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. 2019 Oct;22(10):1213-1220.
doi: 10.1089/jpm.2019.0218. Epub 2019 Aug 6.

Attitudes and Beliefs About Medical Usefulness and Legalization of Marijuana among Cancer Patients in a Legalized and a Nonlegalized State

Kimberson Tanco  1 , Donato Dumlao  2 , Rebecca Kreis  2 , Kristy Nguyen  3 , Seyedeh Dibaj  4 , Diane Liu  4 , Vidyasagargoud Marupakula  5 , Ayesha Shaikh  2 , Walter Baile  6 , Eduardo Bruera  1
Affiliations

Attitudes and Beliefs About Medical Usefulness and Legalization of Marijuana among Cancer Patients in a Legalized and a Nonlegalized State

Kimberson Tanco et al. J Palliat Med. 2019 Oct.

Abstract

Background: There is a growing preference for the use of marijuana for medical purposes, despite limited evidence regarding its benefits and potential safety risks. Legalization status may play a role in the attitudes and preferences toward medical marijuana (MM). Objectives: The attitudes and beliefs of cancer patients in a legalized (Arizona) versus nonlegalized state (Texas) regarding medical and recreational legalization and medical usefulness of marijuana were compared. Settings/Subjects: Two hundred adult cancer patients were enrolled from outpatient Palliative Care centers at Banner MD Anderson Cancer Center in Gilbert, AZ (n = 100) and The University of Texas MD Anderson Cancer Center in Houston, TX (n = 100). Design and Measurements: Adult cancer patients seen by the Palliative Care teams in the outpatient centers were evaluated. Various physical and psychosocial assessments were conducted, including a survey of attitudes and beliefs toward marijuana. Results: The majority of individuals support legalization of marijuana for medical use (Arizona 92% [85-97%] vs. Texas 90% [82-95%]; p = 0.81) and belief in its medical usefulness (Arizona 97% [92-99%] vs. Texas 93% [86-97%]; p = 0.33) in both states. Overall, 181 (91%) patients supported legalization for medical purposes whereas 80 (40%) supported it for recreational purposes (p < 0.0001). Patients preferred marijuana over current standard treatments for anxiety (60% [51-68%]; p = 0.003). Patients found to favor legalizing MM were younger (p = 0.027), had worse fatigue (p = 0.015), appetite (p = 0.004), anxiety (p = 0.017), and were Cut Down, Annoyed, Guilty, and Eye Opener-Adapted to Include Drugs (CAGE-AID) positive for alcohol/drugs (p < 0.0001). Conclusion: Cancer patients from both legalized and nonlegalized states supported legalization of marijuana for medical purposes and believed in its medical use. The support for legalization for medical use was significantly higher than for recreational use in both states.

Keywords: legalization; marijuana; medical marijuana; recreational marijuana; symptom control.

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Conflict of interest statement

No competing financial interests exist.

The abstract with partial findings was presented as a poster presentation at the 2018 Palliative Care in Oncology Symposium on November 16–17, 2018 in San Diego, California. The abstract was also accepted as an e-poster at the 2019 Multinational Association of Supportive Care in Cancer Annual Meeting to be held on June 21–23, 2019. We have not otherwise published the findings of this study elsewhere. There is no specific funding for this work.

Figures

<b>FIG. 1.</b>
FIG. 1.
CONSORT diagram.
See this image and copyright information in PMC

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