1
|
Wysota CN, Le D, Clausen ME, Ciceron AC, Fuss C, Bennett B, Romm KF, Duan Z, Berg CJ. Young adults' knowledge, perceptions and use of cannabidiol products: a mixed-methods study. Health Educ Res 2022; 37:379-392. [PMID: 36217613 PMCID: PMC9677236 DOI: 10.1093/her/cyac030] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/09/2022] [Revised: 09/20/2022] [Accepted: 09/22/2022] [Indexed: 06/07/2023]
Abstract
Cannabidiol (CBD) product regulatory efforts must be informed by research regarding consumer perceptions. This mixed-methods study examined CBD product information sources, knowledge, perceptions, use and use intentions among young adults. This study analyzed (i) Fall 2020 survey data from 2464 US young adults (Mage = 24.67, 51.4% ever users, 32.0% past 6-month users) and (ii) Spring 2021 qualitative interviews among 40 survey participants (27.5% past-month users). Overall, 97.9% of survey participants reported having heard of CBD, 51.4% ever/lifetime use and 32.0% past 6-month use. Survey participants learned about CBD from friends/family (58.9%), products/ads at retailers (36.4%), online content/ads (34.8%), CBD stores (27.5%) and social media (26.7%). One-fourth believed that CBD products were required to be US Food and Drug Administration-approved (24.9%), tested for safety (28.8%) and proven effective to be marketed for pain, anxiety, sleep, etc. (27.2%). Survey and interview participants perceived CBD as safe, socially acceptable and effective for addressing pain, anxiety and sleep. Interview findings expanded on prominent sources of marketing and product exposure, including online and specialty retailers (e.g. vape shops), and on participants' concerns regarding limited regulation and/or evidence regarding CBD's effectiveness/risks. Given young adults' misperceptions about CBD, surveillance of CBD knowledge, perceptions and use is critical as the CBD market expands.
Collapse
Affiliation(s)
- Christina N Wysota
- Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave. NW, Washington, DC, USA
| | - Daisy Le
- Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave. NW, Washington, DC, USA
- Department of Policy, Populations, and Systems, School of Nursing, George Washington University, 1919 Pennsylvania Ave. NW, Washington, DC 20006, USA
- George Washington Cancer Center, George Washington University, 800 22nd St. NW, Washington, DC, USA
| | - Michelle Elise Clausen
- Department of Policy, Populations, and Systems, School of Nursing, George Washington University, 1919 Pennsylvania Ave. NW, Washington, DC 20006, USA
| | - Annie Coriolan Ciceron
- Department of Policy, Populations, and Systems, School of Nursing, George Washington University, 1919 Pennsylvania Ave. NW, Washington, DC 20006, USA
| | - Caroline Fuss
- Department of Global Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave. NW, Washington, DC 20052, USA
| | - Breesa Bennett
- Department of Epidemiology, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave. NW, Washington, DC 20052, USA
| | - Katelyn F Romm
- Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave. NW, Washington, DC, USA
| | - Zongshuan Duan
- Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave. NW, Washington, DC, USA
| | - Carla J Berg
- Department of Prevention and Community Health, Milken Institute School of Public Health, George Washington University, 950 New Hampshire Ave. NW, Washington, DC, USA
- George Washington Cancer Center, George Washington University, 800 22nd St. NW, Washington, DC, USA
| |
Collapse
|
2
|
Ciceron AC, Jeon MJ, Monroe AK, Clausen ME, Magnus M, Le D. HPV knowledge, screening barriers and facilitators, and sources of health information among women living with HIV: perspectives from the DC community during the COVID-19 pandemic. BMC Womens Health 2022; 22:110. [PMID: 35397535 PMCID: PMC8994173 DOI: 10.1186/s12905-022-01689-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/05/2021] [Accepted: 03/31/2022] [Indexed: 11/17/2022] Open
Abstract
Background High-risk human papillomavirus (HPV) causes 99% of cervical cancer cases. Despite available prevention methods through the HPV vaccine and two screening modalities, women continue to die from cervical cancer worldwide. Cervical cancer is preventable, yet affects a great number of women living with HIV (WLH). Low screening rates among WLH further exacerbate their already high risk of developing cervical cancer due to immunosuppression. This study explores WLH’s current cervical cancer knowledge, screening barriers and facilitators, and sources of health information.
Methods Focus group discussions were conducted with 39 WLH aged 21 years old or older, who resided in the Washington-Baltimore Metropolitan Area. Emergent themes were classified and organized into overarching domains and assembled with representative quotations. Results The women had limited knowledge of HPV and the cervical cancer screening guidelines for WLH. Coronavirus 2019 (COVID-19) pandemic has amplified screening barriers due to decreased accessibility to usual medical appointment and cervical cancer screenings. Screening facilitators included knowing someone diagnosed with cervical cancer and provider recommendations. WLH indicated that they obtained health information through in-person education (providers, peer groups) and written literature. Due to the pandemic, they also had to increasingly rely on remote and technology-based communication channels such as the internet, social media, television, radio, email, and short message service (SMS) text messaging. Conclusions Future health interventions need to explore the possibility of sharing messages and increasing cervical cancer and HPV knowledge of WLH through the use of SMS and other technology-based channels.
Collapse
Affiliation(s)
- Annie Coriolan Ciceron
- Department of Policy, Populations, and Systems, School of Nursing, The George Washington University, 1919 Pennsylvania Avenue NW, Suite 500, Washington, DC, 20006, USA
| | - Min Jeong Jeon
- Department of Policy, Populations, and Systems, School of Nursing, The George Washington University, 1919 Pennsylvania Avenue NW, Suite 500, Washington, DC, 20006, USA
| | - Anne Kress Monroe
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue NW, 5th Floor, Washington, DC, 20052, USA
| | - Michelle Elise Clausen
- Department of Policy, Populations, and Systems, School of Nursing, The George Washington University, 1919 Pennsylvania Avenue NW, Suite 500, Washington, DC, 20006, USA
| | - Manya Magnus
- Department of Epidemiology, Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue NW, 5th Floor, Washington, DC, 20052, USA
| | - Daisy Le
- Department of Policy, Populations, and Systems, School of Nursing, The George Washington University, 1919 Pennsylvania Avenue NW, Suite 500, Washington, DC, 20006, USA. .,Department of Prevention and Community Health, Milken Institute School of Public Health, The George Washington University, 950 New Hampshire Avenue NW, 3rd Floor, Washington, DC, 20052, USA. .,George Washington University Cancer Center (GW Cancer Center), The George Washington University, 800 22nd Street NW, Suite 7000C (Science and Engineering Hall), Washington, DC, 20052, USA.
| |
Collapse
|
3
|
Paerregaard A, Angen O, Lisby M, Mølbak K, Clausen ME, Christensen JJ. Denmark: botulism in an infant or infant botulism? Euro Surveill 2008; 13:19072. [PMID: 19094919] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/27/2023] Open
Abstract
A 4.5 months old, previously healthy Danish girl was admitted to a paediatric department after six days of passive behaviour and weak suck. Over the next days she became increasingly weak, developed bilateral ptosis, the muscle stretch reflexes were lost, and mydriasis with slow pupillary responses was noted. Botulism was suspected and confirmed by testing of patient serum in a bioassay. The condition of the patient improved following administration of botulism antiserum. The clinical picture was suggestive of intestinal (infant) botulism. However, botulism acquired from consumption of food with preformed neurotoxin could not be excluded.
Collapse
|
4
|
Abstract
A 4.5 months old, previously healthy Danish girl was admitted to a paediatric department after six days of passive behaviour and weak suck. Over the next days she became increasingly weak, developed bilateral ptosis, the muscle stretch reflexes were lost, and mydriasis with slow pupillary responses was noted. Botulism was suspected and confirmed by testing of patient serum in a bioassay. The condition of the patient improved following administration of botulism antiserum. The clinical picture was suggestive of intestinal (infant) botulism. However, botulism acquired from consumption of food with preformed neurotoxin could not be excluded. The food history revealed consumption of a commercially produced banana/peach puree which was suspected as a possible source, and based on a precautionary principle this product was recalled. The case description illustrates a risk-management dilemma between suspected foodborne versus intestinal botulism. Taking the potentially very serious consequences of foodborne botulism into consideration, the measures taken were justified.
Collapse
Affiliation(s)
| | - Ø Angen
- Section for Bacteriology and Pathology, National Veterinary Institute, Technical University of Denmark, Copenhagen, Denmark
| | - M Lisby
- Regional Veterinary and Food Control Authority East, Copenhagen, Denmark
| | - K Mølbak
- Department of Epidemiology, Statens Serum Institut, Copenhagen, Denmark
| | - M E Clausen
- Department of Bacteriology, Mycology and Parasitology, Division of Microbiology and Diagnostics, Statens Serum Institut, Copenhagen, Denmark
| | - J J Christensen
- Department of Bacteriology, Mycology and Parasitology, Division of Microbiology and Diagnostics, Statens Serum Institut, Copenhagen, Denmark
| |
Collapse
|