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Journal of General Internal Medicine

, Volume 34, Issue 4, pp 504–506 | Cite as

Perceptions of the Comparative Safety of Different Forms of Marijuana Use Among the Adult US Population

  • Sodahm R. Yoo
  • Camille Dollinger
  • Marzieh Vali
  • Stacey Steigerwald
  • Beth E. Cohen
  • Julie H. Ishida
  • Salomeh KeyhaniEmail author
Concise Research Reports

INTRODUCTION

Thirty-three states and the District of Columbia have legalized marijuana for medical and/or recreational use.1 US adults are now less likely to perceive marijuana as risky, and more than 1 in 3 Americans believe that smoking one marijuana joint a day is much safer or somewhat safer than smoking one cigarette a day.1 These attitudes are concerning given the connection between decreased perceived risk and increased use2 and the lack of data available on the long-term health effects of marijuana use3 and the safety of its use in various forms.4 While other national surveys assess perceived risks, there is no data about perceived safety or differences in attitudes towards marijuana’s different forms. We examined the US adult population’s perceptions of the comparative safety of different forms of marijuana use.

METHODS

We developed survey questions to capture perceptions of safety of marijuana’s different forms among US adults. We chose the term “safety” rather than “risk,”...

Notes

Funding/Support

This research was supported in part by the National Heart, Lung, and Blood Institute of the National Institutes of Health under grant number R01HL130484-01A1. Dr. Keyhani’s administrative funds provided by the Veterans Health Research Institute (NCIRE) also supported this research. Dr. Ishida was supported by a career development award from the National Institute of Diabetes and Digestive and Kidney Diseases (K23DK103963).

Role of the Funder/Sponsor

The funders had no role in the analysis and interpretation of the data; preparation, review, or approval of the manuscript; and decision to submit the manuscript for publication.

Author Contributions

Dr. Keyhani had full access to all the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: Keyhani, Yoo, Dollinger, Steigerwald, and Cohen. Acquisition, analysis, or interpretation of data: Keyhani, Yoo, Dollinger, Vali, Steigerwald, Cohen, Ishida, and Vali. Drafting of the manuscript: Yoo and Dollinger. Critical revision of the manuscript for important intellectual content: Keyhani, Yoo, Dollinger, Steigerwald, Cohen, and Ishida. Statistical analysis: Vali. Obtained funding: Keyhani. Administrative, technical, or material support: Yoo, Dollinger, Steigerwald, and Vali. Supervision: Keyhani.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they do not have a conflict of interest.

References

  1. 1.
    Keyhani S, Steigerwald S, Ishida J, Vali M, Cerda M, Hasin D, Dollinger C, Yoo SR, Cohen BE. Risks and Benefits of Marijuana Use: A National Survey of US Adults. Ann Intern Med. 2018;169:282–290.  https://doi.org/10.7326/M18-0810.
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    Keyes KM, Schulenberg JE, O’Malley PM, et al. The social norms of birth cohorts and adolescent marijuana use in the United States, 1976-2007. Addiction. 2011;106(10):1790–1800.CrossRefGoogle Scholar
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    Ravi D, Ghasemiesfe M, Korenstein D, Cascino T, Keyhani S. Associations between marijuana use and cardiovascular risk factors and outcomes: a systematic review. Ann Intern Med. 2018;168:187–194.CrossRefGoogle Scholar
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    Whiting PF, Wolff RF, Deshpande S, Di Nisio M, Duffy S, Hernandez AV, et al. Cannabinoids for Medical Use: A Systematic Review and Meta-analysis. JAMA. 2015;313(24):2456–2473.CrossRefGoogle Scholar
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    Loria K. 23 Health Benefits of Marijuana. http://www.businessinsider.com/health-benefits-of-medical-marijuana-2014-4/#it-can-be-used-to-treat-glaucoma-1. Published March 7, 2018. Accessed October 19, 2018.
  6. 6.
    Steigerwald S, Wong PO, Khorasani A, Keyhani S. The form and content of cannabis products in the United States. J Gen Intern Med. 2018;33:1426.  https://doi.org/10.1007/s11606-018-4480-0.

Copyright information

© Society of General Internal Medicine 2018

Authors and Affiliations

  • Sodahm R. Yoo
    • 1
  • Camille Dollinger
    • 1
  • Marzieh Vali
    • 1
  • Stacey Steigerwald
    • 1
  • Beth E. Cohen
    • 2
    • 3
  • Julie H. Ishida
    • 2
    • 4
  • Salomeh Keyhani
    • 2
    • 3
    Email author
  1. 1.Northern California Institute for Research and EducationSan FranciscoUSA
  2. 2.Department of MedicineUniversity of California, San FranciscoSan FranciscoUSA
  3. 3.General Internal MedicineSan Francisco Veterans AdministrationSan FranciscoUSA
  4. 4.NephrologySan Francisco Veterans AdministrationSan FranciscoUSA

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