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. 2023 Jul 5;6(2):1-12.
doi: 10.26828/cannabis/2023/000151. eCollection 2023.

Social Determinants of Health Associated with How Cannabis is Obtained and Used in Patients with Cancer Receiving Care at a Cancer Treatment Center in Pennsylvania

Rebecca L Ashare  1   2 , Esther Turay  2 , Brooke Worster  3 , Reagan R Wetherill  1 , L Cinnamon Bidwell  4 , Abigail Doucette  5 , Salimah H Meghani  6
Affiliations

Social Determinants of Health Associated with How Cannabis is Obtained and Used in Patients with Cancer Receiving Care at a Cancer Treatment Center in Pennsylvania

Rebecca L Ashare et al. Cannabis. .

Abstract

Despite increased rates of cannabis use among patients with cancer, there are gaps in our understanding of barriers to accessing cannabis. Social determinants of health (SDoH) are associated with access to healthcare, but few studies have evaluated how SDoH relate to cannabis access and use among cancer patients. We examined whether access to and modes of cannabis use differed across indicators of SDoH among patients receiving treatment from a large National Cancer Institute (NCI) designated cancer center. This anonymous cross-sectional survey was developed in collaboration with the NCI Cannabis Supplement consortium, which funded 12 supplements to NCI Center Core Grants across the United States. We evaluated the association of race, gender, income, and age with mode of cannabis use, source of obtaining cannabis, what influences their purchase, and medical cannabis certification status. Overall, 1,053 patients receiving treatment for cancer in Pennsylvania completed the survey and 352 (33.4%) reported using cannabis since their cancer diagnosis. Patients who identified as Black/African-American were less likely to have medical cannabis certifications (p=0.04). Males and Black/African-Americans were more likely to report smoking cannabis (vs other forms, ps<0.01) and to purchase cannabis from an unlicensed dealer/seller (p<0.01). Lower-income patients were more likely to be influenced by price and ease of access (ps<0.05). Although cannabis users were younger than non-users, age was not associated with any outcomes. The current data shed light on how critical drivers of health disparities (such as race, gender, and income) are associated with where patients with cancer obtain cannabis, what forms they use, and what may influence their purchase decisions.

Keywords: cancer; cannabis; marijuana; race; social determinants of health.

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References

    1. Healthy People 2030. Retrieved 07/26/2022 from https://health.gov/healthypeople/priority-areas/social-determinants-health
    1. National Conference of State Legislatures: State Medical Marijuana Laws. Retrieved October 30, 2022 from https://www.ncsl.org/research/health/state-medical-marijuana-laws.aspx
    1. Ambekar, A., Ward, C., Mohammed, J., Male, S., & Skiena, S. (2009). Name-ethnicity classification from open sources. Proceedings of the 15th ACM SIGKDD international conference on Knowledge discovery and data mining, Paris, France. 10.1145/1557019.1557032 - DOI
    1. Bar-Lev Schleider, L., Mechoulam, R., Lederman, V., Hilou, M., Lencovsky, O., Betzalel, O., Shbiro, L., & Novack, V. (2018). Prospective analysis of safety and efficacy of medical cannabis in large unselected population of patients with cancer. European Journal of Internal Medicine, 49, 37–43. 10.1016/j.ejim.2018.01.023 - DOI - PubMed
    1. Bertolero, M. A., Dworkin, J. D., David, S. U., Lloreda, C. L., Srivastava, P., Stiso, J., Zhou, D., Dzirasa, K., Fair, D. A., & Kaczkurkin, A. N. (2020). Racial and ethnic imbalance in neuroscience reference lists and intersections with gender. BioRxiv.