Evidence map›Paper›PMID 42258790›Full record

ArticleJMIR research protocols2026

Cannabis Effects on Neurocognition and HIV-Related Outcomes: Protocol for a Longitudinal Observational Cohort Study.

Isabella Matthews, Allison Wilson, Mainza Durrell, Ella Remund Wiger, Anna Hotton, Joseph E Rower, Ofir Livne, Raul Gonzalez, Dustin T Duncan, Jennifer Manuzak and 10 more

Abstract read
In one paragraph

Article in JMIR research protocols, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

20 authors.

Isabella Matthews *Chicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, 1525 E 55th St. Suite 205, Chicago, IL, 60615, United States.ORCID 0009-0004-1690-8889
Allison Wilson *Chicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, 1525 E 55th St. Suite 205, Chicago, IL, 60615, United States.ORCID 0000-0002-1546-3708
Mainza DurrellChicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, 1525 E 55th St. Suite 205, Chicago, IL, 60615, United States.ORCID 0000-0002-2223-9093
Ella Remund WigerChicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, 1525 E 55th St. Suite 205, Chicago, IL, 60615, United States.ORCID 0000-0001-7593-3022
Anna HottonChicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, 1525 E 55th St. Suite 205, Chicago, IL, 60615, United States.ORCID 0000-0002-4570-8155
Joseph E RowerDepartment of Pharmacology and Toxicology, Center for Human Toxicology, University of Utah, Salt Lake City, UT, United States.ORCID 0000-0003-3629-7902
Ofir LivneDepartment of Psychiatry, Columbia University Irving Medical Center, New York City, NY, United States.ORCID 0000-0001-6673-0231
Raul GonzalezDepartment of Psychology, Center for Children and Families, Florida International University, Westchester, FL, United States.ORCID 0000-0002-5431-4828
Dustin T DuncanMailman School of Public Health, Department of Epidemiology, Columbia University, New York City, NY, United States.ORCID 0000-0001-8586-8711
Jennifer ManuzakDivision of Immunology, School of Medicine, Tulane National Primate Research Center, Covington, LA, United States.ORCID 0000-0002-0079-2306
Phil SchummCenter for Translational Data Science, Biologicial Sciences Division, University of Chicago, Chicago, IL, United States.ORCID 0000-0002-3050-2429
Adam CarricoDepartment of Health Promotion and Disease Prevention, Robert Stempel College of Public Health and Social Work, Florida International University, Miami, FL, United States.ORCID 0000-0002-8146-5701
Camille DemarcoChicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, 1525 E 55th St. Suite 205, Chicago, IL, 60615, United States.ORCID 0009-0006-7139-3974
Ellen AlmirolChicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, 1525 E 55th St. Suite 205, Chicago, IL, 60615, United States.ORCID 0000-0001-9340-8635
Leona KondicDepartment of Psychiatry and Behavioral Neurosciences, University of Chicago, Chicago, IL, United States.ORCID 0009-0001-6973-311X
Isaac ToscanoDepartment of Psychiatry and Behavioral Neurosciences, University of Chicago, Chicago, IL, United States.ORCID 0000-0001-5751-2590
Joseph DeBrosseDepartment of Psychiatry and Behavioral Neurosciences, University of Chicago, Chicago, IL, United States.ORCID 0009-0006-4353-0695
Sarah KeedyDepartment of Psychiatry and Behavioral Neurosciences, University of Chicago, Chicago, IL, United States.ORCID 0000-0002-2139-9271
John A SchneiderChicago Center for HIV Elimination, Biological Sciences Division, University of Chicago, 1525 E 55th St. Suite 205, Chicago, IL, 60615, United States.ORCID 0009-0003-0553-3447
Justin Knox *Department of Psychiatry, Columbia University Irving Medical Center, New York City, NY, United States.ORCID 0000-0001-6771-8138

Funding

Tulane NPRC SPF Sheltered Outdoor Enclosure ExpansionP51OD011104 · OD · TULANE UNIVERSITY OF LOUISIANA · PI L Lee HAMM · 2012 to 2026
$142.4M
NIH HHS P51 OD011104
6 · The paper itself

Abstract

Background: Heavy cannabis use may impact neurocognitive functions, particularly prefrontal and limbic systems responsible for risk/reward processing and executive function, which are essential for certain health behaviors, such as HIV prevention. Rigorous research into the effects of cannabis on neurocognitive functions remains limited, particularly among populations with a high burden of HIV. Objective: This study aims to (1) evaluate associations between cannabis use and neurocognition, (2) evaluate associations between cannabis use and engagement in HIV status-neutral care outcomes (eg, pre-exposure prophylaxis persistence, viral suppression), and (3) assess whether cannabis use motivations modify associations between cannabis use and engagement in HIV status-neutral care outcomes. Methods: This longitudinal cohort study is enrolling a community-based sample of individuals aged 16 to 29 years residing in Chicago using multiple recruitment strategies. Participants complete 3 in-person assessments annually over 2 years that include (1) computer-assisted questionnaires, (2) neurocognitive assessments (functional magnetic resonance imaging, executive function tasks), and (3) biospecimen collection. Triangulation approaches combine objective and self-reported measures. Results: The Frontal Lobe Outcomes and Well-Being (FLOW) Study was funded by the National Institutes of Health in April 2023, with data collection commencing in October 2023. As of April 2026, 148 participants have been enrolled and completed baseline assessments, with 63 participants completing their first follow-up appointment and 4 participants completing their second follow-up appointment. Following a temporary administrative pause from March to August 2025 and subsequent federal review confirming regulatory compliance, the study resumed operations in July 2025. Recruitment is currently ongoing, with data collection expected to continue through June 2027. Preliminary analyses are pending completion of longitudinal data collection. Conclusions: This study addresses critical knowledge gaps by examining potential associations between cannabis use, neurocognition, and HIV. While geographic specificity, structural barriers, measurement challenges, and sample size constraints present some limitations, our methodological approaches-including longitudinal design, triangulation of both objective and self-reported measures, and rigorous neurocognitive assessments-strengthen the investigation. Findings will advance understanding of how cannabis use impacts neurocognition and HIV-related health behaviors, potentially informing targeted interventions that address both substance use and HIV transmission.

Indexed as

CognitionHIV InfectionsAdolescentAdultChicagoExecutive FunctionFemaleHumansLongitudinal StudiesMagnetic Resonance ImagingMaleNeuropsychological TestsObservational Studies as TopicYoung Adultcannabisdata triangulationexecutive functionfMRIfunctional magnetic resonance imagingHIVneurocognitionrisk/reward processing

Identifiers

PMID42258790
PMCPMC13246460

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.