Young Adults' Knowledge of State Cannabis Policy: Implications for Studying the Effects of Legalization in Vermont.
Young Adults' Knowledge of State Cannabis Policy: Implications for Studying the Effects of Legalization in Vermont.
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DOI：
10.26828/cannabis/2022.03.002
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发表时间：
2022
期刊：
影响因子：
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通讯作者：
Villanti, Andrea C
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作者：
West, Julia C;Peasley-Miklus, Catherine;Klemperer, Elias M;Priest, Jeffrey S;Trutor, Megan;Carman, Chelsea;Roemhildt, Maria;Trites, Jeffrey;Villanti, Andrea C
大麻政策评估通常假设一个州的人口受到同等的政策影响，使用执行日期作为关键的自变量。本研究旨在探索政策知识作为暴露的另一种衡量标准，并描述佛蒙特州年轻人大麻政策知识的社会人口统计学，认知和行为相关性。数据来自PACE佛蒙特州研究（2019年春季），这是一项佛蒙特州的在线队列研究（12-25）。双变量和多变量分析估计了佛蒙特州大麻政策（允许21岁及以上成年人拥有）的知识与社会人口统计学，大麻使用和1，037名年轻人（18-25）的伤害认知之间的相关性的患病率（PR）。总体而言，60.1%的参与者正确描述了该州的大麻政策。年轻，西班牙裔，非白人种族，受教育程度较低与政策知识呈负相关。曾经（PR=1.37; 95%CI 1.16-1.63）和过去30天的大麻使用（PR=1.27; 95%CI 1.12-1.45）与政策知识呈正相关。政策知识在年轻人中更为普遍，他们认为每周使用大麻会带来轻微的伤害风险（与无风险相比; aPR=1.28; 95% CI 1.11-1.48）或同意早年定期使用大麻会对注意力产生负面影响（与不同意; aPR=1.55; 95% CI 1.22-1.97）。研究结果表明，研究中40%的佛蒙特州年轻人不知道目前的大麻政策，而年轻人，受教育程度较低，西班牙裔和非白人年轻人的政策知识较低。今后的研究应探讨使用政策知识作为暴露或调节变量，以更好地量化大麻法律的地位变化对年轻人的看法和使用的影响。
Cannabis policy evaluations commonly assume equal policy exposure across a state’s population using date of implementation as the key independent variable. This study aimed to explore policy knowledge as another measure of exposure and describe the sociodemographic, cognitive, and behavioral correlates of cannabis policy knowledge in young adults in Vermont. Data are from the PACE Vermont Study (Spring 2019), an online cohort study of Vermonters (12-25). Bivariate and multivariable analyses estimated prevalence ratios (PR) for correlations between knowledge of Vermont’s cannabis policy (allowed possession for adults 21 and older) and sociodemographics, cannabis use, and harm perceptions in 1,037 young adults (18-25). Overall, 60.1% of participants correctly described the state’s cannabis policy. Being younger, Hispanic, non-White race, and less educated were inversely correlated with policy knowledge. Ever (PR=1.37; 95% CI 1.16-1.63) and past-30-day cannabis use (PR=1.27; 95% CI 1.12-1.45) were positively correlated with policy knowledge. Policy knowledge was more prevalent among young adults who perceived slight risk of harm from weekly cannabis use (vs. no risk; aPR=1.28; 95% CI 1.11-1.48) or agreed that regular cannabis use early in life can negatively affect attention (vs. disagree; aPR=1.55; 95% CI 1.22-1.97). Findings suggest that 40% of Vermont young adults in the study were unaware of current state cannabis policy and that policy knowledge was lower in younger, less educated, Hispanic, and non-White young adults. Future research should explore using a measure of policy knowledge as an exposure or moderator variable to better quantify the effects of changes in cannabis legal status on perceptions and use in young people.