Cannabis and complementary/alternative self-treatment approaches for symptom management among African American persons living with HIV.

Autor: Greenwald MK; Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA., Akcasu N; Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA., Baal P; Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA., Outlaw AY; Department of Family Medicine and Public Health Sciences, Wayne State University School of Medicine, Detroit, MI, USA., Cohn JA; Department of Internal Medicine, Wayne State University School of Medicine, Detroit, MI, USA., Lundahl LH; Department of Psychiatry and Behavioral Neurosciences, Wayne State University School of Medicine, Detroit, MI, USA.
Jazyk: angličtina
Zdroj: AIDS care [AIDS Care] 2023 Jan; Vol. 35 (1), pp. 78-82. Date of Electronic Publication: 2021 Nov 07.
DOI: 10.1080/09540121.2021.1998311
Abstrakt: Persons living with HIV (PLWH) experience symptoms from disease progression and side effects of antiretroviral treatment. This study examines in African American PLWH ( N  = 259) commonly-endorsed symptoms, types and self-rated efficacy of therapies for symptom alleviation. Analyses were stratified by gender ( n  = 178 males, n  = 81 females) and cannabis use typology: non-users ( n  = 90), mostly recreational use ( n  = 46), mixed recreational/therapeutic use ( n  = 51), or mostly therapeutic use ( n  = 72). Females reported greater severity for pain, fatigue, depression, weight change and tingling in extremities, but there were no gender differences for ratings of poor sleep, anxiety, poor appetite, or headache. Both marijuana (used therapeutically by females more than males) and medication(s) were among the 3 top methods for managing pain, poor sleep, anxiety, and headache. Marijuana was most often used for poor appetite, and medications for depression. Perceived efficacy of self-treatment approaches was moderately good. Among African American PLWH, symptom severity was higher for females and for therapeutic users of cannabis. Marijuana and medicine were often used to self-treat symptoms, but many participants did nothing. These results highlight the need for careful evaluation and management of symptoms in this underserved population.
Databáze: MEDLINE
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