IU Indianapolis ScholarWorks :: Browsing by Subject "Marijuana"

Browsing by Subject "Marijuana"

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Arrhythmia-related Hospitalization and Comorbid Cannabis Use Disorder: Trend Analysis in US Hospitals (2010-2014)
(Cureus, 2019-09-09) Jaladi, Paul Rahul; Patel, Viralkumar; Kuduva Rajan, Shanthini; Rashid, Wahida; Madireddy, Sowmya; Ajibawo, Temitope; Imran, Sundus; Patel, Rikinkumar S.; Neurology, School of Medicine
Objective To study the trends of arrhythmia hospitalizations with cannabis use disorders (CUDs) in terms of demographic characteristics and inpatient outcomes. Methods We used the nationwide inpatient sample (NIS) data during the post-legalization period (2010-2014) and included 570,556 arrhythmia inpatients (age, 15-54 years), and 14,426 inpatients had comorbid CUD (2.53%). We used the linear-by-linear association test and independent-sample T-test for assessing the change in hospital outcomes in inpatients with CUD. Results Arrhythmia hospitalizations with CUD increased by 31% (2010-2014). This increasing trend was seen in adults (45-54 years, P < 0.001) and was predominant in males (77.6%). Hypertension (40.6%), hyperlipidemia (17.6%), and obesity (15%) were prevalent medical comorbidities with variable trends over the five years. Among substance use disorders, tobacco (50.9%), and alcohol (31.4%) were major comorbidities with a variable trend (P = 0.003 for each). There was a 71.4% increase in the inpatient mortality rate between 2010 (0.7%) and 2014 (1.2%). The mean length of stay was three days, and the total hospitalization charges have been increasing (P < 0.001), averaging $35,812 per hospital admission. Conclusion Chronic cannabis use or abuse worsens hospitalization outcomes in arrhythmic patients, and more clinical studies are needed to study the causal association between these conditions due to the rising mortality risk.
Characterizing chronic pain in late adolescence and early adulthood: prescription opioids, marijuana use, obesity, and predictors for greater pain interference
(Wolters Kluwer, 2018-11-22) Anastas, Tracy; Colpitts, Kelsey; Ziadni, Maisa; Darnall, Beth D.; Wilson, Anna C.; Psychology, School of Science
Introduction: Chronic pain in late adolescence and young adults is understudied and poorly characterized. Objectives: We sought to characterize key variables that may impact pain interference in late adolescents and young adults with chronic pain, including prescription opioid use, marijuana use, psychological symptoms, and obesity. Methods: Retrospective, cross-sectional medical chart review for patients aged 17 to 23 years (N = 283; 61% Females) seeking care at a tertiary care pain clinic. Data on pain characteristics, health behaviors, and mental health distress were examined, in addition to self-reported pain intensity and interference. Results: Overlapping pain conditions were common in this young adult sample (mean ≥ 2 pain conditions). Back pain was the most commonly cited pain condition, and the majority of pain was of unknown etiology. Results revealed high rates for current opioid prescription, overweight or obese status, and mental health problems. Those using prescription opioids were more likely to endorse tobacco use and had greater pain interference. Importantly, the presence of mental health distress and opioid use were predictive of higher levels of pain-related interference. Conclusion: Treatment-seeking adolescents and young adults with chronic pain evidence complex care needs that include pain and mental comorbidities, as well as risky health behaviors. Pain and mental health distress were associated with poorer physical health, opioid prescription and marijuana use, and pain-related interference. Findings underscore the need for additional research on pain, treatment patterns, and health behaviors and their impact on developmental trajectories, as well as the need to develop and apply effective early interventions in this at-risk population.
Community Conditions Favorable for Substance Use
(The Center for Health Policy, 2018-04-01) Jacinto, Corey; Greene, Marion S.
The probability of whether an individual engages in substance use is associated with several risk and protective factors. Effective prevention requires understanding these factors. The social-ecological model considers the complex interactions between individual, relationship, community, and societal factors. This can help us understand substance use in a public health context and design strategies to address the problem across multiple levels.
Critical Comparison of Total Vaporization- Solid Phase Microextraction vs Headspace- Solid Phase Microextraction
(2021-05) Train, Alexandra; Goodpaster, John; Manicke, Nicholas; Picard, Christine
Solid Phase Microextraction (SPME) is a popular sampling technique that can be paired with Gas Chromatography/Mass Spectrometry (GC-MS). SPME-GC-MS is used in forensic chemistry due to its simplification of the sample preparation process. Headspace-Solid Phase Microextraction (HS-SPME) is a technique where the sample is heated to generate volatiles in the headspace of the vial. A SPME fiber is then inserted into the vial and the compounds in the headspace will bind to the fiber. Total Vaporization- Solid Phase Microextraction (TV-SPME) is a technique that is derived from the HS-SPME technique. In Chapter 1, the critical comparison of HS-SPME and TV-SPME is discussed. Samples including marijuana, essential oils, and CBD oil were utilized to compare the two techniques. The compounds of interest in marijuana are the three main cannabinoids: cannabinol (CBN), cannabidiol (CBD), and tetrahydrocannabinol (THC). The sample preparation and GC-MS parameters were kept the same for all samples to determine which SPME technique works best for these sample types and yielded the greatest sensitivity. It was found that HS-SPME shows greater sensitivity with CBN and equivalent sensitivity with essential oils, THC and CBD. In Chapter 2, the detection of synthetic cannabinoids utilizing liquid-liquid injection as well as HS-SPME and TV-SPME is discussed. The detection of these compounds is important because this type of drug has become more prevalent in the United States because they can be chemically altered slightly so they still have the effects of a drug but can evade drug legislation. The detection of synthetic cannabinoids using liquid injection was found to be successful but detection using HS-SPME and TV-SPME was found to be unsuccessful. In Chapter 3, the analyses of real and artificial saliva utilizing HS-SPME and TV-SPME is discussed. Determining the compounds present in real saliva and artificial saliva will be of importance for future research into determining if the presence of drugs in saliva can be analyzed with these techniques. The analyses of real and artificial saliva were found to be successful using HS-SPME, without derivatization, and TV-SPME, with and without derivatization. Many of the compounds present in the real saliva were detected and were confirmed to be compounds regularly found in saliva by other scientific literature.
Drug Use in Indiana: A Regional Perspective
(The Center for Health Policy, 2019-05-01) Gutta, Jyosna; Greene, Marion
Indiana consists of 92 counties, which can be divided into 8 service regions. The prevalence of substance misuse can differ between the individual regions. Compared to the state’s average, rates of underage drinking, smoking, and illicit drug use were particularly high in Indiana’s Western region. The most frequently used substances among Indiana students in grades 8, 10, and 12 were alcohol, electronic vape products, marijuana, traditional (combustible) cigarettes, and prescription drugs. Understanding each region’s unique needs is a vital component to designing programs dedicated to improving overall Hoosier health.
Exploring relationships among negative urgency, marijuana use mechanisms, and marijuana use behaviors across men and women
(2018) VanderVeen, John Davis; Cyders, Melissa A.; Hirsh, Adam T.; Lapish, Christopher C.; Zapolski, Tamika C.B.
Marijuana use is associated with many health risks, but is increasingly becoming more accepted; thus, use rates, as well as negative consequences, are growing. There is a need to better understand marijuana use behaviors so as to reduce its negative effects. The current study sought to test the viability of applying urgency theory to marijuana use behaviors by examining several pathways among negative urgency, marijuana-related attentional bias, coping motives, and marijuana use behaviors, across men and women. Participants (n=120, mean age= 26.61 years (SD=9.28), 50% women, 63% White/Caucasian) were recruited from the Indianapolis, IN area to participate in a cross-sectional study in which they completed self-report measures and a visual-probe computer task with eye-tracking following negative mood induction. Regression analyses and the PROCESS macro were used to examine study hypotheses. Several pathways were supported: Negative urgency was significantly associated with coping motives (β=0.24, p=0.01), coping motives were significantly associated with marijuana use behaviors (ΔR2= 0.55, p<0.01), and a serial mediation model was supported, in which the relationship between negative urgency and negative marijuana consequences was mediated by coping motives and then by marijuana use frequency (c’= 0.20, 95%CI= 0.06 to 0.50). Competing models were examined and not supported. There were no statistically significant pathways involving the attentional bias measures; although there was a pattern of small effect sizes demonstrating that attentional biases may relate to marijuana use behaviors in men and not in women. Findings from the current study serve as preliminary support for applying urgency theory to marijuana use behaviors. Overall, these findings suggest that negative urgency is a distal risk factor that influences the development of other, more proximal, predictors of marijuana use and negative marijuana consequences. Future studies should examine the time order of these relationships longitudinally to replicate and provide more confidence in the causal order of the model supported in the present study.
Problematic Cannabis Use and Risk of Complications in Patients with Chronic Hepatitis C
(Cureus, 2019-08-12) Rashid, Wahida; Patel, Viralkumar; Ravat, Virendrasinh; Madireddy, Sowmya; Jaladi, Paul Rahul; Tahir, Muhammad; Bhimanadham, Narmada Neerja; Kuduva Rajan, Shanthini; Imran, Sundus; Patel, Rikinkumar S.; Neurology, School of Medicine
Objectives To evaluate the risk of complication in hospitalized chronic hepatitis C (CHC), patients with cannabis use disorder (CUD). Methods We conducted a retrospective study using the nationwide inpatient sample (NIS), and included 31,623 patients (age 15-54) with a primary international classification of diseases, ninth revision (ICD-9) diagnosis for CHC and grouped by co-diagnosis of CUD (1101, 3.5%). Logistic regression model adjusted for confounders was used to evaluate the odds ratio (OR) of CUD and complications during CHC hospitalization. Results Comorbid CUD was prevalent in males (73.2%), Caucasians (59.9%), and from low-income families (65.7%). The most prevalent complications in patients with CUD were ascites (44.9%), alcoholic cirrhosis (42.8%) and non-alcoholic cirrhosis (41.1%). The odds of association for hepatic encephalopathy was 2.2 times higher (95% CI 1.477-3.350) in 2.8% CHC inpatients with CUD compared to 1.2% non-CUD inpatients. Hepatic encephalopathy had higher odds of association with a male by 1.4 times (95% CI 1.094-1.760), and African American by 1.7 times (95% CI 1.293-2.259). Conclusion CUD is significantly associated with 122% increased likelihood for hepatic encephalopathy that may worsen overall hospitalization outcomes in CHC patients. Hence, we need to consider the complex relationship between CUD and CHC and manage them optimally to improve the health-related quality of life.
Pros and Cons of Marijuana in Treatment of Parkinson's Disease
(Cureus, 2019-06-03) Patel, Rikinkumar S.; Kamil, Saher; Shah, Mansi R.; Bhimanadham, Narmada Neerja; Imran, Sundus; Neurology, School of Medicine
Parkinson's disease (PD) is the second most common neurodegenerative disorder of adult onset in the United States. It is a debilitating condition and presents with both motor and non-motor symptoms. Current treatment options are scarce and include replacement of dopamine deficiency with levodopa which targets only motor symptoms of the disorder, does not halt its progression, and is associated with side effects of its own, including dyskinesia. With medical marijuana gaining popularity and being legalized in the United States, we examined the pros and cons of marijuana in the treatment of Parkinson's disease.
Puff, puff, drink: The association between blunt and alcohol use among African American adolescents and young adults
(American Psychological Association, 2019) Montgomery, LaTrice; Zapolski, Tamika; Banks, Devin E.; Floyd, Alfonso; Psychology, School of Science
Although African Americans report lower levels of alcohol use relative to their White counterparts, they experience higher rates of alcohol-related problems (e.g., alcohol dependence). One understudied connection between alcohol use and dependence is the dual use of illicit drugs, especially marijuana use. It is speculated that blunt use in combination with alcohol will have more adverse alcohol-related consequences among African Americans than alcohol use alone or alcohol and nonblunt marijuana use. The current study uses pooled data from the 2011-2014 National Survey on Drug Use and Health to examine the odds of alcohol dependence based on alcohol and marijuana typology in comparison to alcohol only users. Among 11,124 African American adolescents (12-17) and young adults (18-25) who consumed alcohol in the past year, 57.5%, 36.8%, and 5.7% reported alcohol use alone and in combination with blunt use and nonblunt marijuana use, respectively. Relative to alcohol users only, youth who used alcohol and blunts had increased odds of having alcohol dependence. This association was not found among youth who reported alcohol and nonblunt marijuana use. The increased rates of alcohol dependence highlight the public health concern of dual alcohol and a specific type of marijuana use (i.e., blunts) among African American youth. (PsycINFO Database Record (c) 2019 APA, all rights reserved).
Substance Abuse in Indiana: An Urban-Rural Perspective
(The Center for Health Policy, 2017-06-01) Kooreman, Harold E.; Greene, Marion S.
The use of alcohol and drugs is a significant public health problem in the United States. Indiana, like many other states in the nation, is lacking in substance abuse treatment services and rural areas are particularly underserved. Rural residents may encounter additional barriers to receiving substance abuse treatment, including stigma, fear that they may know their treatment providers, a lack of access to specialized services, inferior quality of care, and having to pay more for treatment.

Browsing by Subject "Marijuana"

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