大麻用于管理那些使用未经监管的药物的人中的兴奋剂渴望
Hudson Reddon1, Maria Eugenia Socias1, Kora DeBeck2
1British Columbia Centre on Substance Use, Vancouver, BC V6Z 2A9, Canada; Department of Medicine, University of British Columbia, Vancouver, BC V6Z 1Y6, Canada.
Addictive behaviors
|September 25, 2023
概括
使用大麻来控制兴奋剂的渴望与减少兴奋剂的使用有关,在一项研究中,人们使用不受管制的药物. 这表明大麻可能是一个有效的减少伤害的策略,对于一些个人.
科学领域:
- 公共卫生 公共卫生
- 成 药物 药物 药物 药物
- 减少伤害 减少伤害
背景情况:
- 使用未经监管药物 (PWUD) 的结构性边缘化人士经常面临传统治疗的障碍.
- 兴奋剂使用障碍是一个重要的公共卫生问题,特别是在弱势群体中.
- 大麻越来越多地被视为一种潜在的减少危害的工具.
研究的目的:
- 分析使用大麻来控制兴奋剂渴望和自我报告的兴奋剂使用变化之间的关联.
- 调查大麻作为在使用未经监管药物的人群中减少危害的策略.
主要方法:
- 来自加拿大温哥华的横截面问卷数据的二次分析.
- 包括297个同时使用大麻和不受监管的兴奋剂的人.
- 后勤回归模型来评估大麻用于渴望和兴奋剂使用频率之间的关系.
主要成果:
- 45.1%的参与者报告使用大麻来控制兴奋剂的渴望.
- 77.6%的人使用大麻的渴望报告减少了兴奋剂的使用.
- 为了减轻嗜好而使用大麻显著与减少使用兴奋剂有关 (aOR=0.24,95%CI:0.10-0.56).
- 部分分析显示,每天使用水晶甲基胺的用户 (aOR=0.08) 的显着减少,但每天使用裂纹/可卡因的用户 (aOR=0.33) 没有显著减少.
结论:
- 使用大麻来控制兴奋剂的渴望是一种普遍的降低危害策略.
- 这一策略可能有效地减少PWUD的某些种群的兴奋剂使用.
- 需要进一步的研究来探索大麻作为减少危害的工具的细微差别.
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