Medical Marijuana, Emerging Adults & Community: Connecting Health and Policy

医用大麻，新兴成人

• 批准号: 8816603
• 负责人: Stephen E Lankenau
• 金额: $ 10.05万
• 依托单位: DREXEL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-07-01 至 2018-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8816603
• 关键词: Acquired Immunodeficiency Syndrome; Address; Adolescent; Adopted; Adult; Affect; Age; Alcohols; Benefits and Risks; Build-it; California; Chronic; Chronically Ill; Cities; Cohort Studies; Communities; Community Health; Data; Disease; District of Columbia; Drug Prescriptions; Drug usage; Funding; Goals; Guidelines; Health; Health Policy; Health behavior; Illicit Drugs; Individual; Knowledge; Lead; Left; Legal; Location; Los Angeles; Marijuana; Marijuana Smoking; Medical Marijuana; Medicine; Mental Health; Methods; Mission; Modification; Natural History; Outcome; Patients; Pattern; Pharmaceutical Preparations; Physicians; Policies; Policy Maker; Psyche structure; Public Health; Qualitative Research; Recommendation; Recording of previous events; Recruitment Activity; Reporting; Research; Research Design; Research Methodology; Research Personnel; Role; Running; Scientific Advances and Accomplishments; Statutes and Laws; Terminally Ill; Testing; Time; United States National Institutes of Health; Work; aged; alcohol misuse; base; cohort; emerging adult; evidence base; experience; improved; innovation; malignant muscle neoplasm; marijuana user; member; physical conditioning; protective effect; psychologic; theories; young adult

DESCRIPTION (provided by applicant): A critical knowledge gap exists in the understanding of how medical marijuana (MM) policies have impacted emerging adults since MM became legal in California in 1996. It is unknown how MM has affected patterns of drug use, including alcohol, prescription, and illicit, among emerging adults. It is unknown how MM has impacted physical or psychological health among young medical marijuana patients (MMP). It is unknown how MM dispensaries influence health among young MMP, including the impact of closing MM dispensaries on access to MM. To address these gaps, a five-year project is being proposed in Los Angeles (LA) to study young MMP, young non-medical marijuana users (NMU), and MM dispensaries in natural settings using qualitative and quantitative methods. A long-term goal of the study is to recommend MM policies to local, state, and national officials that result in the most positive health outcomes for young adults and communities. The overall objective of this particular application is to determine the impact of LA's MM policies on emerging adults' physical and psychological health while understanding how medical marijuana dispensaries influence individual health. The central hypothesis guiding this study is that young MMP, as a result of access to MM and patient support offered by MM dispensaries, will report better physical and psychological health and less harmful patterns of drug use compared to NMU. This hypothesis is supported by preliminary data collected in LA on young MMP and NMU during a currently funded NIH study, which suggests important differences between these two groups as well as dissimilarities between young MMP and chronically ill, older MMP. The rationale for the proposed research is that young MMP and NMU will be impacted by MM policy longer than other adult cohorts with unknown consequences, while the diverse setting of LA - with its large number of MM dispensaries - is an optimal location to study this cohort. Guided by preliminary data, this hypothesis will be tested by pursuing three specific aims: 1) Determine the basis for MMP status and its impact on trajectories of physical and psychological health among emerging adults. 2) Determine the impact of MMP status on patterns of drug use among emerging adults, including intensity of marijuana use and misuse of alcohol, prescription drugs, and illicit drugs. 3) Describe the natural history of marijuana use in Los Angeles among MMP and NMU. The approach is innovative because it focuses on a critical cohort of young adults, it builds upon findings and theoretical perspectives from the field of non- medical marijuana research, and it integrates quantitative and qualitative research methodologies into a longitudinal research design. The proposed research is significant since study data can provide evidence- based rationales for modifying patient health behaviors, physician guidelines, and city ordinances. Ultimately, determining the impact of medical marijuana on the health of emerging adults and communities in LA has the potential to inform medical marijuana policy at the local, state, and national levels.

描述（由申请人提供）：了解医用大麻（MM）政策对新兴成年人产生了影响，自1996年加利福尼亚州合法以来，MM如何影响毒品使用模式，包括酒精，处方和非法的成年人，这是未知的。尚不清楚MM如何影响年轻的医用大麻患者（MMP）的身体或心理健康。尚不清楚MM药房如何影响年轻MMP的健康，包括关闭MM药房对进入MM的影响。为了解决这些差距，在洛杉矶（LA）提出了一个为期五年的项目，以研究年轻的MMP，年轻的非医学大麻使用者（NMU）和使用定性和定量方法的自然环境中的MM药房。该研究的一个长期目标是向地方，州和国家官员推荐MM政策，从而为年轻人和社区带来最积极的健康成果。该特定应用的总体目的是确定LA的MM政策对新兴成年人的身体和心理健康的影响，同时了解医用大麻药房如何影响个人健康。指导这项研究的中心假设是，由于获得MM药房提供的MM和患者支持，年轻的MMP将报告与NMU相比，将报告更好的身体健康和心理健康，而危害药物的危害模式较小。在当前资助的NIH研究中，在LA中收集的LA在LA中收集的初步数据支持了这一假设，这表明这两组之间的重要差异以及年轻的MMP和年轻人病，年龄较大的MMP之间的差异。拟议的研究的理由是，年轻的MMP和NMU将受到MM政策的影响，其影响比其他成年人同类群体更长，而后果不明，而LA的不同环境（具有大量MM药房）是研究该同胞的最佳位置。在初步数据的指导下，该假设将通过追求三个具体目的来检验：1）确定新兴成年人对身体和心理健康轨迹的影响的基础及其对其对身体健康轨迹的影响。 2）确定MMP状况对新兴成年人中药物使用模式的影响，包括大麻使用强度和滥用酒精，处方药和非法药物。 3）描述MMP和NMU中洛杉矶使用大麻使用的自然历史。这种方法具有创新性，因为它专注于关键的年轻人队列，它基于非医用大麻研究领域的发现和理论观点，并将定量和定性的研究方法整合到纵向研究设计中。拟议的研究很重要，因为研究数据可以提供基于证据的理由来修改患者的健康行为，医师准则和城市条例。最终，确定医用大麻对洛杉矶新兴成年人和社区健康的影响有可能为当地，州和国家一级的医用大麻政策提供信息。