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. 2022 Feb;37(1):91-101.
doi: 10.1007/s13187-020-01791-5.

Use and Perceptions of Opioids Versus Marijuana among Cancer Survivors

Jessica M Potts  1 , Betelihem Getachew  1 , Milkie Vu  1 , Eric Nehl  1 , Katherine A Yeager  2 , Corinne R Leach  3 , Carla J Berg  4   5
Affiliations

Use and Perceptions of Opioids Versus Marijuana among Cancer Survivors

Jessica M Potts et al. J Cancer Educ. 2022 Feb.

Abstract

Public health concerns regarding opioids and marijuana have implications for their medical use. This study examined use motives and perceived barriers in relation to opioid and marijuana use and interest in use among US adult cancer survivors. Self-administered surveys were distributed using social media to assess use motives and perceived barriers among participants living with cancer. Overall, 40.9% of cancer survivors reported current (past 30-day) use of opioids, 42.5% used marijuana, and 39.7% used both. The most common use motives for either/both drugs were to cope with pain and stress/anxiety (>70%). Highest-rated barriers to using either/both drugs were missing symptoms of worsening illness and not wanting to talk about their symptoms. Controlling for sociodemographics, binary logistic regression indicated that current opioid use was associated with reporting greater barriers to use (OR = 1.17, p = .011; Nagelkerke R-square = .934) and that current marijuana use was associated with reporting greater barriers to use (OR = 1.37, p = .003; Nagelkerke R-square = .921). Cancer survivors report various use motives and barriers to use regarding opioids and marijuana. While use motives and barriers for both drugs were similar, these constructs were differentially associated with use and interest in use across drugs. Understanding patients' perceptions about opioids and marijuana is an essential component to effectively manage symptoms related to a cancer diagnosis and improve quality of life for cancer survivors.

Keywords: Cancer survivors; Marijuana, patient perspectives; Opioid.

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Conflict of interest statement

Conflicts of interest/competing interests: The authors declare no conflicts of interest.

Figures

Figure 1.
Figure 1.
Conceptual Model
Figure 2.
Figure 2.
Recruitment and Eligibility Flowchart
See this image and copyright information in PMC

References

    1. Lucas P Cannabis as an adjunct to or substitute for opiates in the treatment of chronic pain. J Psychoactive Drugs. 2012;44(2):125–33. - PubMed
    1. Krashin DL, Merrill JO, Trescot AM. Opioids in the management of HIV-related pain. Pain physician. 2012;15(3 Suppl):Es157–68. - PubMed
    1. Dowell D, Haegerich TM, Chou R. CDC Guideline for Prescribing Opioids for Chronic Pain - United States, 2016. MMWR Recomm Rep. 2016;65(1):1–49. - PubMed
    1. Paice JA, Portenoy R, Lacchetti C, Campbell T, Cheville A, Citron M, et al. Management of Chronic Pain in Survivors of Adult Cancers: American Society of Clinical Oncology Clinical Practice Guideline. J Clin Oncol. 2016;34(27):3325–45. - PubMed
    1. Rosenblum A, Marsch LA, Joseph H, Portenoy RK. Opioids and the treatment of chronic pain: controversies, current status, and future directions. Experimental and clinical psychopharmacology. 2008;16(5):405–16. - PMC - PubMed

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