ArticleThe Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association2026
Unmet Healthcare Needs as a Mechanism of Rural-Urban Medical Cannabis Use Disparities Among Sexual Minority Young Adults.
Article in The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association, 2026. 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
purposeSexual minority (SM; vs. heterosexual) young adults (YAs) report disproportionately high cannabis use rates. SMYAs may use medical cannabis for unaddressed healthcare needs, especially in rural areas, which may have greater anti-SM stigma and less healthcare access.
methodsSMYAs (N = 549; ages 18-25, M
findingsRural (vs. urban) residence was directly associated with greater likelihood of having unmet healthcare needs and less healthcare availability. Unmet healthcare needs were associated with greater likelihood of any past-month cannabis use and medical cannabis use, whereas greater healthcare availability was associated with less likelihood of any past-month cannabis use and medical cannabis use. Rural (vs. urban) residence was indirectly associated with greater likelihood of medical cannabis use through greater likelihood of having unmet healthcare needs and having less healthcare availability.
conclusionsCannabis use among SMYAs may be a response to unaddressed medical needs, especially in rural areas. Public health efforts should prioritize improving healthcare infrastructure in rural areas and creating affirming, accessible healthcare environments for SMYAs.
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