Abstract

Substance use is associated with greater barriers and reduced access to care. Little research, however, has examined the relationship between cannabis use and receipt of preventive health services. Using data from the 2017 Behavioral Risk Factor Surveillance System, we examined the association between current cannabis use and receipt of 12 preventive health services, adjusting for sociodemographic characteristics and access to care. In analyses that adjusted for sociodemographic factors and access to care, participants with current cannabis use had lower odds of being vaccinated for influenza (AOR = 0.67, 95% CI = 0.54–0.83) and higher odds of ever receiving HPV vaccination (AOR = 1.77, 95% CI = 1.06–2.96) and HIV screening (AOR = 2.34, 95% CI = 1.88–2.92) compared with those without cannabis use. Among the 12 preventive services examined, we found three differences in receipt of preventive services by cannabis use status. Cannabis use does not appear to be associated with significant underuse of preventive services.

摘要

物质使用与更大的障碍和更少的护理机会有关。然而，很少有研究考察大麻使用与接受预防性保健服务之间的关系。我们使用 2017 年行为风险因素监测系统的数据，检查了当前大麻使用与接受 12 项预防性健康服务之间的关联，并根据社会人口特征和获得护理的机会进行了调整。在针对社会人口因素和获得护理进行调整的分析中，目前吸食大麻的参与者接种流感疫苗的几率较低（AOR = 0.67，95% CI = 0.54–0.83），而曾经接受 HPV 疫苗接种的几率较高（AOR = 1.77 , 95% CI = 1.06–2.96) 和 HIV 筛查 (AOR = 2.34, 95% CI = 1.88–2.92) 与未吸食大麻者相比。在检查的 12 项预防服务中，我们发现大麻使用状况在接受预防服务方面存在三个差异。大麻的使用似乎与预防服务的严重使用不足无关。