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Predictors of medicinal cannabis users’ willingness to utilise a new prescription Medicinal Cannabis Scheme in New Zealand

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Authors:
Summary:

A 2019 online survey of 3634 medicinal cannabis users has identified factors predictive of intention to engage with the new prescription Medicinal Cannabis Scheme (MCS) in New Zealand. A total of 78% of respondents were aware of the new MCS and 66% intended to use it. On logistic regression analysis, higher income (odds ratio [OR] 1.57), younger age (OR 1.02), smoking cannabis versus vaping (OR 2.0), and oral ingestion in edible form (OR 2.22) predicted intention to engage with the MCS. Those less likely to engage with the MCS were Māori (OR 0.63) and those who grew their own cannabis (OR 0.52). The authors speculated that lower intended engagement by Māori, lower income groups and those who grow their own cannabis may reflect perceptions of the MCS as restrictive and expensive.

Comment:
I had an interesting conversation with someone last week about stopping smoking in order to improve his respiratory symptoms. He admitted that he was smoking a joint a day to help with pain management. We calculated that the cost was $300/month, which was comparable to MCS. My point being that we shouldn’t make assumptions and people may be open to consider MCS.
Reference: N Z Med J. 2021;134(1534):66-75
Independent commentary by Dr. Matire Hardwood

Dr Matire Harwood (Ngapuhi) has worked in Hauora Māori, primary health and rehabilitation settings as clinician and researcher since graduating from Auckland Medical School in 1994. She also holds positions on a number of boards, committees and advisory groups including the Health Research Council. Matire lives in Auckland with her whānau including partner Haunui and two young children Te Rangiura and Waimarie.

Research Review publications are intended for New Zealand health professionals.

Disclaimer: This publication is not intended as a replacement for regular medical education but to assist in the process. The reviews are a summarised interpretation of the published study and reflect the opinion of the writer rather than those of the research group or scientific journal. It is suggested readers review the full trial data before forming a final conclusion on its merits.

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