在加拿大非医疗大麻合法化后,大麻引起的住院病例的变化
Daniel T Myran1,2,3,4, Adrienne Gaudreault2, Lauren Konikoff2
1Bruyère Research Institute, Ottawa, Ontario, Canada.
JAMA network open
|October 5, 2023
概括
大麻合法化和限制并没有增加住院病例,但商业化确实有所增加,特别是在大麻引起的精神病方面. 这突显了与增加大麻产品获取相关的潜在健康风险.
科学领域:
- 公共卫生 公共卫生
- 大麻研究 大麻研究
- 医疗保健服务研究 医疗服务研究
背景情况:
- 成人使用大麻合法化和商业化对加拿大的住院治疗的影响仍然不清楚.
- 了解这些影响对于公共卫生政策和患者护理至关重要.
研究的目的:
- 分析加拿大大麻合法化后,大麻相关住院病例的变化.
- 为了比较加拿大不同省份的住院趋势.
主要方法:
- 在加拿大人口最多的四个省份 (2015-2021) 进行一次重复的急性住院病例的横截面分析.
- 间断时间序列设计比较法制化前,法制化与限制,以及商业化时期.
- 数据分析了每10万个人和每1000名因各种原因而入院的年龄和性别标准化率.
主要成果:
- 从2015年到2021年,大麻总体住院病例增加了1.62倍.
- 大麻诱导的精神病在商业化期间出现了最大的相对增加.
- 有限制的合法化与逐渐减少有关,而商业化 (与COVID-19重叠) 显示住院病例的立即增加.
结论:
- 大麻商业化,而不是最初的合法化,与住院病例的增加有关.
- 研究结果表明,商业化可能会加剧大麻相关的健康危害,包括精神病.
- 省级差异表明市场成熟度影响住院趋势.
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