We sought to describe the prevalence of and motivation for cannabis use and whether legalization of cannabis impacts the frequency and perceived risks and benefits of use in people living with HIV (PWH). The study was based on two HIV clinics located in Cleveland, Ohio, and Aurora, Colorado. Participants responded to a 45-question survey, and responses were summarized in aggregate and stratified by the frequency of cannabis use and site. Three hundred ninety-seven participants completed the survey. The frequency of use was not different between the sites. Daily cannabis users compared with yearly or never users identified the benefits of cannabis as relief from stress, anxiety, or depression, improved sleep, improved creativity, improved focus or concentration, and increased energy. The benefits of pain management, improved appetite, and helping to decrease or stop other medications were selected at similar rates, regardless of the frequency of use. Daily users were less likely to identify treatment of disease as a benefit and legal problems, addiction to cannabis, impaired memory, increased use of other drugs, personal or relationship problems, decrease in intelligence, new or worsening health problems, and getting high as risks of use compared with yearly or never users. Compared with participants in Ohio, Coloradoans were more likely to identify cannabis benefits as decreasing/stopping other medications and getting high, and less likely to identify legal problems and addiction as risks. Legalization of cannabis did not affect the frequency of cannabis use in PWH. Daily cannabis users are more likely to identify benefits and less likely to identify risks of use compared with yearly or never users. A better understanding of the potential benefits and risks of cannabis use can help guide safer use of cannabis in PWH and allow physicians to provide better counseling on risk reduction.

中文翻译：

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不同法律环境下艾滋病毒感染者使用大麻的感知风险和益处以及频率。

我们试图描述大麻使用的流行程度和动机，以及大麻合法化是否影响艾滋病毒感染者（PWH）使用大麻的频率以及感知的风险和益处。该研究基于位于俄亥俄州克利夫兰和科罗拉多州奥罗拉的两家艾滋病毒诊所。参与者回答了一项包含 45 个问题的调查，并对回答进行了汇总，并根据大麻使用频率和地点进行了分层。三百九十七名参与者完成了调查。站点之间的使用频率没有差异。与每年或从未吸食大麻的人相比，每天吸食大麻的人认为大麻的好处是缓解压力、焦虑或抑郁、改善睡眠、提高创造力、提高注意力或集中力以及增加能量。无论使用频率如何，疼痛管理、改善食欲以及帮助减少或停止其他药物的益处都以相似的比例被选择。日常使用者不太可能将疾病治疗视为一种福利和法律问题、大麻成瘾、记忆受损、其他药物使用增加、个人或人际关系问题、智力下降、新的或恶化的健康问题以及风险升高与每年使用或从不使用的用户相比。与俄亥俄州的参与者相比，科罗拉多人更有可能将大麻的好处视为减少/停止其他药物和兴奋，而不太可能将法律问题和成瘾视为风险。大麻合法化并没有影响艾滋病毒感染者使用大麻的频率。与每年或从未吸食大麻的人相比，每天吸食大麻的人更有可能发现使用大麻的好处，而不太可能发现使用的风险。更好地了解使用大麻的潜在益处和风险有助于指导艾滋病毒感染者更安全地使用大麻，并使医生能够提供更好的降低风险咨询。