Disentangling medicinal and recreational cannabis use among people living with HIV: An ecological momentary assessment study

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dc.contributor.authorWardell, Jeffrey D.
dc.contributor.authorRueda, Sergio
dc.contributor.authorFox, Nicolle
dc.contributor.authorCostiniuk, Cecilia T.
dc.contributor.authorJenabian, Mohammad-Ali
dc.contributor.authorMargolese, Shari
dc.contributor.authorMadarino, Enrico
dc.contributor.authorShuper, Paul A.
dc.contributor.authorHendershot, Christian S.
dc.contributor.authorCunningham, John A.
dc.contributor.authorArbess, Gordon
dc.contributor.authorSinger, Joel
dc.date.accessioned2022-11-07T14:48:26Z
dc.date.available2022-11-07T14:48:26Z
dc.date.issued2022-11-07
dc.description.abstractThis study examined the feasibility of using ecological momentary assessment (EMA) to disentangle medicinal cannabis use (MCU) from recreational cannabis use (RCU) among people living HIV (PLWH). Over a 14-day period, PLWH (N=29) who engage in both MCU and RCU completed a smartphone-based survey before and after every cannabis use event assessing general motivation for cannabis use (MCU-only, RCU-only, or mixed MCU/RCU), cannabis use behavior, and several antecedents and outcomes of cannabis use. A total of 739 pre-cannabis surveys were completed, and 590 (80%) of the prompted post-cannabis surveys were completed. Motives for cannabis use were reported as MCU-only on 24%, RCU-only on 30%, and mixed MCU/RCU on 46% of pre-cannabis surveys. Mixed effects models examined within-person differences across MCU-only, RCU-only, and mixed MCU/RCU events. Results showed that relative to RCU-only events, MCU-only events were more likely to involve symptom management and drug substitution motives, physical and sleep-related symptoms, solitary cannabis use, and use of cannabis oils and sprays; MCU-only events were less likely to involve relaxation, happiness, and wellness motives, cannabis flower use, and positive cannabis consequences. Differences between mixed MCU/RCU and RCU-only events were similar, except that mixed MCU/RCU events were additionally associated with stress reduction motives and current symptoms of anxiety and depression. Findings support the feasibility of partially disentangling MCU and RCU behavior among PLWH who engage in concurrent MCU and RCU. This study highlights the need for more within-person EMA research to inform ongoing changes to cannabis policies.en_US
dc.description.sponsorshipThis research was supported by grants from the Canadian Institutes of Health Research Canadian HIV Trials Network (CTN PT037; PIs: Jeffrey D. Wardell and Sergio Rueda) and from the Canadian Institutes of Health Research (159754; PIs: Jeffrey D. Wardell and Christian S. Hendershot). The views expressed herein do not necessarily represent the official policy of the Canadian Institutes of Health Research. Sergio Rueda holds an Innovator Award from the Ontario HIV Treatment Network. Cecilia T. Costiniuk holds a FRQ-S Junior 2 Clinician-Researcher Career Award. Mohammad-Ali Jenabian holds the Tier 2 CIHR Canada Research Chair in Immuno-Virology.en_US
dc.identifier.citationWardell, J.D., Fox, N., Costiniuk, C., Jenabian, M.-A., Margolese, S., Mandarino, E., Shuper, P., Hendershot, C.S., Cunningham, J., Arbess, G., Singer, J., & Rueda, S. (2022). Disentangling medicinal and recreational cannabis use among people living with HIV: An ecological momentary assessment study. AIDS and Behavior. Epub ahead of print. doi: 10.1007/s10461-022-03871-7en_US
dc.identifier.urihttps://dx.doi.org/10.1007/s10461-022-03871-7en_US
dc.identifier.urihttp://hdl.handle.net/10315/39923
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.rightsThis version of the article has been accepted for publication, after peer review, and is subject to Springer Nature’s AM terms of use, but is not the Version of Record and does not reflect post-acceptance improvements, or any corrections. The version of record is available online at https://dx.doi.org/10.1007/s10461-022-03871-7en_US
dc.rights.articlehttps://link.springer.com/article/10.1007/s10461-022-03871-7en_US
dc.subjectecological momentary assessmenten_US
dc.subjectexperience samplingen_US
dc.subjectmarijuanaen_US
dc.subjectmedical cannabisen_US
dc.subjectAIDSen_US
dc.titleDisentangling medicinal and recreational cannabis use among people living with HIV: An ecological momentary assessment studyen_US
dc.typeArticleen_US

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