Use of aesculapian cannabis has been connected nan emergence since it first became disposable to Utah patients successful 2020. A aesculapian cannabis card, which tin beryllium prescribed for difficult-to-treat conditions including PTSD and chronic pain, allows a diligent to entree licensed cannabis products successful designated pharmacies.
But immoderate group whose aesculapian conditions licence usage of aesculapian cannabis usage unregulated products instead, which tin lead to unforeseen wellness risks owed to additives and contaminants.
A caller study of complete 200 group enrolled successful Utah's aesculapian cannabis programme reveals why immoderate group move to unregulated cannabis to dainty their aesculapian conditions, providing a first measurement toward reducing barriers to safer, licensed products.
The results are published successful Journal of Cannabis Research.
The precocious costs of health
The costs of ineligible cannabis is simply a important obstruction for galore participants who usage illicit cannabis. Monitoring and regulating cannabis costs money, which intends that illicit cannabis tin beryllium overmuch cheaper than regulated products.
The precocious costs of ineligible cannabis products tin perpetuate a vicious rhythm of economical and wellness consequences, nan researchers say. The chronic conditions treated by aesculapian cannabis, specified arsenic chronic pain aliases PTSD, tin often make it harder to activity and clasp down a job, truthful patients seeking alleviation from these conditions whitethorn beryllium much apt to acquisition economical hardship. But buying cheaper, unregulated products tin put patients astatine consequence of making their wellness information worse.
There's this trade-off. It's like, 'OK, I person a chronic unwellness which makes it difficult for maine to work, and truthful I person constricted resources. I tin much easy spend nan worldly from my friend connected nan street, but that worldly connected nan thoroughfare mightiness make maine sicker successful nan agelong run.' It creates this catch-22 wherever it becomes a wellness disparity."
Jerry Cochran, PhD, elder writer connected nan study, professor of epidemiology and head of nan Program for Addiction Research, Clinical Care, Knowledge, and Advocacy (PARCKA), University of Utah
Without an established value assurance process, under-the-table products whitethorn alteration unpredictably successful nan levels of CBD and THC they contain. Illicit products whitethorn besides incorporate unlabeled additives aliases contaminants, specified arsenic mold, pesticides, aliases dense metals, which tin make chronic conditions worse.
Given nan dangers of illicit cannabis and nan recency of Utah's aesculapian cannabis program, it's particularly captious to do investigation to understand really group usage nan program, says Lirit Franks, PhD, writer connected nan study and a investigation improvement subordinate successful PARCKA. "It engenders accountability," Franks says. "You tin spot areas to improve, you tin spot what's working, and you tin spot areas for early investigation that mightiness beryllium very important."
Knowledge is power
While costs presented a barrier, entree to high-quality accusation appears to powerfully thief group debar illicit products, nan researchers found. People who chiefly usage nan authorities website for accusation astir cannabis are overmuch much apt to usage ineligible cannabis products. The authors opportunity that this is simply a promising sign: erstwhile group are provided pinch accurate, unbiased accusation alternatively than relying connected cannabis trading materials, they'll mostly take safer products.
"If you tin get free of each nan bias and conscionable springiness group good, meticulous accusation astir aesculapian cannabis, group will usage nan aesculapian cannabis program," Cochran says.
The results propose that amended connection of unbiased accusation could thief group make safer decisions. If providers tin guarantee that patients person entree to accusation resources, Cochran says, "they do a bully occupation of keeping patients safe and utilizing safe products."
Boosting information by lowering barriers
The researchers opportunity that knowing patients' difficulties successful accessing nan products they request tin guideline strategies to make nan process easier. For instance, fixed that costs is simply a superior obstruction to entree ineligible cannabis, reducing nan costs to renew an existing cannabis paper could thief patients proceed to acquisition regulated, safe products.
"If we salary attraction to what is opinionated successful nan way, possibly we tin trim those barriers and let group entree to safer products," Franks says.
The results are published successful Journal of Cannabis Research as "Understanding motives for illicit medicinal cannabis use: an exploratory study successful a aesculapian cannabis program".
The costs to support this exploratory study were allocated by nan Utah Department of Health, nether statement #236204 titled "Utah Medical Cannabis: A Prospective Cohort Evaluation." The funder had nary domiciled successful nan design, information collection, aliases information analysis. The contented of this study does not bespeak nan views of nan funder.
Source:
Journal reference:
Reeves, C., et al. (2025). Understanding motives for illicit medicinal cannabis use: an exploratory study successful a aesculapian cannabis program. Journal of Cannabis Research. doi.org/10.1186/s42238-025-00284-w
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