US cannabis legalization and use of vaping and edible products among youth
US cannabis legalization and use of vaping and edible products among youth
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DOI：
10.1016/j.drugalcdep.2017.02.017
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发表时间：
2017-08-01
影响因子：
4.2
通讯作者：
Budney, Alan J.
中科院分区：
文献类型：
--
作者：
Borodovsky, Jacob T.;Lee, Dustin C.;Budney, Alan J.
背景：在美国大麻合法化之后，消费大麻的替代方法(例如，蒸发和食用)变得更加流行。大麻法律(LCL)的具体规定(例如，药房规定)可能会影响青少年使用替代方法的可能性和他们首次尝试这种方法的年龄--潜在地放大或减轻大麻使用的发育危害。方法：这项研究考察了LCL规定与青少年如何消费大麻之间的关联。使用Facebook广告发布了一项在线大麻使用调查，并从2630名使用大麻的青少年(14-18岁)收集了数据。美国各州被编码为拼箱状态和各种拼箱条款。结果：较长的LCL持续时间(ORVaping：2.82，95%CI：2.24，3.55；ORVaping：3.82，95%CI：2.96，4.94)和较高的药房密度(ORVaping：2.68，95%CI：2.12，3.38；Oredible：3.31，95%CI：2.56，4.26)与尝试蒸发和食用大麻的可能性有关。允许在家中种植大麻的可能性较高(OR：1.93，95%CI：1.50，2.48)，发病年龄较小(13：-0.30，95%CI：-0.45，-0.15)。结论：LCL的特定条款似乎影响了青少年使用替代方法消费大麻的可能性和年龄。这些方法可能会对大麻使用的启动和升级带来不同的风险。了解LCL规定与管理方法之间的联系可以帮助设计有效的大麻管制战略。
Background: Alternative methods for consuming cannabis (e.g., vaping and edibles) have become more popular in the wake of U.S. cannabis legalization. Specific provisions of legal cannabis laws (LCL) (e.g., dispensary regulations) may impact the likelihood that youth will use alternative methods and the age at which they first try the method - potentially magnifying or mitigating the developmental harms of cannabis use.Methods: This study examined associations between LCL provisions and how youth consume cannabis. An online cannabis use survey was distributed using Facebook advertising, and data were collected from 2630 cannabis using youth (ages 14-18). U.S. states were coded for LCL status and various LCL provisions. Regression analyses tested associations among lifetime use and age of onset of cannabis vaping and edibles and LCL provisions.Results: Longer LCL duration (ORvaping: 2.82, 95% CI: 2.24, 3.55; ORedibles: 3.82, 95% CI: 2.96, 4.94), and higher dispensary density (ORvaping: 2.68, 95% CI: 2.12, 3.38; ORedibles.: 3.31, 95% CI: 2.56, 4.26), were related to higher likelihood of trying vaping and edibles. Permitting home cultivation was related to higher likelihood (OR: 1.93, 95% CI: 1.50, 2.48) and younger age of onset (13:- 0.30, 95% CI: -0.45, -0.15) of edibles.Conclusion: Specific provisions of LCL appear to impact the likelihood, and age at which, youth use alternative methods to consume cannabis. These methods may carry differential risks for initiation and escalation of cannabis use. Understanding associations between LCL provisions and methods of administration can inform the design of effective cannabis regulatory strategies.