Public Health Effects of Medical Marijuana Legalization in Colorado

Public Health Effects of Medical Marijuana Legalization in Colorado
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DOI:
10.1016/j.amepre.2015.06.034
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发表时间:
2016-03-01
影响因子:
5.5
通讯作者:
Booth, Robert E.
Booth, Robert E.
中科院分区:
医学2区
文献类型:
--
作者:
Davis, Jonathan M.;Mendelson, Bruce;Booth, Robert E.

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简介:大麻合法化的公共卫生后果,无论是用于医疗还是娱乐目的,都鲜为人知。尽管如此,许多州正在考虑医疗或娱乐合法化。在大麻的政策在2009年突然变化的背景下,在科罗拉多,作者试图调查大麻相关的公共卫生indicators.Methods的相应变化:这种观察,生态研究采用了中断的时间序列分析,以确定公共卫生指标的变化可能与广泛的政策变化,发生在2009年。这是来自科罗拉多州和丹佛大都市区的基于记录的研究。收集数据,以检查2009年之前和之后的时间段之间医院出院和中毒中心呼叫中大麻相关结果的频率和趋势,并根据人口进行调整。结果:以大麻依赖为编码的出院人数每月增加1%(95%CI = 0.8,1.1,p < 0.01),而以大麻依赖为编码的出院人数每月增加1%(95%CI = 0.8,1.1,p < 0.01)。
Introduction: The public health consequences of the legalization of marijuana, whether for medical or recreational purposes, are little understood. Despite this, numerous states are considering medical or recreational legalization. In the context of abrupt changes in marijuana policy in 2009 in Colorado, the authors sought to investigate corresponding changes in marijuana-related public health indicators.Methods: This observational, ecologic study used an interrupted time-series analysis to identify changes in public health indicators potentially related to broad policy changes that occurred in 2009. This was records-based research from the state of Colorado and Denver metropolitan area. Data were collected to examine frequency and trends of marijuana-related outcomes in hospital discharges and poison center calls between time periods before and after 2009 and adjusted for population. Analyses were conducted in 2014.Results: Hospital discharges coded as marijuana-dependent increased 1% per month (95% CI = 0.8, 1.1, p