Older Adults’ Experience of Using Cannabis Mixed-methods Systematic Review

Main Article Content

Junjira Seesawang
Pulawit Thongtaeng
Tanapa Ritthiwong

Abstract

Purpose: To identify and synthesize older adult experiences of using cannabis.


Design: A mixed-method systematic review based on PRISMA guideline.


Methods: A search for quantitative and qualitative studies published in English or Thai from January 2012 to June 2022 was conducted using Pubmed, CINAHL, PsycInfo, Google Scholar, Sciences direct and ThaiJO databases. Eight studies were found to be relevant and were analyzed using thematic analysis. The findings were synthesized and presented in this review.


Main findings: The findings indicated that older adults perceived cannabis use as a legitimate treatment option while some experienced apprehension of public disclosure. Cannabis use was influenced by important reasons for disease management, resulting in the seeking of cannabis from both a license store and a non-license store. The multiple routes of administration for cannabis, such as inhalation and edibles, and its positive and negative effects were reported. The main barrier to cannabis use among older adults is lack of knowledge regarding cannabis.


Conclusion and recommendations: This mixed methods systematic review suggests that perceived benefits of cannabis may lead to more cannabis use in older adults. Healthcare providers should monitor cannabis use in older adults and provide accurate information about cannabis, especially focusing on potential dangers of its short-term desired effects. Future research should explore the experience of cannabis use among older adults, such as new users and people who have used it for a long time, to better understand the pattern of usage.

Article Details

How to Cite
Seesawang, J., Thongtaeng, P. ., & Ritthiwong, T. . (2023). Older Adults’ Experience of Using Cannabis: Mixed-methods Systematic Review. Nursing Science Journal of Thailand, 41(4), 1–16. Retrieved from https://he02.tci-thaijo.org/index.php/ns/article/view/261122
Section
Systematic Review

References

Choi NG, DiNitto DM, Marti CN. Older adults who use or have used marijuana: help-seeking for marijuana and other substance use problems. J Subst Abuse Treat. 2017;77:185–92. doi: 10.1016/j.jsat.2017.02.005.

Vacaflor BE, Beauchet O, Jarvis GE, Schavietto A, Rej S. Mental health and cognition in older cannabis users: a review. Can Geriatr J. 2020;23(3):242-49. doi: 10.5770/cgj.23.399.

Ahamed A, Kullmann KC, Frasso R, Goldstein JN. Trends in cannabis use among older adults in the United States, 2015-2018. JAMA Intern Med. 2020;180(4):609-11. doi: 10.1001/jamainternmed.2019.7514.

Wolfe D, Corace K, Rice D, Smith A, Kanji S, Conn D, et al. Effects of medical and non-medical cannabis use in older adults: protocol for a scoping review. BMJ Open. 2020;10(2):e034301. doi: 10.1136/bmjopen-2019-034301.

Le Boisselier R, Alexandre J, Lelong-Boulouard V, Debruyne D. Focus on cannabinoids and synthetic cannabinoids. Clin Pharmacol Ther. 2017;101(2):220–9. doi: 10.1002/cpt.563.

McTaggart-Cowan H, Bentley C, Raymakers A, Metcalfe R, Hawley P, Peacock S. Understanding cancer survivors’ reasons to medicate with cannabis: a qualitative study based on the theory of planed behavior. Cancer Med. 2021;10(1):396-404. doi: 10.1002/cam4.3536.

van den Elsen GAH, Ahmed AIA, Lammers M, Kramers C, Verkes RJ, van der Marck MA, et al. Efficacy and safety of medical cannabinoids in older subjects: a systematic review. Ageing Res Rev. 2014;14:56-64. doi: 10.1016/j.arr.2014.01.007.

Kaag AM, Schulte MHJ, Jansen JM, van Wingen G, Homberg J, van den Brink W, et al. The relation between gray matter volume and the use of alcohol, tobacco, cocaine and cannabis in male polysubstance users. Drug Alcohol Depend. 2018;187:186-94. doi: 10.1016/j.drugalcdep.2018.03.010.

Tumati S, Lanctot KL, Wang RD, Li A, Davis A, Herrmann N. Medical cannabis use among older adults in Canada: self-reported data on types and amount used, and perceived effects. Drugs Aging. 2022;39(2):153-63. doi: 10.1007/s40266-021-00913-y.

He Z, Bian J, Carretta HJ, Lee J, Hogan WR, Shenkman E, et al. Prevalence of multiple chronic conditions among older adults in Florida and the United States: comparative analysis of the OneFlorida data trust and national inpatient sample. J Med Internet Res. 2018;20(4):e137. doi: 10.2196/jmir.8961.

Han BH, Palamar JJ. Trends in cannabis use among older adults in the United States, 2015-2018. JAMA Intern Med. 2020;180(4):609-11. doi: 10.1001/jamainternmed.2019.7517.

Solomon HV, Greenstein AP, DeLisi L. Cannabis use in older adults: a perspective. Harv Rev Psychiatry. 2021;29(3):225-33. doi: 10.1097/HRP.0000000000000289.

Page MJ, McKenzie JE, Bossuyt P, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. PloS Med. 2021;18(3):e1003583. doi: 10.1371/journal.pmed.1003583.

The Joanna Briggs Institute. Critical appraisal checklist for analytical cross-sectional studies [Internet]. Adelaide: The Joanna Briggs Institute; 2017 [cited 2022 Nov 1]. Available from: http://joannabriggs.org/research/critical-appraisal-tools.html.

Critical Appraisal Skills Programme. CASP cohort study checklist [Internet]. Oxford: CASP; 2018 [cited 2022 Nov 1]. Available from: https://casp-uk.net/images/checklist/documents/CASP-Cohort-Study-Checklist/CASP-Cohort-Study-Checklist-2018_fillable_form.pdf.

Critical Appraisal Skills Programme. 10 questions developed by the National CASP Collaboration for qualitative methodologies [Internet]. Oxford: CASP; 2018 [cited 2022 Nov 1]. Available from: https://casp-uk.net/wp-content/uploads/2018/01/CASPQualitative-Checklist-2018.pdf.

Hoffmann-Eber W. Siering U, Neugebauer EAM, Lampert U, Eikermann M. Systematic review of current guideline appraisals performed with the appraisal of guidelines for research & evaluation II instrument – a third of agree II users apply a cut-off for guideline quality. J Clin Epidemiol. 2018;95:120-7. doi: 10.1016/j.jclinepi.2017.12.009.

Thomas J, Harden A. Methods for the thematic synthesis of qualitative research in systematic reviews. BMC Med Res Methodol. 2008;8:45. doi: 10.1186/1471-2288-8-45.

Bobitt J, Kang H, Croker JA, Silva LQ, Kaskie B. Use of cannabis and opioids for chronic pain by older adults: distinguishing clinical and contextual influences. Drug Alcohol Rev. 2020;39(6):753-62. doi: 10.1111/dar.13080.

Abuhasira R, Haviv YS, Leiba M, Leiba A, Ryvo L, Novack V. Cannabis is associated with blood pressure reduction in older adults-a 24-hours ambulatory blood pressure monitoring study. Eur J Intern Med. 2021;86:79-85. doi: 10.1016/j.ejim.2021.01.005.

Croker JA, Bobitt JL, Arora K, Kaskie B. Assessing health-related outcomes of medical cannabis use among older persons: findings from Colorado and Illinois. Clin Gerontol. 2021;44(1):66-79. doi: 10.1080/07317115.2020.1797971.

Kaufmann CN, Kim A, Miyoshi M, Han BH. Patterns of medical cannabis use among older adults from a cannabis dispensary in New York State. Cannabis Cannabinoid Res. 2022;7(2):224-30. doi: 10.1089/can.2020.0064.

Tumati S, Lanctot KL, Wang RD, Li A, Davis A, Herrmann N. Medical cannabis use among older adults in Canada: self-reported data on types and amount used, and perceived effects. Drugs Aging. 2022;39(2):153-63. doi: 10.1007/s40266-021-00913-y.

Bobitt J, Qualls SH, Schuchman M, Wickersham R, Lum HD, Arora K, et al. Qualitative analysis of cannabis use among older adults in Colorado. Drugs Aging. 2019;36(7):655-66. doi: 10.1007/s40266-019-00665-w.

Baumbusch J, Yip IS. Exploring new use of cannabis among older adults. Clin Gerontol. 2021;44(1):25-31. doi: 10.1080/07317115.2020.1746720.

Manning L, Bouchard L. Medical cannabis use: exploring the perceptions and experiences of older adults with chronic conditions. Clin Gerontol. 2021;44(1):32-41. doi: 10.1080/07317115.2020.1853299.

Han BH, Funk-White M, Ko R, Al-Rousan T, Palamar JJ. Decreasing perceived risk associated with regular cannabis use among older adults in the United States from 2015 to 2019. J Am Geriatr Soc. 2021;69(9):2591-7. doi: 10.1111/jgs.17213.

Han BH, Palamar JJ. Trends in cannabis use among older adults in the United States, 2015-2018. JAMA Intern Med. 2020;180(4):609-11. doi: 10.1001/jamainternmed.2019.7517.

Bottorff JL, Bissell LJ, Balneaves LG, Oliffe JL, Capler NR, Buxton J. Perceptions of cannabis as a stigmatized medicine: a qualitative descriptive study. Harm Reduct J. 2013;10:2. doi: 10.1186/1477-7517-10-2.

Porter B, Marie BS, Milavetz G, Herr K. Cannabidiol (CBD) use by older adults for acute and chronic pain. J Gerontol Nurs. 2021;47(7):6-15. doi: 10.3928/00989134-20210610-02.

Ryan J, Sharts-Hopko N. The experiences of medical marijuana patients: a scoping review of the qualitative literature. J Neurosci Nurs. 2017;49(3):185-90. doi: 10.1097/JNN.0000000000000283.

Kastie B, Bobitt J, Herrera J, Bhagianadh D, Segal-Gidan F, Brummel-Smith K, Arora K. Cannabis use among persons with dementia and their caregivers: lighting up an emerging issue for clinical gerontologists. Clin Gerontol. 2021;44(1):42-52. doi: 10.1080/07317115.2020.1852465.