Associations between butane hash oil use and cannabis-related problems

•Cannabis users who had and had not used butane hash oil (BHO) were compared.•Cannabis users who used BHO showed more cannabis-related problems.•Effects were largest and most robust for symptoms of physiological dependence. High-potency cannabis concentrates are increasingly popular in the United St...

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Veröffentlicht in:Drug and alcohol dependence 2017-10, Vol.179, p.25-31
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description •Cannabis users who had and had not used butane hash oil (BHO) were compared.•Cannabis users who used BHO showed more cannabis-related problems.•Effects were largest and most robust for symptoms of physiological dependence. High-potency cannabis concentrates are increasingly popular in the United States, and there is concern that use of high-potency cannabis might increase risk for cannabis-related problems. However, little is known about the potential negative consequences of concentrate use. This study reports on associations between past-year use of a high-potency cannabis concentrate, known as butane hash oil (BHO), and cannabis-related problems. A sample of 821 college students were recruited to complete a survey about their health and behavior. Participants who had used cannabis in the past year (33%, n=273) completed questions about their cannabis use, including their use of BHO and cannabis-related problems in eight domains: physical dependence, impaired control, academic-occupational problems, social-interpersonal problems, self-care problems, self-perception, risk behavior, and blackouts. Approximately 44% (n=121) of past-year cannabis users had used BHO in the past year. More frequent BHO use was associated with higher levels of physical dependence (RR=1.8, p
doi_str_mv 10.1016/j.drugalcdep.2017.06.015
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High-potency cannabis concentrates are increasingly popular in the United States, and there is concern that use of high-potency cannabis might increase risk for cannabis-related problems. However, little is known about the potential negative consequences of concentrate use. This study reports on associations between past-year use of a high-potency cannabis concentrate, known as butane hash oil (BHO), and cannabis-related problems. A sample of 821 college students were recruited to complete a survey about their health and behavior. Participants who had used cannabis in the past year (33%, n=273) completed questions about their cannabis use, including their use of BHO and cannabis-related problems in eight domains: physical dependence, impaired control, academic-occupational problems, social-interpersonal problems, self-care problems, self-perception, risk behavior, and blackouts. Approximately 44% (n=121) of past-year cannabis users had used BHO in the past year. More frequent BHO use was associated with higher levels of physical dependence (RR=1.8, p&lt;0.001), impaired control (RR=1.3, p&lt;0.001), cannabis-related academic/occupational problems (RR=1.5, p=0.004), poor self-care (RR=1.3, p=0.002), and cannabis-related risk behavior (RR=1.2, p=0.001). After accounting for sociodemographic factors, age of onset of cannabis use, sensation seeking, overall frequency of cannabis use, and frequency of other substance use, BHO use was still associated with higher levels of physical dependence (RR=1.2, p=0.014). BHO use is associated with greater physiological dependence on cannabis, even after accounting for potential confounders. Longitudinal research is needed to determine if cannabis users with higher levels of physiological dependence seek out BHO and/or if BHO use increases risk for physiological dependence.</description><identifier>ISSN: 0376-8716</identifier><identifier>EISSN: 1879-0046</identifier><identifier>DOI: 10.1016/j.drugalcdep.2017.06.015</identifier><identifier>PMID: 28750253</identifier><language>eng</language><publisher>Ireland: Elsevier B.V</publisher><subject>Age of onset ; Blackouts ; Butane ; Butane hash oil ; Butanes - toxicity ; Cannabis ; Cannabis dependence ; College students ; Colleges &amp; universities ; Concentrate ; Dabs ; Drug abuse ; Drug use ; Health behavior ; Humans ; Impaired control ; Interpersonal problems ; Marijuana ; Marijuana Abuse - epidemiology ; Marijuana Abuse - psychology ; Oils ; Perceptions ; Petroleum ; Physiology ; Psychotic Disorders - epidemiology ; Risk behavior ; Risk perception ; Risk taking ; Sampling methods ; Self care ; Self Concept ; Sensation seeking ; Sociodemographics ; Substance abuse ; Substance use ; Substance-Related Disorders ; United States</subject><ispartof>Drug and alcohol dependence, 2017-10, Vol.179, p.25-31</ispartof><rights>2017 Elsevier B.V.</rights><rights>Copyright © 2017 Elsevier B.V. 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High-potency cannabis concentrates are increasingly popular in the United States, and there is concern that use of high-potency cannabis might increase risk for cannabis-related problems. However, little is known about the potential negative consequences of concentrate use. This study reports on associations between past-year use of a high-potency cannabis concentrate, known as butane hash oil (BHO), and cannabis-related problems. A sample of 821 college students were recruited to complete a survey about their health and behavior. Participants who had used cannabis in the past year (33%, n=273) completed questions about their cannabis use, including their use of BHO and cannabis-related problems in eight domains: physical dependence, impaired control, academic-occupational problems, social-interpersonal problems, self-care problems, self-perception, risk behavior, and blackouts. Approximately 44% (n=121) of past-year cannabis users had used BHO in the past year. More frequent BHO use was associated with higher levels of physical dependence (RR=1.8, p&lt;0.001), impaired control (RR=1.3, p&lt;0.001), cannabis-related academic/occupational problems (RR=1.5, p=0.004), poor self-care (RR=1.3, p=0.002), and cannabis-related risk behavior (RR=1.2, p=0.001). After accounting for sociodemographic factors, age of onset of cannabis use, sensation seeking, overall frequency of cannabis use, and frequency of other substance use, BHO use was still associated with higher levels of physical dependence (RR=1.2, p=0.014). BHO use is associated with greater physiological dependence on cannabis, even after accounting for potential confounders. Longitudinal research is needed to determine if cannabis users with higher levels of physiological dependence seek out BHO and/or if BHO use increases risk for physiological dependence.</description><subject>Age of onset</subject><subject>Blackouts</subject><subject>Butane</subject><subject>Butane hash oil</subject><subject>Butanes - toxicity</subject><subject>Cannabis</subject><subject>Cannabis dependence</subject><subject>College students</subject><subject>Colleges &amp; universities</subject><subject>Concentrate</subject><subject>Dabs</subject><subject>Drug abuse</subject><subject>Drug use</subject><subject>Health behavior</subject><subject>Humans</subject><subject>Impaired control</subject><subject>Interpersonal problems</subject><subject>Marijuana</subject><subject>Marijuana Abuse - epidemiology</subject><subject>Marijuana Abuse - psychology</subject><subject>Oils</subject><subject>Perceptions</subject><subject>Petroleum</subject><subject>Physiology</subject><subject>Psychotic Disorders - epidemiology</subject><subject>Risk behavior</subject><subject>Risk perception</subject><subject>Risk taking</subject><subject>Sampling methods</subject><subject>Self care</subject><subject>Self Concept</subject><subject>Sensation seeking</subject><subject>Sociodemographics</subject><subject>Substance abuse</subject><subject>Substance use</subject><subject>Substance-Related Disorders</subject><subject>United States</subject><issn>0376-8716</issn><issn>1879-0046</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqFkE1LJDEQhoOs6PjxFyTgZS_dVpLuSvdRZf0AwYueQzqp0Qw93WPSveK_38ioC17MpSA8Ve_LwxgXUAoQeLYqfZyfbO88bUoJQpeAJYh6hy1Eo9sCoMJfbAFKY9FogfvsIKUV5Ict7LF92egaZK0W7Oo8pdEFO4VxSLyj6ZVo4N082YH4s03PfAw9nxNxO3ju7DDYLqQiUm8n8nwTx66ndTpiu0vbJzr-mIfs8erPw-VNcXd_fXt5fle4CuRUoKu1VYBS5ma11djVS71sZGO1kq4ViBpapSU2CtHZzgvUnrTVTYf5E9Qh-729m4NfZkqTWYfkqO9z3XFORrSyQlBtpTN6-g1djXMccrtMoaqU0CAz1WwpF8eUIi3NJoa1jW9GgHl3bVbmv2vz7toAmuw6r558BMzdmvzX4qfcDFxsAcpG_gaKJrlAgyMfIrnJ-DH8nPIP_2uSzg</recordid><startdate>20171001</startdate><enddate>20171001</enddate><creator>Meier, Madeline H.</creator><general>Elsevier B.V</general><general>Elsevier Science Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>20171001</creationdate><title>Associations between butane hash oil use and cannabis-related problems</title><author>Meier, Madeline H.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c402t-6c57a306223765a76b5f7f828a732c916670937268366cabd167de7a78b626803</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Age of onset</topic><topic>Blackouts</topic><topic>Butane</topic><topic>Butane hash oil</topic><topic>Butanes - toxicity</topic><topic>Cannabis</topic><topic>Cannabis dependence</topic><topic>College students</topic><topic>Colleges &amp; universities</topic><topic>Concentrate</topic><topic>Dabs</topic><topic>Drug abuse</topic><topic>Drug use</topic><topic>Health behavior</topic><topic>Humans</topic><topic>Impaired control</topic><topic>Interpersonal problems</topic><topic>Marijuana</topic><topic>Marijuana Abuse - epidemiology</topic><topic>Marijuana Abuse - psychology</topic><topic>Oils</topic><topic>Perceptions</topic><topic>Petroleum</topic><topic>Physiology</topic><topic>Psychotic Disorders - epidemiology</topic><topic>Risk behavior</topic><topic>Risk perception</topic><topic>Risk taking</topic><topic>Sampling methods</topic><topic>Self care</topic><topic>Self Concept</topic><topic>Sensation seeking</topic><topic>Sociodemographics</topic><topic>Substance abuse</topic><topic>Substance use</topic><topic>Substance-Related Disorders</topic><topic>United States</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Meier, Madeline H.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index &amp; Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Drug and alcohol dependence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Meier, Madeline H.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Associations between butane hash oil use and cannabis-related problems</atitle><jtitle>Drug and alcohol dependence</jtitle><addtitle>Drug Alcohol Depend</addtitle><date>2017-10-01</date><risdate>2017</risdate><volume>179</volume><spage>25</spage><epage>31</epage><pages>25-31</pages><issn>0376-8716</issn><eissn>1879-0046</eissn><abstract>•Cannabis users who had and had not used butane hash oil (BHO) were compared.•Cannabis users who used BHO showed more cannabis-related problems.•Effects were largest and most robust for symptoms of physiological dependence. High-potency cannabis concentrates are increasingly popular in the United States, and there is concern that use of high-potency cannabis might increase risk for cannabis-related problems. However, little is known about the potential negative consequences of concentrate use. This study reports on associations between past-year use of a high-potency cannabis concentrate, known as butane hash oil (BHO), and cannabis-related problems. A sample of 821 college students were recruited to complete a survey about their health and behavior. Participants who had used cannabis in the past year (33%, n=273) completed questions about their cannabis use, including their use of BHO and cannabis-related problems in eight domains: physical dependence, impaired control, academic-occupational problems, social-interpersonal problems, self-care problems, self-perception, risk behavior, and blackouts. Approximately 44% (n=121) of past-year cannabis users had used BHO in the past year. More frequent BHO use was associated with higher levels of physical dependence (RR=1.8, p&lt;0.001), impaired control (RR=1.3, p&lt;0.001), cannabis-related academic/occupational problems (RR=1.5, p=0.004), poor self-care (RR=1.3, p=0.002), and cannabis-related risk behavior (RR=1.2, p=0.001). After accounting for sociodemographic factors, age of onset of cannabis use, sensation seeking, overall frequency of cannabis use, and frequency of other substance use, BHO use was still associated with higher levels of physical dependence (RR=1.2, p=0.014). BHO use is associated with greater physiological dependence on cannabis, even after accounting for potential confounders. Longitudinal research is needed to determine if cannabis users with higher levels of physiological dependence seek out BHO and/or if BHO use increases risk for physiological dependence.</abstract><cop>Ireland</cop><pub>Elsevier B.V</pub><pmid>28750253</pmid><doi>10.1016/j.drugalcdep.2017.06.015</doi><tpages>7</tpages></addata></record>
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source MEDLINE; Applied Social Sciences Index & Abstracts (ASSIA); ScienceDirect Journals (5 years ago - present)
subjects Age of onset
Blackouts
Butane
Butane hash oil
Butanes - toxicity
Cannabis
Cannabis dependence
College students
Colleges & universities
Concentrate
Dabs
Drug abuse
Drug use
Health behavior
Humans
Impaired control
Interpersonal problems
Marijuana
Marijuana Abuse - epidemiology
Marijuana Abuse - psychology
Oils
Perceptions
Petroleum
Physiology
Psychotic Disorders - epidemiology
Risk behavior
Risk perception
Risk taking
Sampling methods
Self care
Self Concept
Sensation seeking
Sociodemographics
Substance abuse
Substance use
Substance-Related Disorders
United States
title Associations between butane hash oil use and cannabis-related problems
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