鍾明惠LAWRENCE, TIRZA JOTIRZA JOLAWRENCE2026-05-072026-05-072024-06-14https://203.71.86.71/handle/123456789/9678學位別：碩士 關鍵字：Cannabis consumption; sleep; depression; anxiety; stress 論文公開日期：2024-07-08Background: Cannabis use is rooted in the Caribbean and Belizean culture. Rearing towards legalization there is no research on the prevalence of cannabis use and its effect on mental health on this population. Objectives: This study aimed to measure cannabis consumption, and evaluate its relationship with sociodemographic factors in Belizean adults; to measure sleep quality, depression, anxiety, and stress in Belizean adults; and to examine the relationship between cannabis consumption and sleep quality, depression, anxiety, and stress. Methods: A quantitative, cross- sectional study design used an online survey via google forms including socio-demographic data, Daily Sessions, Frequency, Age of Onset, and Quantity of Cannabis Use Inventory, Pittsburg Sleep Quality Index and Depression, Anxiety and Stress Scale was distributed via social media. Inclusion criteria included those born in Belize or to Belizean parents currently living in Belize, and 18 years and older. Belizeans residing outside the country of Belize were excluded. A total of 426 participants completed the survey and are included in the study. Descriptive analysis was used to describe socio demographic data. Chi square and Fisher’s exact test was used to analyze categorical data. One-way ANOVA, Pearson correlation and independent t-test was used to analyze dependent, continuous data. Multivariate linear regression analysis was used to analyze independent and dependent variables. Results: Three hundred participants(70%) admitted to having used cannabis in their lifetime, of which on 15(5%) abstained from use within the past month, and 74(25%) were long term users. Compared to none users, any users had decreased stress (-0.13(-3.58,-0.50)) (p=0.009) while daily/near-daily users had increased stress scores (0.18(1.01,7.16)) (p=0.009). Long term cannabis use was found with significant and positive associations with depression(p=0.038) (p=0.009), anxiety(p=0.001) (p=<0.001) and stress(p=0.023) (p=<0.001) after controlling for sociodemographic factors. Conclusion: The high prevalence rate demonstrates distinct relationship with the population and cannabis use. The maintained use in past month and long-term use had increased depression, anxiety and stress scores. The data suggest that while cannabis use may not significantly impact sleep, it is intricately linked with depression, anxiety, and stress. Implications: This study highlights the need for healthcare providers to incorporate comprehensive assessments of cannabis consumption in routine mental health evaluations and to develop targeted interventions for long-term users. Additionally, informed policy frameworks are necessary to address the mental health impacts of cannabis consumption.系所名稱：護理學系碩士在職專班thesis