Cannabis Use Correlates of Syringe Sharing among Injection Drug Users

Jutras‐Aswad, Didier; Zang, Geng; Bruneau, Julie

doi:10.1111/j.1521-0391.2010.00031.x

Cited by 8 publications

(15 citation statements)

References 30 publications

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“…In the current study, HIV-infected Russian “recent past” users do not behave exactly like current or non-users and hence timing of use merits closer examination. Another study classified non-HIV-infected individuals as regular and non-regular cannabis users and examined syringe sharing (Jutras-Aswad et al, 2010). This study revealed that on the day when participants used cannabis, non-regular cannabis users were five times more likely to share syringes than regular cannabis users.…”

Section: Discussionmentioning

confidence: 99%

Is cannabis use associated with HIV drug and sex risk behaviors among Russian HIV-infected risky drinkers?

Tyurina¹,

Krupitsky²,

Cheng³

et al. 2013

Drug and Alcohol Dependence

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Background While cannabis use has been associated with increased HIV drug and sex risk behaviors, its impact on risk behaviors among HIV-infected individuals has not yet been established. Methods This study examined data from Russian HIV-infected risky drinkers enrolled in a randomized controlled trial of a behavioral intervention. The primary independent variable was cannabis use (current [past 30 days use], recent past [use but not in past 30 days] vs. no past year use). Primary outcomes were needle sharing and number of unprotected sexual episodes. Secondary outcomes were drug injection, number of injections, and multiple sex partners. Longitudinal regression analyses controlled for age, gender, marital status, education, CD4 count, ART use, risky alcohol use, other drug use, depressive symptoms and randomization group. Results Cannabis use was common with 20% current and 26% recent past use at baseline. In longitudinal analyses current, but not recent past, cannabis consumption was significantly associated with needle sharing (AOR 2.23 current vs. none, 95% CI: 1.46, 3.36), drug injection (AOR 3.05 current vs. none, 95% CI: 2.06, 4.53) and number of injections (adjusted IRR 1.50 current vs. none, 95% CI: 1.19, 1.89). Current and recent past cannabis use were significantly associated with multiple sex partners but not with number of unprotected sex episodes. Conclusion Cannabis use was associated with drug and sex risk behaviors among Russian HIV-infected risky drinkers. Inquiry about cannabis use among HIV-infected patients may reveal a patient group at higher risk for sex and drug use behaviors that lead to HIV transmission.

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Section: Discussionmentioning

confidence: 99%

Is cannabis use associated with HIV drug and sex risk behaviors among Russian HIV-infected risky drinkers?

Tyurina¹,

Krupitsky²,

Cheng³

et al. 2013

Drug and Alcohol Dependence

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“…À court terme, les effets cognitifs de la marijuana inhalée apparaissent à une concentration sérique entreTous droits réservés © Drogues, santé et société, vol. 16, no 1, mars 2018 de l'impulsivité, une difficulté de résolution de problèmes et une plus grande prise de risque ont été notées chez les utilisateurs occasionnels (Desrosiers, Ramaekers, Chauchard, Gorelick et Huestis, 2015 ;Jutras-Aswad, Zang et Bruneau, 2010). Ceux-ci seraient plus sujets à être impliqués dans des accidents routiers (Desrosiers, Ramaekers, Chaunard, Gorelick et Huestis, 2015 ;Eksborg et Rajs, 2008).…”

Section: Facteurs Modulant L'association Entre L'exposition Au Cannabunclassified

Le cannabis et ses effets délétères : pour un débat plus nuancé

Jobidon

Jutras‐Aswad

2018

dss

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Alors que plusieurs États américains ont fait le choix d’assouplir la législation entourant l’usage récréatif du cannabis et qu’au Canada, cette substance est encadrée par un programme fédéral pour son utilisation thérapeutique, le débat sur l’utilisation du cannabis et ses effets néfastes continue de faire couler beaucoup d’encre. S’éloignant souvent des données probantes, ce débat est généralement marqué par des positions clivées qui ne rendent pas compte des nuances récemment apportées par les données scientifiques sur le sujet. Afin de pouvoir bien évaluer les risques que pose cette substance, nous suggérons ici de délaisser le questionnement dichotomique quant au fait que le cannabis cause, ou pas, certains problèmes de santé au profit d’une discussion sur les facteurs modulant la relation entre le cannabis et certains effets délétères potentiels, notamment sur le plan de la cognition, de la psychose et de la toxicomanie. Nous discutons ainsi de certaines données sur la composition du cannabis, son mode d’utilisation, le type de population en faisant usage et la présence de stresseurs environnementaux, qui semblent tous moduler les risques associés à la consommation de cannabis. Devant les données indiquant que le cannabis est une substance psychoactive possédant à la fois des effets délétères et bénéfiques, et au regard du fait qu’une minorité d’individus éprouveront des difficultés après en avoir consommé, il nous semble crucial de faire bon usage et d’approfondir la littérature scientifique portant sur ces facteurs modulateurs. Nous pensons que cela pourrait permettre de mieux informer la population et prendre des décisions plus éclairées, notamment quant aux modalités entourant un éventuel changement au statut légal du cannabis.

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“…This poly-substance pattern of use has prompted researchers to investigate the potential interaction with, and effect of, these drug on neuropsycho-biological processes related to addiction. For example, some studies reveal that cannabis consumption enhances the incentive to use cocaine in individuals dependent on both, while others suggested that cannabis reduced withdrawal symptoms in abstinent cocaine-addicted subjects (22, 90, 91). Although it is recognized that components of the ECBS are involved in cocaine-seeking behaviors, very few studies have focused on understanding the neural and behavioral effects of endogenous and exogenous cannabinoids on psychostimulant use.…”

Section: The Endocannabinoid Systemmentioning

confidence: 99%

“…Results from this study suggest that smoking cannabis reduced the achievement of sustained remission and increased relapse to cocaine use (91) (see Table 1). Surprisingly, a study from Jutras-Aswad et al supports the assumption that irregular cannabis use increases risky behaviors (syringe sharing) of cocaine and opioid users, as opposed to regular cannabis use, suggesting a complex dose-effect relationship between cannabis and addictive behaviors (22). The possibility that cannabis use by recently abstinent cocaine-dependent individuals influences relapse to drug and other related behaviors remains poorly documented.…”

Section: Interaction Of the Ecbs With Biological And Behavioral Corrementioning

confidence: 99%

“…Moreover, endogenous and exogenous cannabinoids such as plant-derived cannabinoid ligands (i.e., Δ 9 -THC, cannabidiol, CBD) modulate specific neurotransmitter systems which are also pharmacological targets for cocaine. Interestingly, cannabis is widely used by psychostimulant-dependent individuals (22); while it is recognized that components of the ECBS are implicated in psychostimulants, more specifically in cocaine-seeking behaviors, very few studies have focused on an understanding of the neural and behavioral effects of cannabis on psychostimulants use in humans.…”

Section: Introductionmentioning

confidence: 99%

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Modulation of the Endocannabinoid System: Vulnerability Factor and New Treatment Target for Stimulant Addiction

Oliere¹,

Jolette-Riopel²,

Potvin³

et al. 2013

Front. Psychiatry

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Cannabis is one of the most widely used illicit substance among users of stimulants such as cocaine and amphetamines. Interestingly, increasing recent evidence points toward the involvement of the endocannabinoid system (ECBS) in the neurobiological processes related to stimulant addiction. This article presents an up-to-date review with deep insights into the pivotal role of the ECBS in the neurobiology of stimulant addiction and the effects of its modulation on addictive behaviors. This article aims to: (1) review the role of cannabis use and ECBS modulation in the neurobiological substrates of psychostimulant addiction and (2) evaluate the potential of cannabinoid-based pharmacological strategies to treat stimulant addiction. A growing number of studies support a critical role of the ECBS and its modulation by synthetic or natural cannabinoids in various neurobiological and behavioral aspects of stimulants addiction. Thus, cannabinoids modulate brain reward systems closely involved in stimulants addiction, and provide further evidence that the cannabinoid system could be explored as a potential drug discovery target for treating addiction across different classes of stimulants.

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Cannabis Use Correlates of Syringe Sharing among Injection Drug Users

Cited by 8 publications

References 30 publications

Is cannabis use associated with HIV drug and sex risk behaviors among Russian HIV-infected risky drinkers?

Is cannabis use associated with HIV drug and sex risk behaviors among Russian HIV-infected risky drinkers?

Le cannabis et ses effets délétères : pour un débat plus nuancé

Modulation of the Endocannabinoid System: Vulnerability Factor and New Treatment Target for Stimulant Addiction

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