Patterns of Marijuana Use Among Patients With HIV/AIDS Followed in a Public Health Care Setting
OBJECTIVESTo examine prevalence and patterns of smoked marijuana and perceived benefit and to assess demographic and clinical factors associated with marijuana use among HIV patients in a public health care setting. METHODSParticipants (n = 252) were recruited via consecutive sampling in public heal...
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| Veröffentlicht in: | Journal of acquired immune deficiency syndromes (1999) 2004-01, Vol.35 (1), p.38-45 |
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| container_title | Journal of acquired immune deficiency syndromes (1999) |
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| creator | Prentiss, Diane Power, Rachel Balmas, Gladys Tzuang, Gloria Israelski, Dennis M |
| description | OBJECTIVESTo examine prevalence and patterns of smoked marijuana and perceived benefit and to assess demographic and clinical factors associated with marijuana use among HIV patients in a public health care setting.
METHODSParticipants (n = 252) were recruited via consecutive sampling in public health care clinics. Structured interviews assessed patterns of recent marijuana use, including its perceived benefit for symptom relief. Associations between marijuana use and demographic and clinical variables were examined using univariate and multivariate regression analyses.
RESULTSOverall prevalence of smoked marijuana in the previous month was 23%. Reported benefits included relief of anxiety and/or depression (57%), improved appetite (53%), increased pleasure (33%), and relief of pain (28%). Recent use of marijuana was positively associated with severe nausea (odds ratio [OR] = 4.0, P = 0.004) and recent use of alcohol (OR = 7.5, P < 0.001) and negatively associated with being Latino (OR = 0.07, P < 0.001). No associations between marijuana use and pain symptoms were observed.
CONCLUSIONSThe findings suggest that providers be advised to assess routinely and better understand patients' “indications” for self-administration of cannabis. Given the estimated prevalence, more formal characterization of the patterns and impact of cannabis use to alleviate HIV-associated symptoms is warranted. Clinical trials of smoked and noncombustible marijuana are needed to determine the role of cannabinoids as a class of agents with potential to improve quality of life and health care outcomes among patients with HIV/AIDS. |
| doi_str_mv | 10.1097/00126334-200401010-00005 |
| format | Article |
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METHODSParticipants (n = 252) were recruited via consecutive sampling in public health care clinics. Structured interviews assessed patterns of recent marijuana use, including its perceived benefit for symptom relief. Associations between marijuana use and demographic and clinical variables were examined using univariate and multivariate regression analyses.
RESULTSOverall prevalence of smoked marijuana in the previous month was 23%. Reported benefits included relief of anxiety and/or depression (57%), improved appetite (53%), increased pleasure (33%), and relief of pain (28%). Recent use of marijuana was positively associated with severe nausea (odds ratio [OR] = 4.0, P = 0.004) and recent use of alcohol (OR = 7.5, P < 0.001) and negatively associated with being Latino (OR = 0.07, P < 0.001). No associations between marijuana use and pain symptoms were observed.
CONCLUSIONSThe findings suggest that providers be advised to assess routinely and better understand patients' “indications” for self-administration of cannabis. Given the estimated prevalence, more formal characterization of the patterns and impact of cannabis use to alleviate HIV-associated symptoms is warranted. Clinical trials of smoked and noncombustible marijuana are needed to determine the role of cannabinoids as a class of agents with potential to improve quality of life and health care outcomes among patients with HIV/AIDS.</description><identifier>ISSN: 1525-4135</identifier><identifier>EISSN: 1944-7884</identifier><identifier>DOI: 10.1097/00126334-200401010-00005</identifier><identifier>PMID: 14707790</identifier><identifier>CODEN: JDSRET</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Acquired immune deficiency syndrome ; Acquired Immunodeficiency Syndrome - complications ; Acquired Immunodeficiency Syndrome - epidemiology ; Adult ; AIDS ; Alcohol Drinking - epidemiology ; Biological and medical sciences ; Cannabis ; Community Health Centers ; Comorbidity ; Drug use ; Ethnic Groups ; Female ; Fundamental and applied biological sciences. Psychology ; HIV ; Human immunodeficiency virus ; Human viral diseases ; Humans ; Infectious diseases ; Male ; Marijuana ; Marijuana Smoking - adverse effects ; Marijuana Smoking - epidemiology ; Medical sciences ; Mental Disorders - complications ; Mental Disorders - epidemiology ; Microbiology ; Middle Aged ; Miscellaneous ; Nausea - chemically induced ; Pain - complications ; Pain - epidemiology ; Patients ; Prevalence ; Substance-Related Disorders - epidemiology ; Viral diseases ; Viral diseases of the lymphoid tissue and the blood. Aids ; Virology</subject><ispartof>Journal of acquired immune deficiency syndromes (1999), 2004-01, Vol.35 (1), p.38-45</ispartof><rights>2004 Lippincott Williams & Wilkins, Inc.</rights><rights>2004 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Jan 1, 2004</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4945-b4b021b7809e47e76010b42a819ba708561af56290678ab94ff05810cd00412c3</citedby><cites>FETCH-LOGICAL-c4945-b4b021b7809e47e76010b42a819ba708561af56290678ab94ff05810cd00412c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttp://ovidsp.ovid.com/ovidweb.cgi?T=JS&NEWS=n&CSC=Y&PAGE=fulltext&D=ovft&AN=00126334-200401010-00005$$EHTML$$P50$$Gwolterskluwer$$H</linktohtml><link.rule.ids>314,776,780,4010,4595,27900,27901,27902,65206</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15560498$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14707790$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Prentiss, Diane</creatorcontrib><creatorcontrib>Power, Rachel</creatorcontrib><creatorcontrib>Balmas, Gladys</creatorcontrib><creatorcontrib>Tzuang, Gloria</creatorcontrib><creatorcontrib>Israelski, Dennis M</creatorcontrib><title>Patterns of Marijuana Use Among Patients With HIV/AIDS Followed in a Public Health Care Setting</title><title>Journal of acquired immune deficiency syndromes (1999)</title><addtitle>J Acquir Immune Defic Syndr</addtitle><description>OBJECTIVESTo examine prevalence and patterns of smoked marijuana and perceived benefit and to assess demographic and clinical factors associated with marijuana use among HIV patients in a public health care setting.
METHODSParticipants (n = 252) were recruited via consecutive sampling in public health care clinics. Structured interviews assessed patterns of recent marijuana use, including its perceived benefit for symptom relief. Associations between marijuana use and demographic and clinical variables were examined using univariate and multivariate regression analyses.
RESULTSOverall prevalence of smoked marijuana in the previous month was 23%. Reported benefits included relief of anxiety and/or depression (57%), improved appetite (53%), increased pleasure (33%), and relief of pain (28%). Recent use of marijuana was positively associated with severe nausea (odds ratio [OR] = 4.0, P = 0.004) and recent use of alcohol (OR = 7.5, P < 0.001) and negatively associated with being Latino (OR = 0.07, P < 0.001). No associations between marijuana use and pain symptoms were observed.
CONCLUSIONSThe findings suggest that providers be advised to assess routinely and better understand patients' “indications” for self-administration of cannabis. Given the estimated prevalence, more formal characterization of the patterns and impact of cannabis use to alleviate HIV-associated symptoms is warranted. Clinical trials of smoked and noncombustible marijuana are needed to determine the role of cannabinoids as a class of agents with potential to improve quality of life and health care outcomes among patients with HIV/AIDS.</description><subject>Acquired immune deficiency syndrome</subject><subject>Acquired Immunodeficiency Syndrome - complications</subject><subject>Acquired Immunodeficiency Syndrome - epidemiology</subject><subject>Adult</subject><subject>AIDS</subject><subject>Alcohol Drinking - epidemiology</subject><subject>Biological and medical sciences</subject><subject>Cannabis</subject><subject>Community Health Centers</subject><subject>Comorbidity</subject><subject>Drug use</subject><subject>Ethnic Groups</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>HIV</subject><subject>Human immunodeficiency virus</subject><subject>Human viral diseases</subject><subject>Humans</subject><subject>Infectious diseases</subject><subject>Male</subject><subject>Marijuana</subject><subject>Marijuana Smoking - adverse effects</subject><subject>Marijuana Smoking - epidemiology</subject><subject>Medical sciences</subject><subject>Mental Disorders - complications</subject><subject>Mental Disorders - epidemiology</subject><subject>Microbiology</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Nausea - chemically induced</subject><subject>Pain - complications</subject><subject>Pain - epidemiology</subject><subject>Patients</subject><subject>Prevalence</subject><subject>Substance-Related Disorders - epidemiology</subject><subject>Viral diseases</subject><subject>Viral diseases of the lymphoid tissue and the blood. Aids</subject><subject>Virology</subject><issn>1525-4135</issn><issn>1944-7884</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kl9rHCEUxaW0NGnar1Ck0L5No8713-OybbILCQkkaR_FmXUSt64mOsPSbx-b3SZQqD4o3N-5eM8RIUzJV0q0PCaEMtG20DBCgNC6G1IXf4UOqQZopFLwut454w3Qlh-gd6Wsq0oA6LfogIIkUmpyiMylHUeXY8FpwOc2-_Vko8U3xeHZJsVbXOvexbHgn368w4vlj-PZ8tsVPkkhpK1bYR-xxZdTF3yPF86GCs1tdvjKjaOPt-_Rm8GG4j7szyN0c_L9er5ozi5Ol_PZWdODBt500BFGO6mIdiCdFHWkDphVVHdWEsUFtQMXTBMhle00DAPhipJ-VQ2grG-P0Jdd3_ucHiZXRrPxpXch2OjSVAzVjEOraAU__QOu05RjfZthbStAC5AVUjuoz6mU7AZzn_3G5t-GEvMnAfM3AfOcgHlKoEo_7vtP3catXoR7yyvweQ_Y0tswZBt7X144zgUBrSoHO26bQk2o_ArT1mVz9-Sx-d8PaB8BQpOZaQ</recordid><startdate>20040101</startdate><enddate>20040101</enddate><creator>Prentiss, Diane</creator><creator>Power, Rachel</creator><creator>Balmas, Gladys</creator><creator>Tzuang, Gloria</creator><creator>Israelski, Dennis M</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><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>7T2</scope><scope>7T5</scope><scope>7TK</scope><scope>7U7</scope><scope>7U9</scope><scope>C1K</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>20040101</creationdate><title>Patterns of Marijuana Use Among Patients With HIV/AIDS Followed in a Public Health Care Setting</title><author>Prentiss, Diane ; Power, Rachel ; Balmas, Gladys ; Tzuang, Gloria ; Israelski, Dennis M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4945-b4b021b7809e47e76010b42a819ba708561af56290678ab94ff05810cd00412c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Acquired immune deficiency syndrome</topic><topic>Acquired Immunodeficiency Syndrome - complications</topic><topic>Acquired Immunodeficiency Syndrome - epidemiology</topic><topic>Adult</topic><topic>AIDS</topic><topic>Alcohol Drinking - epidemiology</topic><topic>Biological and medical sciences</topic><topic>Cannabis</topic><topic>Community Health Centers</topic><topic>Comorbidity</topic><topic>Drug use</topic><topic>Ethnic Groups</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>HIV</topic><topic>Human immunodeficiency virus</topic><topic>Human viral diseases</topic><topic>Humans</topic><topic>Infectious diseases</topic><topic>Male</topic><topic>Marijuana</topic><topic>Marijuana Smoking - adverse effects</topic><topic>Marijuana Smoking - epidemiology</topic><topic>Medical sciences</topic><topic>Mental Disorders - complications</topic><topic>Mental Disorders - epidemiology</topic><topic>Microbiology</topic><topic>Middle Aged</topic><topic>Miscellaneous</topic><topic>Nausea - chemically induced</topic><topic>Pain - complications</topic><topic>Pain - epidemiology</topic><topic>Patients</topic><topic>Prevalence</topic><topic>Substance-Related Disorders - epidemiology</topic><topic>Viral diseases</topic><topic>Viral diseases of the lymphoid tissue and the blood. Aids</topic><topic>Virology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Prentiss, Diane</creatorcontrib><creatorcontrib>Power, Rachel</creatorcontrib><creatorcontrib>Balmas, Gladys</creatorcontrib><creatorcontrib>Tzuang, Gloria</creatorcontrib><creatorcontrib>Israelski, Dennis M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Prentiss, Diane</au><au>Power, Rachel</au><au>Balmas, Gladys</au><au>Tzuang, Gloria</au><au>Israelski, Dennis M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Patterns of Marijuana Use Among Patients With HIV/AIDS Followed in a Public Health Care Setting</atitle><jtitle>Journal of acquired immune deficiency syndromes (1999)</jtitle><addtitle>J Acquir Immune Defic Syndr</addtitle><date>2004-01-01</date><risdate>2004</risdate><volume>35</volume><issue>1</issue><spage>38</spage><epage>45</epage><pages>38-45</pages><issn>1525-4135</issn><eissn>1944-7884</eissn><coden>JDSRET</coden><abstract>OBJECTIVESTo examine prevalence and patterns of smoked marijuana and perceived benefit and to assess demographic and clinical factors associated with marijuana use among HIV patients in a public health care setting.
METHODSParticipants (n = 252) were recruited via consecutive sampling in public health care clinics. Structured interviews assessed patterns of recent marijuana use, including its perceived benefit for symptom relief. Associations between marijuana use and demographic and clinical variables were examined using univariate and multivariate regression analyses.
RESULTSOverall prevalence of smoked marijuana in the previous month was 23%. Reported benefits included relief of anxiety and/or depression (57%), improved appetite (53%), increased pleasure (33%), and relief of pain (28%). Recent use of marijuana was positively associated with severe nausea (odds ratio [OR] = 4.0, P = 0.004) and recent use of alcohol (OR = 7.5, P < 0.001) and negatively associated with being Latino (OR = 0.07, P < 0.001). No associations between marijuana use and pain symptoms were observed.
CONCLUSIONSThe findings suggest that providers be advised to assess routinely and better understand patients' “indications” for self-administration of cannabis. Given the estimated prevalence, more formal characterization of the patterns and impact of cannabis use to alleviate HIV-associated symptoms is warranted. Clinical trials of smoked and noncombustible marijuana are needed to determine the role of cannabinoids as a class of agents with potential to improve quality of life and health care outcomes among patients with HIV/AIDS.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>14707790</pmid><doi>10.1097/00126334-200401010-00005</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| issn | 1525-4135 1944-7884 |
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| subjects | Acquired immune deficiency syndrome Acquired Immunodeficiency Syndrome - complications Acquired Immunodeficiency Syndrome - epidemiology Adult AIDS Alcohol Drinking - epidemiology Biological and medical sciences Cannabis Community Health Centers Comorbidity Drug use Ethnic Groups Female Fundamental and applied biological sciences. Psychology HIV Human immunodeficiency virus Human viral diseases Humans Infectious diseases Male Marijuana Marijuana Smoking - adverse effects Marijuana Smoking - epidemiology Medical sciences Mental Disorders - complications Mental Disorders - epidemiology Microbiology Middle Aged Miscellaneous Nausea - chemically induced Pain - complications Pain - epidemiology Patients Prevalence Substance-Related Disorders - epidemiology Viral diseases Viral diseases of the lymphoid tissue and the blood. Aids Virology |
| title | Patterns of Marijuana Use Among Patients With HIV/AIDS Followed in a Public Health Care Setting |
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