Medical students in Israel held more permissive views on medical cannabis than those in Thailand

A cross-national survey of 430 medical students found Israeli students were more likely to recommend medical cannabis and support legalization, but felt less prepared to answer patient questions than Thai students.

Likhitsathian, Surinporn et al.·Complementary therapies in medicine·2021·Moderate EvidenceCross-Sectional
RTHC-03293Cross SectionalModerate Evidence2021RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
N=430

What This Study Found

Israeli secular students were more likely to recommend medical cannabis, less concerned about health risks, and more supportive of recreational legalization. However, Thai students reported feeling more prepared to answer patient questions about medical cannabis despite lower personal use rates.

Key Numbers

430 students (163 Israeli, 267 Thai); personal cannabis use: 55.6% Israeli vs 6.9% Thai (P < .001)

How They Did This

A cross-sectional survey of 430 medical students (163 from Israel, 267 from Thailand) measured attitudes, beliefs, and perceived efficacy of medical cannabis for pain-related conditions. Comparisons used Pearson chi-squared tests.

Why This Research Matters

Medical students become the next generation of prescribers. Their attitudes and perceived preparedness around medical cannabis will shape clinical practice and patient access in the coming decades.

The Bigger Picture

The gap between permissive attitudes and actual clinical preparedness, particularly among Israeli students, highlights a broader problem in medical education around cannabis that extends well beyond these two countries.

What This Study Doesn't Tell Us

Only two countries represented. Cross-sectional design captures a single point in time. Selection bias possible in survey participation. Cultural factors beyond medical education likely influence attitudes.

Questions This Raises

  • ?Does personal cannabis use influence clinical recommendations?
  • ?What specific curriculum elements make Thai students feel more prepared?
  • ?How do these attitudes translate to actual prescribing behavior after graduation?

Trust & Context

Key Stat:
55.6% of Israeli vs 6.9% of Thai medical students reported personal cannabis use
Evidence Grade:
Reasonable sample size with cross-national comparison, though only two countries and potential selection bias limit generalizability.
Study Age:
Published in 2021.
Original Title:
Cross national comparison of medical students' attitudes and beliefs about medical cannabis and its application for pain management.
Published In:
Complementary therapies in medicine, 59, 102720 (2021)
Database ID:
RTHC-03293

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

Which students felt more prepared to discuss medical cannabis with patients?

Thai students reported feeling more prepared, despite having much lower personal cannabis use rates and less permissive attitudes overall.

Did students think medical cannabis worked for pain?

The study measured perceived efficacy for pain conditions including arthritis, chronic pain, fibromyalgia, and multiple sclerosis, with differences emerging between the two groups based on cultural context.

Read More on RethinkTHC

Cite This Study

RTHC-03293·https://rethinkthc.com/research/RTHC-03293

APA

Likhitsathian, Surinporn; Edelstein, Offer E; Srisurapanont, Manit; Zolotov, Yuval; Karawekpanyawong, Nuntaporn; Reznik, Alexander; Isralowitz, Richard. (2021). Cross national comparison of medical students' attitudes and beliefs about medical cannabis and its application for pain management.. Complementary therapies in medicine, 59, 102720. https://doi.org/10.1016/j.ctim.2021.102720

MLA

Likhitsathian, Surinporn, et al. "Cross national comparison of medical students' attitudes and beliefs about medical cannabis and its application for pain management.." Complementary therapies in medicine, 2021. https://doi.org/10.1016/j.ctim.2021.102720

RethinkTHC

RethinkTHC Research Database. "Cross national comparison of medical students' attitudes and..." RTHC-03293. Retrieved from https://rethinkthc.com/research/likhitsathian-2021-cross-national-comparison-of

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.