大麻使用:在患有先天性心脏病的成年人中是一种新的风险行为
Barbara Bailey1, Michelle A Dimas2, Erwin Oechslin1
1Toronto Adult Congenital Heart Disease Program, Division of Cardiology, Peter Munk Cardiac Centre, University Health Network, and University of Toronto, Toronto, Ontario, Canada.
CJC pediatric and congenital heart disease
|January 11, 2024
概括
一项研究发现,加拿大21%的成年先天性心脏病患者使用大麻,通常用于娱乐或焦虑. 这凸显了临床医生需要评估大麻使用与其他风险行为在这个人群.
科学领域:
- 心脏病学 心脏病学
- 公共卫生 公共卫生
- 大麻研究 大麻研究
背景情况:
- 在加拿大,大麻的使用量正在增加.
- 大麻使用与不良心血管事件有关.
- 了解大麻在患有先天性心脏病 (ACHD) 的成年人中的使用是非常重要的,因为增加了可访问性.
研究的目的:
- 调查成人先天性心脏病患者中大麻使用的流行率和模式.
- 在这个人群中识别与大麻使用相关的特征和动机.
主要方法:
- 从2018年5月到9月进行了一项横截面调查.
- 这项研究包括252名在四级护理中心的成人先天性心脏病患者.
- 收集的数据包括人口统计,物质使用 (大麻,烟草,酒精) 以及大麻消费的原因.
主要成果:
- 21%的患者 (53分之252) 报告使用大麻.
- 大麻使用者更有可能是男性,年龄在25-39岁之间,以及烟草和酒精的共同使用者.
- 常见的使用原因包括娱乐 (55%),焦虑 (42%),抑郁 (28%) 和疼痛管理 (8%).
- 与非使用者相比,大麻使用者开始吸烟的年龄较早.
结论:
- 相当一部分ACHD患者使用大麻,通常与其他物质一起使用.
- 在ACHD患者中使用大麻可能表明不太理想的健康行为,需要进行心血管风险评估.
- 临床医生应将大麻使用评估纳入日常护理,并提供患者/护理人员教育,特别是在合法化后.
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