Trends in cannabis use among adults with children in the home in the United States, 2004–2017: impact of state‐level legalization for recreational and medical use
| Autor: | June H. Kim, Melody V. Wu, Renee D. Goodwin, Meyer Kattan, Katarzyna Wyka, Andrea H. Weinberger, Keely Cheslack-Postava |
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| Rok vydání: | 2021 |
| Předmět: |
Adult
Adolescent Ethnic group Medicine (miscellaneous) Medical Marijuana Family income Humans Medicine Child Socioeconomic status Cannabis Legalization biology business.industry Tobacco control Middle Aged Legislation Drug biology.organism_classification United States Educational attainment Psychiatry and Mental health Cross-Sectional Studies Hallucinogens Marital status business Demography |
| Zdroj: | Addiction. 116:2770-2778 |
| ISSN: | 1360-0443 0965-2140 |
| DOI: | 10.1111/add.15472 |
| Popis: | Background and aims Cannabis use among parents may be increasing with legalization, but perception of associated risk has declined. The study investigated the association between cannabis legalization and cannabis use among adults with children in the home over time in the United States (US). Design A difference-in-difference approach was applied to public and restricted-use data from the 2004-2017 National Survey on Drug Use and Health (NSDUH), an annual cross-sectional survey. Setting A representative sample of the United States. Participants/cases Respondents ages 18+ with children living in the home drawn from the NSDUH (n = 287,624), which is administered to non-institutionalized civilians in the 50 states and District of Columbia. Measurements Exposures were year and state-level cannabis policy in state of residence annually. Outcomes were past-30-day cannabis use and daily cannabis use. Sociodemographic variables included age, gender, marital status, annual family income, race/ethnicity, educational attainment, and strength of state-level tobacco control. Findings In 2017, past-month cannabis use (11.9%, 9.3%, and 6.1%) and daily cannabis use (4.2%, 3.2%, and 2.3%) were more common in states with recreational marijuana laws (RML), followed by states with medical marijuana laws (MML) and without legal cannabis use, respectively. RML and MML were associated with significantly higher prevalence of past-month cannabis use (adjusted odds ratio [AOR] = 1.28, 95% confidence interval [CI] = 1.12-1.46; AOR = 1.12, 95% CI = 1.03-1.22) and daily cannabis use (AOR = 1.25, 95% CI = 1.03-1.51; AOR = 1.16, 95% CI = 1.02-1.32), respectively. The impact of MML was particularly salient among adults ages 50+ and the highest income and education subgroups. Conclusions Among adults with children living in the home, cannabis use appears to be more common in US states with legalized cannabis use compared with states with no legal cannabis use. Recreational legalization appears to increase use among adults with children in the home broadly across nearly all sociodemographic groups, whereas the effect of legalization for medical use is heterogeneous by age and socioeconomic status. |
| Databáze: | OpenAIRE |
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