  
Kanika Arora ◽  
J. Alton Croker ◽  
Sara H. Qualls ◽  
Melissa Schuchman ◽  
...  

Access to recreational and medical marijuana is common in the United States, particularly in states with legalized use. Here, we describe patterns of recreational and medical marijuana use and self-reported health among older persons using a geographically sampled survey in Colorado. The in-person or online survey was offered to community-dwelling older persons aged above 60 years. We assessed past-year marijuana use including recreational, medical, or both; methods of use; marijuana source; reasons for use; sociodemographic and health factors; and self-reported health. Of 274 respondents (mean age = 72.5 years, 65% women), 45% reported past-year marijuana use. Of these, 54% reported using marijuana both medically and recreationally. Using more than one marijuana method or preparation was common. Reasons for use included arthritis, chronic back pain, anxiety, and depression. Past-year marijuana users reported improved overall health, quality of life, day-to-day functioning, and improvement in pain. Odds of past-year marijuana use decreased with each additional year of age. The odds were lower among women and those with higher self-reported health status; odds of use were higher with past-year opioid use. Older persons with access to recreational and medical marijuana described concurrent use of medical and recreational marijuana, use of multiple preparations, and overall positive health impacts.

2012 ◽  
Vol 3 (3) ◽  
pp. 101-107 ◽  
Author(s):  
Carrie W. Miller

Marijuana is one of the most widely used recreational substances in the United States, with high rates of use during peak childbearing years. Medical marijuana use is also becoming more widely accepted in the United States, with legalization in 17 states and the District of Columbia. The available literature suggests that maternal marijuana use during breastfeeding is associated with potentially negative outcomes for infants and children. Adverse effects can include feeding difficulty, lethargy, and delayed cognitive and motor development. Mothers considered heavy or chronic users of marijuana are advised to not breastfeed infants. The aim of this article is to examine the prevalence of marijuana use, the potential effects on breastfed infants, and current recommendations from lactation experts.


2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Marco H. Benedetti ◽  
Li Li ◽  
Lucas M. Neuroth ◽  
Kayleigh D. Humphries ◽  
Ashley Brooks-Russell ◽  
...  

Abstract Objective Marijuana policies in the United States have become more permissive, motivating research on demographic and policy-based differences in behaviors and attitudes towards driving after marijuana use. The Traffic Safety Culture Index is an annual survey with national scope and multiple measures relevant to driving after marijuana use. We tabulated responses to questions about driving after marijuana use from the Traffic Safety Culture Index based on demographic factors, recreational and medical marijuana policies, and per-se marijuana laws. Results Male, younger, lower-income, and lower-education respondents self-reported driving after marijuana use more than their demographic counterparts, more often reported such behavior to be personally acceptable, and exhibited lower support per-se laws. Drivers in states that legalized medical marijuana self-reported driving after marijuana use slightly more than drivers in states where both medical and recreational were illegal. Support for per-se laws was higher among those in states that legalized recreational marijuana and in states with per-se laws. Demographic differences in our outcomes were consistent and cohesive. On the other hand, we found no predominant pattern suggesting that those in states with liberal marijuana policies were more tolerant of driving after marijuana use.


2020 ◽  
Vol 9 (4) ◽  
pp. 1166 ◽  
Author(s):  
Joshua D. Brown ◽  
Brianna Costales ◽  
Sascha van Boemmel-Wegmann ◽  
Amie J. Goodin ◽  
Richard Segal ◽  
...  

Use of medical marijuana is increasing in the United States and older adults are the fastest growing user group. There is little information about the characteristics and outcomes related to medical marijuana use. This study is a descriptive analysis of older adults (aged ≥50 years old) who were early adopters of a medical marijuana program in the U.S. state of Florida. Per state legislation, initial and follow-up treatment plans were submitted to the University of Florida College of Pharmacy. Data collection included demographics, clinical history, medical conditions, substance use history, prescription history, and health status. Follow-up treatment plans noted changes in the chief complaint and actions taken since the initial visit. Of the state’s 7548 registered users between August 2016 and July 2017, N = 4447 (58.9%) were older adults. Patients utilized cannabidiol (CBD)-only preparations (45%), preparations that had both tetrahydrocannabinol (THC) and CBD (33.3%) or were recorded to use both CBD-only and THC + CBD products (21.7%). The chief complaints indicating medical cannabis treatment were musculoskeletal disorders and spasms (48.4%) and chronic pain (45.4%). Among other prescription medications, patients utilized antidepressants (23.8%), anxiolytics and benzodiazepines (23.5%), opioids (28.6%), and cardiovascular agents (27.9%). Among all drug classes with potential sedating effects, 44.8% of the cohort were exposed to at least one. Patients with follow-up visits (27.5%) exhibited marked improvement as assessed by the authorizing physicians. However, the patient registry lacked detailed records and linkable information to other data resources to achieve complete follow up in order to assess safety or efficacy. Future improvements to registries are needed to more adequately capture patient information to fill knowledge gaps related to the safety and effectiveness of medical marijuana, particularly in the older adult population.


2020 ◽  
pp. 073346482094408
Author(s):  
Alison R. Huang ◽  
Jennifer A. Deal ◽  
George W. Rebok ◽  
Jayant M. Pinto ◽  
Linda Waite ◽  
...  

Hearing impairment impacts fluidity of communication and social interactions and thus may contribute to loneliness. We investigated the cross-sectional association between hearing impairment and loneliness in community-dwelling older U.S. adults using data from the National Social Life, Health, and Aging Project ( N = 3,196). Individuals reporting fair/poor hearing had 50% (95% confidence interval [CI] = [1.09–2.05]) higher odds of any loneliness compared with those reporting excellent hearing after adjusting for comorbidity index, functional and cognitive ability, self-reported health, and demographic characteristics. Test for trend suggests a dose–response relationship over levels of hearing impairment. Hearing impairment is highly prevalent and may be an important target for consideration in interventions to reduce loneliness. Further investigation of whether treatment of hearing impairment alleviates loneliness and its disabling effects is also needed.


Addiction ◽  
2018 ◽  
Vol 113 (6) ◽  
pp. 1003-1016 ◽  
Author(s):  
Aaron L. Sarvet ◽  
Melanie M. Wall ◽  
David S. Fink ◽  
Emily Greene ◽  
Aline Le ◽  
...  

2018 ◽  
Vol 186 ◽  
pp. 120-129 ◽  
Author(s):  
Beth Han ◽  
Wilson M. Compton ◽  
Carlos Blanco ◽  
Christopher M. Jones

2020 ◽  
Vol 8 ◽  
pp. 205031212093821 ◽  
Author(s):  
Leticia A. Shea ◽  
Micheline A. Goldwire ◽  
David Hymel ◽  
Doan Bui

Objectives: With one of the highest prevalence rates for marijuana use in the United States, Colorado provides a great opportunity for insight on common encounters with consumers in the community pharmacy setting. Currently, there is limited data on community pharmacists and their experiences with patients and marijuana. This study aims to identify the most common questions community pharmacists receive about marijuana, how comfortable they are in answering those questions, and to identify knowledge gaps regarding marijuana and pharmaceutical care. Methods: A cross-sectional study design was chosen to survey community pharmacists. A convenience sample of community pharmacists from the greater Denver metro area counties were surveyed about recreational and medical marijuana questions they receive from patients and consumers. Statistical methods included descriptive statistics, Chi-square, Kruskal–Wallis, and Mann–Whitney. Results: Of the 51 pharmacists who completed the survey, 20% received questions about medical marijuana daily or weekly, 57% monthly, and 22% never, while 16% received questions about recreational marijuana weekly, 41% monthly, and 43% never. In addition, 53% were comfortable answering questions about medical marijuana, while 41% were comfortable answering questions about recreational marijuana. The most common questions received were related to indications, uses, and efficacy (33%), followed by drug interactions (30%). Conclusion: The increased acceptance of marijuana by patients warrants pharmacists and other healthcare providers to be confident and familiar with its use. Our findings suggest that the majority of pharmacists are not asking about marijuana use/consumption, and this may be a gap in care. Studies support that other healthcare providers also exhibit hesitancy in initiating these conversations. Consumers are using marijuana products now, so increasing marijuana education for all healthcare professionals during both didactic education and continuing education will be key to ensuring patients have access to evidence-based care regarding the use of marijuana, rather than care based on belief, alone.


2021 ◽  
Vol 31 (1) ◽  
pp. 24-30
Author(s):  
Mir M. Ali ◽  
Chandler McClellan ◽  
Kristina D. West ◽  
Ryan Mutter

Author(s):  
Dana M. Litt ◽  
Jason R. Kilmer ◽  
Susan F. Tapert ◽  
Christine M. Lee

This chapter reviews the extant literature surrounding adolescent marijuana use and abuse. Other than alcohol, marijuana is the most prevalent psychoactive substance used by adolescents. While recent progress has been made in understanding and identifying risk and protective factors of adolescent marijuana use, as well as short and longer term outcomes of use, the field is still in its infancy. The present chapter aims to summarize the prevalence, etiology, trajectories of use, motivations and reasons for use, and the physical and psychological consequences of marijuana use in adolescence. Finally, this chapter highlights the need for future research given the changing landscape of marijuana decriminalization in the United States and beyond.


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