ArticlemedRxiv : the preprint server for health sciences2025
Cannabis use, microbial diversity, and
Article in medRxiv : the preprint server for health sciences, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Objectives: People living with HIV (PLWH) frequently experience gastrointestinal symptoms linked to dysbiosis, impaired mucosal barrier integrity, and persistent immune activation. Cannabis is widely used for symptom management by PLWH, but its effects on the gut microbiome are unclear. Methods: We conducted a cross-sectional analysis of 63 PLWH (mean age 59.4 years; 71.4% Black or Hispanic) enrolled in the Marijuana Associated Planning and Long-term Effects study and its microbiome substudy. Participants provided fecal samples for 16S rRNA sequencing. Cannabis use was quantified using a validated Timeline Followback. Alpha diversity was estimated using the Shannon index, beta diversity with Bray-Curtis dissimilarity and PERMANOVA, and genus-level abundance using the IFAA method. Models adjusted for sex, age, and education. Results: Higher cannabis consumption was significantly associated with reduced alpha diversity (β = -1.23, Conclusion: Cannabis consumption in PLWH was associated with lower microbial diversity and reduced
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