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Canadian Journal of Infectious Diseases and Medical Microbiology - Volume 25 2014, Issue 1, Pages e1-e7

Original Article

Faculty of Education, Memorial University of Newfoundland, St John’s, Newfoundland and Labrador, Canada

Horizon Health Network, Moncton, Canada

The Health Sciences Centre, Faculty of Medicine Medicine and Psychiatry, St John’s, Newfoundland and Labrador, Canada

Department of Medicine, Faculty of Medicine, Capital District Health Authority, Canada

Capital District Health Authority and Dalhousie University, Canada

QEII Health Sciences Centre, Victoria General Hospital Site, Canada

Department of Infectious Diseases, Center for Clinical Research, Halifax, Nova Scotia, Canada

Lakehead University, Thunder Bay, Ontario, Canada

Faculty of Medicine, Memorial University, St John’s, Newfoundland and Labrador, Canada

Dalhousie University, The Moncton Hospital, Moncton, New Brunswick, Canada

Copyright © 2014 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


BACKGROUND: The prevalence of cannabis use in HIV-infected individuals is high and its long-term effects are unclear.

METHODS: The prevalence, perceived benefits and consequences, and predictors of cannabis use were studied using a cross-sectional survey in two immunodeficiency clinics in Maritime Canada.

RESULTS: Current cannabis use was identified in 38.5% 87 of 226 of participants. Almost all cannabis users 85 of 87 97.7% acknowledged its use for recreational purposes, with 21.8% 19 of 87 reporting medicinal cannabis use. The majority of patients enrolled in the present study reported mild or no symptoms related to HIV n=179. Overall, 80.5% 70 of 87 of the cannabis-using participants reported a symptom-relieving benefit, mostly for relief of stress, anorexia or pain. Participants consumed a mean ± SD of 18.3±21.1 g of cannabis per month and spent an average of $105.15±109.87 on cannabis per month. Cannabis use was associated with rural residence, lower income level, driving under the influence of a substance, and consumption of ecstasy and tobacco. Income level, ecstasy use and tobacco use were retained as significant predictors in regression modelling. Cannabis use was not associated with adverse psychological outcomes.

DISCUSSION: Prolonged previous cannabis consumption and the substantial overlap between recreational and medicinal cannabis use highlight the challenges in obtaining a tenable definition of medicinal cannabis therapy.

Autor: Gregory E Harris, Lise Dupuis, Gerald J Mugford, Lynn Johnston, David Haase, Ginny Page, Heather Haldane, Nicholas Harris, Willia



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