Cannabis for Therapeutic Purposes: Older Adult Perspectives, User Characteristics and Motivations for Use
Use of cannabis among adults 55 years of age and older is increasing. In Q4 of 2018, slightly over half of cannabis users used for therapeutic purposes at least once, where many reported using for both medical and non-medical reasons (mixed use). Research on older adults regarding the use of Cannabis for Therapeutic Purposes (CTP) is fragmented and there are no comprehensive or in-depth studies on their perceptions or self-reported motivations. Understanding in these areas is important to inform policy that takes the protection of public health and safety as central aims. Does policy affect one of, if not both, user and non-user perspectives? Methods: The normalization framework provides a lens through which to study older adult use of CTP, while critical realism serves as the methodological framework. A qualitative flexible deductive approach is applied. Findings: The findings suggest a social acceptance of CTP by non-users, but that the use of healthcare practitioner authorized CTP is not normalized. Government and medical regulatory policy serve as barriers to access authorized CTP, which does not support normalization. In the Canadian context, pain and avoidance of conventional drug use are central factors for the use of CTP. Conclusion: It is understood from the findings that the primary motivator for the use of CTP is to achieve normal goals, goals the participants themselves interpret as normal, distinct from recreational use. Legislative and other policy modifications are required to ensure authorized access to regulated cannabis in order to protect public health and public safety.