Cannabis Use and Health-Related "Harm to Others": Toward a Conceptual Framework and Evidence Base for Public Health.

Autor: Fischer B; Centre for Applied Research in Mental Health and Addiction, Faculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.; Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.; Graduate Studies and Research, University of the Fraser Valley, Abbotsford, British Columbia, Canada.; School of Population Health, University of Auckland, Auckland, New Zealand.; Department of Psychiatry, Federal University of São Paulo, São Paulo, Brazil., Lindner SR; Department of Public Health, Federal University of Santa Catarina (UFSC), Florianópolis, Santa Catarina, Brazil., Jutras-Aswad D; Department of Psychiatry and Addictology, Université de Montréal, Montréal, Quebec, Canada.; Research Centre of the Centre Hospitalier de l'Université de Montréal (CRCHUM), Montréal, Quebec, Canada., Hall W; National Centre for Youth Substance Use Research, Faculty of Health and Behavioural Sciences, University of Queensland, St Lucia, Australia.
Jazyk: angličtina
Zdroj: Journal of studies on alcohol and drugs [J Stud Alcohol Drugs] 2023 Jul; Vol. 84 (4), pp. 636-643. Date of Electronic Publication: 2023 Feb 01.
DOI: 10.15288/jsad.22-00388
Abstrakt: Cannabis use has become increasingly common as more jurisdictions liberalize controls, including legalization and allowing nonmedical cannabis use among adults, to better protect public health and safety. Little attention has been given to possible health-related "harm to others," as are considered in other substance use domains. We propose a framework and review evidence on public health domains in which cannabis use may produce health-related harm to others, namely from (a) interpersonal violence, (b) motor vehicle crash-related injuries, (c) pregnancy-related outcomes, and (d) secondhand exposure. These domains are associated with moderate risks of adverse outcomes that, however, may involve substantial health harm to others, and therefore warrant consideration in guiding regulations and in evaluating the public health impacts of cannabis use and different policy options for its control.
Competing Interests: Benedikt Fischer has received cannabis health, interventions, and policy related research funding (e.g., grants, contracts) from public-only (e.g., public funding, government agencies) sources in the past 5 years. The other authors have no potential conflicts of interest to declare with respect to this article.
Databáze: MEDLINE