Association of Local Cannabis Policy and Retail Availability With Cannabis Use and Problematic Cannabis Use Among Adolescents in Northern California.

Autor: Young-Wolff KC; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Asera A; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Padon AA; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Slama NE; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Alexeeff SE; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Pacula RL; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Campbell CI; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Sterling SA; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Satre DD; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Lu Y; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Dyer WT; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Does MB; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles., Silver LD; Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles.
Jazyk: angličtina
Zdroj: American journal of public health [Am J Public Health] 2024 Nov; Vol. 114 (S8), pp. S654-S663.
DOI: 10.2105/AJPH.2024.307787
Abstrakt: Objectives. To examine whether local cannabis policies and retail availability are associated with cannabis use and problematic cannabis use (PCU) among adolescents in Northern California. Methods. The sample comprised adolescents aged 13 to 17 years screened for past-year cannabis use during well-child visits in 2021. Exposures included local bans on cannabis storefront retailers, policy protectiveness, and retail proximity and density. Outcomes included self-reported past-year cannabis use and PCU diagnoses. Modified Poisson regression models adjusted for sociodemographics. Results. The sample (n = 103 134) was 51.1% male with a median age of 15 years (interquartile range [IQR] = 14-16 years); 5.5% self-reported cannabis use, and 0.3% had diagnosed PCU. Adolescents had a lower prevalence of cannabis use in jurisdictions that banned storefront retailers (adjusted prevalence rate [APR] = 0.857; 95% confidence interval [CI] = 0.814, 0.903 vs allowed), banned delivery (APR = 0.751; 95% CI = 0.710, 0.795 vs allowed), or had more policy protections (APR range = 0.705-0.800). Lower PCU prevalence was also found among those in jurisdictions that banned (vs allowed) storefront retailers (APR = 0.786; 95% CI = 0.629, 0.983) or delivery (APR = 0.783; 95% CI = 0.616, 0.996). Longer drive time and lower density of storefront retailers were associated with a lower cannabis use prevalence. Conclusions. More protective cannabis policies and less retail availability were associated with a lower prevalence of adolescent cannabis use and PCU. ( Am J Public Health . 2024;114(S8):S654-S663. https://doi.org/10.2105/AJPH.2024.307787).
Databáze: MEDLINE
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