Cannabis use associated with high-risk drug use among Palestinians: An emerging health risk

Introduction The West Bank has seen an increase in cannabis use, but there are few studies on the prevalence and factors associated with tetrahydrocannabinol (THC) use among Palestinians. The aim of this study was to examine the prevalence of THC use and its associations with sociodemographic factor...

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Main Authors: Basma Damiri, Saed Bilbeisi, Majdeddin MohammedAli, Mohab Najjar
Format: Article
Language:English
Published: European Publishing 2024-01-01
Series:Population Medicine
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Online Access:https://www.populationmedicine.eu/Cannabis-use-associated-with-high-risk-drug-use-among-Palestinians-An-emerging-health,180979,0,2.html
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author Basma Damiri
Saed Bilbeisi
Majdeddin MohammedAli
Mohab Najjar
author_facet Basma Damiri
Saed Bilbeisi
Majdeddin MohammedAli
Mohab Najjar
author_sort Basma Damiri
collection DOAJ
description Introduction The West Bank has seen an increase in cannabis use, but there are few studies on the prevalence and factors associated with tetrahydrocannabinol (THC) use among Palestinians. The aim of this study was to examine the prevalence of THC use and its associations with sociodemographic factors and its potential association with the use of alcohol, tobacco, energy drinks, coffee, and also other illicit drugs. Methods Male Palestinians from the West Bank were invited to give urine samples in a cross-sectional study in 2022. The study employed a self-reported questionnaire to identify participants who were current users in the last 30 days, including alcohol, illicit drugs, tobacco smoking, energy drinks, and coffee. Results The response rate was 68.2%. Out of 743 respondents, 8% declined to provide urine samples, leaving 656 participants with median age 28 years (IQR: 22–35), 24.7% single, and 20.3% illiterate. THC was found in 7.3% of the urine samples. A crude analysis of logistic regression indicated that THC was used in combination with alcohol (OR=3.62; 95% CI: 1.40–9.63, p=0.015), benzodiazepines (OR=6.42; 95% CI: 3.35–12.29, p<0.001), amphetamines OR=7.72; 95% CI: 3.89–15.32, p<0.001), and methamphetamines (OR=10.21; 95% CI: 5.1–20.41, p<0.001). Adjusted logistic regression revealed that THC use was associated with alcohol use (AOR=3.4; 95% CI: 1.56–7.38, p=0.002), benzodiazepines (AOR=2.57; 95% CI: 1.04–6.34, p=0.041), methamphetamines (AOR=3.76; 95% CI: 1.02–13.88, p<0.047), and an education level of undergraduate degree or higher (AOR=5.27; 95% CI: 1.23– 22.66, p=0.018). Conclusions These findings highlight the potential for polysubstance use and its implications for individual health outcomes. THC use associated with other drugs presents a new challenge for the health system with new emerging health issues. Further research is needed to comprehensively explore THC use in Palestine and the surrounding region, taking into account the unique sociocultural factors that may influence these behaviors.
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spelling doaj-art-227b1b73eddd4eaf8b18cbb76157787d2025-08-20T03:43:50ZengEuropean PublishingPopulation Medicine2654-14592024-01-016January1810.18332/popmed/180979180979Cannabis use associated with high-risk drug use among Palestinians: An emerging health riskBasma Damiri0https://orcid.org/0000-0001-8242-391XSaed Bilbeisi1Majdeddin MohammedAli2https://orcid.org/0000-0002-6336-902XMohab Najjar3Faculty of Medicine and Health Science, Drug and Toxicology Division, An-Najah National University, Nablus, PalestinePalestinian Ministry of Health, Opioid Substitution Therapy Unit, Ramallah, PalestineDepartment of Medicine, Medicine & Health Science Faculty, An-Najah National University, Nablus, PalestinePalestinian Ministry of Health, Thabet-Thabet Hospital, Tulkarm, PalestineIntroduction The West Bank has seen an increase in cannabis use, but there are few studies on the prevalence and factors associated with tetrahydrocannabinol (THC) use among Palestinians. The aim of this study was to examine the prevalence of THC use and its associations with sociodemographic factors and its potential association with the use of alcohol, tobacco, energy drinks, coffee, and also other illicit drugs. Methods Male Palestinians from the West Bank were invited to give urine samples in a cross-sectional study in 2022. The study employed a self-reported questionnaire to identify participants who were current users in the last 30 days, including alcohol, illicit drugs, tobacco smoking, energy drinks, and coffee. Results The response rate was 68.2%. Out of 743 respondents, 8% declined to provide urine samples, leaving 656 participants with median age 28 years (IQR: 22–35), 24.7% single, and 20.3% illiterate. THC was found in 7.3% of the urine samples. A crude analysis of logistic regression indicated that THC was used in combination with alcohol (OR=3.62; 95% CI: 1.40–9.63, p=0.015), benzodiazepines (OR=6.42; 95% CI: 3.35–12.29, p<0.001), amphetamines OR=7.72; 95% CI: 3.89–15.32, p<0.001), and methamphetamines (OR=10.21; 95% CI: 5.1–20.41, p<0.001). Adjusted logistic regression revealed that THC use was associated with alcohol use (AOR=3.4; 95% CI: 1.56–7.38, p=0.002), benzodiazepines (AOR=2.57; 95% CI: 1.04–6.34, p=0.041), methamphetamines (AOR=3.76; 95% CI: 1.02–13.88, p<0.047), and an education level of undergraduate degree or higher (AOR=5.27; 95% CI: 1.23– 22.66, p=0.018). Conclusions These findings highlight the potential for polysubstance use and its implications for individual health outcomes. THC use associated with other drugs presents a new challenge for the health system with new emerging health issues. Further research is needed to comprehensively explore THC use in Palestine and the surrounding region, taking into account the unique sociocultural factors that may influence these behaviors.https://www.populationmedicine.eu/Cannabis-use-associated-with-high-risk-drug-use-among-Palestinians-An-emerging-health,180979,0,2.htmldrug-use disorderscannabisthcillicit drugsalcohol
spellingShingle Basma Damiri
Saed Bilbeisi
Majdeddin MohammedAli
Mohab Najjar
Cannabis use associated with high-risk drug use among Palestinians: An emerging health risk
Population Medicine
drug-use disorders
cannabis
thc
illicit drugs
alcohol
title Cannabis use associated with high-risk drug use among Palestinians: An emerging health risk
title_full Cannabis use associated with high-risk drug use among Palestinians: An emerging health risk
title_fullStr Cannabis use associated with high-risk drug use among Palestinians: An emerging health risk
title_full_unstemmed Cannabis use associated with high-risk drug use among Palestinians: An emerging health risk
title_short Cannabis use associated with high-risk drug use among Palestinians: An emerging health risk
title_sort cannabis use associated with high risk drug use among palestinians an emerging health risk
topic drug-use disorders
cannabis
thc
illicit drugs
alcohol
url https://www.populationmedicine.eu/Cannabis-use-associated-with-high-risk-drug-use-among-Palestinians-An-emerging-health,180979,0,2.html
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AT saedbilbeisi cannabisuseassociatedwithhighriskdruguseamongpalestiniansanemerginghealthrisk
AT majdeddinmohammedali cannabisuseassociatedwithhighriskdruguseamongpalestiniansanemerginghealthrisk
AT mohabnajjar cannabisuseassociatedwithhighriskdruguseamongpalestiniansanemerginghealthrisk