Does recreational cannabis legalization change cannabis use patterns? Evidence from secondary school students in Uruguay.
Background and Aims: In 2013, Uruguay became the first country to legalize and regulate the production and distribution of cannabis for recreational use. We measured whether Uruguay's non‐commercial model of recreational cannabis legalization was associated with changes in the prevalence of risky an...
| Published in: | Addiction Vol. 117; no. 11; pp. 2866 - 2878 |
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| Main Authors: | , , , , , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Wiley-Blackwell
Nov2022
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=159454832&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 159454832 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 09652140 AIO jtl: Addiction issn: 09652140 maglogo: Y pubinfo: dt: Nov2022 vid: 117 iid: 11 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 159454832 157246735 159454832 159454832 10.1111/add.15913 159454832 ppf: 2866 ppct: 12 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Does recreational cannabis legalization change cannabis use patterns? Evidence from secondary school students in Uruguay. aug: au: Rivera‐Aguirre, Ariadne Castillo‐Carniglia, Alvaro Laqueur, Hannah S. Rudolph, Kara E. Martins, Silva S. Ramírez, Jessica Queirolo, Rosario Cerdá, Magdalena affil: Department of Population Health, Division of Epidemiology, NYU Grossman School of Medicine, New York, USA sug: subj: Recreational Drug Use Legislation and Jurisprudence Cannabis Legislation and Jurisprudence Students, High School Substance Abuse Trends Human Male Female Child Adolescence Uruguay Chile Comparative Studies Young Adult Prevalence Descriptive Statistics Confidence Intervals Questionnaires Child: 6-12 years Adolescent: 13-18 years Male Female ab: Background and Aims: In 2013, Uruguay became the first country to legalize and regulate the production and distribution of cannabis for recreational use. We measured whether Uruguay's non‐commercial model of recreational cannabis legalization was associated with changes in the prevalence of risky and frequent cannabis use among secondary school students. Design: We used data from repeated cross‐sectional surveys of secondary students in Uruguay and Chile (2007–2018). Using a difference‐in‐difference approach, we evaluated changes in the prevalence of past‐year, past‐month, any risky and frequent cannabis use following enactment (2014) and implementation (2016) of cannabis legalization among the full sample of secondary students and among students who reported past‐year/month use. We examined changes separately for students ages 12 to 17, and students for whom cannabis became legally accessible, ages 18 to 21. Setting: Uruguay and Chile (2007–2018). Participants: Secondary school students in 8th, 10th and 12th grade (n = 204 730). Measurements Past‐year and past‐month cannabis use; any risky cannabis use measured with the Cannabis Abuse Screening Test (CAST); and frequent cannabis use (10+ days in the past‐month). Findings We found a decrease in past‐year and past‐month use following enactment or implementation. Among students ages 18 to 21, post‐enactment, we observed a transitory increase in 2014 that decreased thereafter for: any risky use among those who reported past‐year use (prevalence difference [PD] = 13.5%; 95% CI: 2.0, 24.9), frequent use in the full sample (PD = 4.5%; 95% CI: 1.0, 8.1), and frequent use among those who reported past‐month use (PD = 16.8%; 95% CI: 1.9, 31.8). Conclusion: The legalization of recreational cannabis in Uruguay was not associated with overall increases in either past‐year/past‐month cannabis use or with multi‐year changes in any risky and frequent cannabis use among young people. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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