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Cannabis Use and Sexual Health

      ABSTRACT

      Introduction

      Cannabis is the most commonly used illicit substance worldwide. Despite this, its impact on sexual health is largely unknown.

      Aim

      The aim of this article is to examine the association between cannabis use and a range of sexual health outcomes.

      Main Outcome Measures

      The main outcome measures include the number of sexual partners in the past year, condom use at most recent vaginal or anal intercourse, diagnosis with a sexually transmissible infection in the previous year, and the occurrence of sexual problems.

      Methods

      Method used in this article includes a computer-assisted telephone survey of 8,656 Australians aged 16–64 years resident in Australian households with a fixed telephone line.

      Results

      Of the 8,650 who answered the questions about cannabis use, 754 (8.7%) reported cannabis use in the previous year with 126 (1.5%) reporting daily use, 126 reported (1.5%) weekly use, and 502 (5.8%) reported use less often than weekly. After adjusting for demographic factors, daily cannabis use compared with no use was associated with an increased likelihood of reporting two or more sexual partners in the previous year in both men (adjusted odds ratio 2.08, 95% confidence interval 1.11–3.89; P = 0.02) and women (2.58, 1.08–6.18; P = 0.03). Daily cannabis use was associated with reporting a diagnosis of a sexually transmissible infection in women but not men (7.19, 1.28–40.31; P = 0.02 and 1.45, 0.17–12.42; P = 0.74, respectively). Frequency of cannabis use was unrelated to sexual problems in women but daily use vs. no use was associated with increased reporting among men of an inability to reach orgasm (3.94, 1.71–9.07; P < 0.01), reaching orgasm too quickly (2.68, 1.41–5.08; P < 0.01), and too slowly (2.05, 1.02–4.12; P = 0.04).

      Conclusions

      Frequent cannabis use is associated with higher numbers of sexual partners for both men and women, and difficulties in men's ability to orgasm as desired. Smith AMA, Ferris JA, Simpson JM, Shelley J, Pitts M, and Richters J. Cannabis use and sexual health.

      Keywords

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      References

        • World Health Organization
        Cannabis (facts and figures). WHO, Geneva2008 (Available at: (accessed December 16, 2008))
        • Abel E.L.
        Marihuana and sex: a critical survey.
        Drug Alcohol Depend. 1981; 8: 1-22
        • Arvidson M.
        • Kallings I.
        • Nilsson S.
        • Hellberg D.
        • Mårdh P.A.
        Risky behavior in women with history of casual travel sex.
        Sex Transm Dis. 1997; 24: 418-421
        • Boyer C.B.
        • Shafer M.A.
        • Teitle E.
        • Wibbelsman C.J.
        • Seeberg D.
        • Schachter J.
        Sexually transmitted diseases in a health maintenance organization teen clinic: Associations of race, partner's age, and marijuana use.
        Arch Pediatr Adolesc Med. 1999; 153: 838-844
        • Clark T.
        • Robinson E.
        • Crengle S.
        • Watson P.
        Contraceptive use by Maori youth in New Zealand: Associated risk and protective factors.
        N Z Med J. 2006; 119: U1816
        • Guo J.
        • Stanton B.
        • Cottrell L.
        • Clemens R.L.
        • Li X.
        • Harris C.
        • Marshall S.
        • Gibson C.
        Substance use among rural adolescent virgins as a predictor of sexual initiation.
        J Adolesc Health. 2005; 37: 252-255
        • Johnson S.D.
        • Phelps D.L.
        • Cottler L.B.
        The association of sexual dysfunction and substance use among a community epidemiological sample.
        Arch Sex Behav. 2004; 33: 55-63
        • Bell R.
        • Wechsler H.
        • Johnston L.D.
        Correlates of college student marijuana use: Results of a US national survey.
        Addiction. 1997; 92: 571-581
        • Brodbeck J.
        • Matter M.
        • Moggi F.
        Association between cannabis use and sexual risk behavior among young heterosexual adults.
        AIDS Behav. 2006; 10: 599-605
        • Castilla J.
        • Barrio G.
        • Belza M.J.
        • De La Fuente L.
        Drug and alcohol consumption and sexual risk behaviour among young adults: Results from a national survey.
        Drug Alcohol Depend. 1999; 56: 47-53
        • Graves K.L.
        • Leigh B.C.
        The relationship of substance use to sexual activity among young adults in the United States.
        Fam Plann Perspect. 1995; 27: 18-22
        • Lowry R.
        • Holtzman D.
        • Truman B.I.
        • Kann L.
        • Collins J.L.
        • Kolbe L.J.
        Substance use and HIV-related sexual behaviors among US high school students: Are they related?.
        Am J Public Health. 1994; 84: 1116-1120
        • Martino S.C.
        • Collins R.L.
        • Ellickson P.L.
        Substance use and vulnerability to sexual and physical aggression: A longitudinal study of young adults.
        Violence Vict. 2004; 19: 521-540
        • Mott F.L.
        • Haurin R.J.
        Linkages between sexual activity and alcohol and drug use among American adolescents.
        Fam Plann Perspect. 1988; 20: 128-136
        • Roberts T.A.
        • Auinger P.
        • Ryan S.A.
        Body piercing and high-risk behavior in adolescents.
        J Adolesc Health. 2004; 34: 224-229
        • Australian Institute of Health and Welfare
        2007 National drug strategy household survey: First results. AIHW, Canberra2008
        • Holt M.
        Young people and illicit drug use in Australia.
        Social research issues paper No. 3. National Centre in HIV Social Research, University of New South Wales, Sydney2005
        • Black E.
        • Roxburgh A.
        • Degenhardt L.
        • Bruno R.
        • Campbell G.
        • De Graaff B.
        • Fetherston J.
        • Kinner S.
        • Moon C.
        • Quinn B.
        • Richardson M.
        • Sindicich N.
        • White N.
        Australian drug trends 2007: Findings from the illicit drug reporting system (IDRS).
        National Drug and Alcohol Research Centre, University of New South Wales, Sydney2008
        • Imrie J.
        • Frankland A.
        HIV/AIDS, hepatitis and sexually transmissible infections in Australia: Annual report of trends in behaviour 2008.
        National Centre in HIV Social Research, University of New South Wales, Sydney2008: 29-31
        • Richters J.
        • Song A.
        • Prestage G.P.
        • Clayton S.
        • Turner R.
        Health of lesbian, bisexual and queer women in Sydney: The 2004 Sydney Women and Sexual Health survey.
        National Centre in HIV Social Research, Sydney2005
        • Richters J.
        • Butler T.
        • Yap L.
        • Kirkwood K.
        • Grant L.
        • Smith A.
        • Schneider K.
        • Donovan B.
        Sexual health and behaviour of New South Wales prisoners.
        School of Public Health and Community Medicine, University of New South Wales, Sydney2008: 26
        • Hall W.
        • Nelson J.
        Correlates of the perceived health risks of marijuana use among Australian adults.
        Drug Alcohol Rev. 1996; 15: 137-143
        • Smith A.M.
        • Pitts M.K.
        • Shelley J.M.
        • Richters J.
        • Ferris J.
        The Australian longitudinal study of health and relationships.
        BMC Public Health. 2007; 7: 139
        • Laumann E.O.
        • Paik A.
        • Rosen RC.
        Sexual dysfunction in the United States: Prevalence and predictors.
        JAMA. 1999; 281: 537-544
        • Mercer C.H.
        • Fenton K.A.
        • Johnson A.M.
        • Wellings K.
        • Macdowall W.
        • McManus S.
        • Nanchahal K.
        • Erens B.
        Sexual function problems and help seeking behaviour in Britain: National probability sample survey.
        BMJ. 2003; 327: 426-427
        • Richters J.
        • Grulich A.E.
        • De Visser R.O.
        • Smith A.M.
        • Rissel C.E.
        Sex in Australia: Sexual difficulties in a representative sample of adults.
        Aust N Z J Public Health. 2003; 27: 164-170
        • De Visser R.O.
        • Smith A.M.
        • Rissel C.E.
        • Richters J.
        • Grulich A.E.
        Sex in Australia: Safer sex and condom use among a representative sample of adults.
        Aust N Z J Public Health. 2003; 27: 223-229
        • De Visser R.O.
        • Smith A.M.
        • Rissel C.E.
        • Richters J.
        • Grulich A.E.
        Sex in Australia: Heterosexual experience and recent heterosexual encounters among a representative sample of adults.
        Aust N Z J Public Health. 2003; 27: 146-154
        • Grulich A.E.
        • De Visser R.O.
        • Smith A.M.
        • Rissel C.E.
        • Richters J.
        Sex in Australia: Sexually transmissible infection and blood-borne virus history in a representative sample of adults.
        Aust N Z J Public Health. 2003; 27: 234-241
        • Grulich A.E.
        • De Visser R.O.
        • Smith A.M.
        • Rissel C.E.
        • Richters J.
        Sex in Australia: Homosexual experience and recent homosexual encounters.
        Aust N Z J Public Health. 2003; 27: 155-163
      1. Stata statistical software: Release 10. [program. StataCorp LP, College Station, TX2007
        • Buffum J.
        Pharmacosexology: The effects of drugs on sexual function.
        J Psychoactive Drugs. 1982; 14: 5-44
        • Halikas J.
        • Weller R.
        • Morse C.
        Effects of regular marijuana use on sexual performance.
        J Psychoactive Drugs. 1982; 14: 59-70