medRxiv (Cold Spring Harbor Laboratory),
Journal Year:
2023,
Volume and Issue:
unknown
Published: Nov. 24, 2023
Abstract
Background
The
UK
Government
intends
to
implement
a
‘smokefree
generation’
policy
prohibiting
the
sale
of
all
tobacco
products
people
born
after
2008.
National
surveys
provide
comprehensive
data
on
cigarette
smoking,
but
little
is
known
about
patterns
non-cigarette
smoking
across
key
population
groups.
Methods
Using
from
nationally-representative
cross-sectional
survey
adults
(≥18y)
in
England,
collected
monthly
between
September-2013
and
September-2023
(
n
=196,721),
we
estimated
time
trends
prevalence,
overall
by
age,
gender,
occupational
social
grade,
region,
ethnicity,
vaping
status.
Interviews
were
conducted
face-to-face
until
March-2020
via
telephone
thereafter.
Results
From
September-2023,
there
was
non-linear
increase
prevalence
(from
0.36%
1.68%;
PR=4.72
[95%CI=3.43-6.48]).
Prevalence
relatively
stable
up
February-2020
(at
an
average
0.46%),
then
increased
sharply
at
start
Covid-19
pandemic,
0.90%
[0.82-0.99%]
March-2020.
This
followed
steadier
rise,
peaking
1.97%
May-2022,
before
falling
slightly
1.68%
September-2023.
As
result,
2022/23,
one
ten
smokers
(10.8%
[9.64-12.0%])
used
tobacco.
rise
observed
subgroups
most
pronounced
among
younger
(e.g.,
reaching
3.21%
18-year-olds
vs.
1.09%
65-year-olds).
consistently
higher
men
(2.17%
1.07%
women)
current
vapers
(4.71%
1.25%
non-vapers).
Conclusions
While
exclusive
use
combustible
remains
rare
it
pandemic
same
as
methods
changed)
subsequently
continued
increasing
steadily
May-2022.
∼772,800
adult
England;
around
five
times
more
than
decade
earlier.
differed
with
leading
older
ages.
What
already
this
topic
There
good
evidence
England.
Less
other
products.
study
adds
has
risen
substantially
since
particularly
adults.
10
England
now
does
not
smoke
cigarettes
smokes
some
form
How
might
affect
research,
practice
or
planning
ban
those
inclusion
under
likely
be
important
for
achieving
greatest
reduction
youth
uptake
would
ensure
young
who
are
unable
legally
buy
do
that
similarly
harmful
health.
Nicotine & Tobacco Research,
Journal Year:
2024,
Volume and Issue:
27(2), P. 342 - 350
Published: March 5, 2024
The
UK
Government
intends
to
implement
a
"smokefree
generation"
policy
prohibiting
the
sale
of
all
tobacco
products
people
born
after
2008.
National
surveys
provide
comprehensive
data
on
cigarette
smoking,
but
little
is
known
about
patterns
non-cigarette
smoking
across
key
population
groups.
Using
from
nationally
representative
cross-sectional
survey
adults
in
England,
collected
monthly
between
September
2013
and
2023
(n
=
196
721),
we
estimated
time
trends
exclusive
(eg,
cigar/pipe/shisha)
prevalence,
overall
by
age,
gender,
occupational
social
grade,
region,
ethnicity,
vaping
status.
Interviews
were
conducted
face-to-face
until
March
2020
via
telephone
thereafter.
From
2023,
there
was
non-linear
increase
prevalence
(from
0.36%
1.68%;
ratio
4.72
[95%
CI
3.43-6.48]).
Prevalence
relatively
stable
up
February
(at
an
average
0.46%),
then
increased
sharply
at
start
COVID-19
pandemic
same
as
methods
changed),
0.90%
(0.82%-0.99%)
2020.
This
followed
steadier
rise,
peaking
1.97%
May
2022,
before
falling
slightly
1.68%
2023.
In
2022/2023,
1
10
smokers
(10.8%
[9.64%-12.0%])
exclusively
used
tobacco.
rise
observed
subgroups
most
pronounced
among
younger
reaching
3.21%
18-year-olds
vs.
1.09%
65-year-olds).
consistently
higher
men
current
vapers.
Although
use
combustible
remains
rare
it
has
recent
years,
particularly
ages.
As
approximately
772
800
adult
England;
around
five
times
more
than
decade
earlier.
proportion
England
who
do
not
cigarettes
smoke
other
substantially
with
young
people.
inclusion
under
proposed
therefore
likely
be
important
for
achieving
greatest
reduction
youth
uptake
would
ensure
are
unable
legally
buy
that
similarly
harmful
health.
Journal of the Experimental Analysis of Behavior,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 25, 2025
Following
the
COVID-19
pandemic,
it
is
vital
to
understand
how
major
global
stressors
influence
substance
use,
including
cannabis-related
outcomes.
The
Marijuana
Purchase
Task
assesses
hypothetical
cannabis
demand
(i.e.,
relative
reinforcing
value)
and
can
detect
contextual
alterations.
This
study
paired
prospective
assessment
with
qualitative
inquiry
explore
impacted
use
behavior.
Individuals
previously
enrolled
in
a
laboratory
administration
opted
remote
follow-up
survey
(n
=
41,
46%
female).
Participants
were
categorized
as
those
who
did
or
not
increase
based
on
self-reported
changes
flower
provided
explanations
regarding
pandemic-related
influences
General
linear
models
repeated
measures
examined
mean
differences
by
occasion
before/during
COVID-19),
group
did/did
use),
their
interaction.
Those
increased
exhibited
significantly
higher
during
pandemic;
similar
across
time
revealing
Group
×
Time
Thematic
analysis
contextualized
quantitative
findings,
explaining
external
that
affect
(e.g.,
cost,
access,
environment).
differentially
demand,
prepandemic
affecting
trajectories.
Contextual
availability,
free
time,
income)
facilitate
escalation
of
under
conditions
extreme
stress.
Cannabis and Cannabinoid Research,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Feb. 26, 2025
Background:
The
COVID-19
pandemic
has
impacted
billions
of
people
worldwide,
particularly
those
with
chronic
health
conditions,
and
been
associated
increases
in
substance
use,
including
cannabis.
purpose
this
study
was
to
estimate
the
prevalence
cannabis
use
for
symptom
management
conditions
during
pandemic.
Methods:
Cannabis
Health
Study
is
an
ongoing
among
adults
≥18
who
self-report
use.
Analyses
included
1,466
responses
received
between
March
21,
2020,
23,
2022,
from
participants
self-reported
a
condition.
We
examined
comorbidities,
symptoms
managed
pandemic,
fear
regarding
diagnosis
transmission
using
Questionnaire.
Descriptive
statistics,
Chi-squared,
T-tests
were
conducted.
Results
stratified
by
reported
manage
condition
(medicinal
user,
n
=
1,333)
did
not
(non-medicinal
133).
Results:
Most
(90.9%,
total
sample
(mean
age:
47.1
years
[standard
deviations
{SD}
15.0])
condition,
which
46.1%
(n
615)
having
medical
card/recommendation,
4.6%
recommendations
professionals.
There
significant
differences
age,
gender,
race/ethnicity,
education
medicinal
status.
Comorbidities
prevalent
consumers
mental
health-related
(66.1%),
pain
(58.5%),
cardiometabolic-related
(30.5%),
immune-related
(21.9%),
respiratory-related
(20.8%).
most
self-managed
sleep
(69.2%),
noncancer
(49.7%),
acute
(46.5%),
headaches/migraines
(39.0%),
muscle
spasms
(33.6%),
nausea/vomiting
(30.6%),
appetite
stimulant
(29.9%).
no
statistical
testing,
diagnosis,
transmission,
or
isolation
due
nonmedicinal
sample.
Conclusions:
perceived
therapeutic
benefit
evident
high
reasons
despite
recommendation
their
provider.
Research
necessary
understand
prospective
impact
self-management
disease,
especially
within
context
COVID-19.
Journal of Cannabis Research,
Journal Year:
2025,
Volume and Issue:
7(1)
Published: March 24, 2025
Abstract
Background
Given
the
frequent
use
of
cannabis
for
sleep
and
mental
health
symptoms,
we
aimed
to
prospectively
examine
reciprocal
relationship
between
sleep,
health,
from
before,
during,
1
year
after
implementation
COVID-19
stay-at-home
orders.
Methods
Five
hundred
thirty-four
young
adults
(21–34
years
old)
Oregon
Washington
States
who
previously
completed
a
survey
on
their
prior
orders
(T0),
were
followed
up
initial
in
place
approximately
two
months
(T1),
one
later
(T2),
reassess
use.
Sleep
measures
included
presence
trouble
[yes/no],
weekday
weekend
duration.
The
Cannabis
Use
Disorders
Identification
Test
Revised
(CUDIT-R)
was
used
assess
past-six-month
follow
surveys
additionally
measured
symptoms
other
behaviors.
We
applied
cross-lagged
panel
models
association
at
all
three
time
points.
Multivariate
parallel
latent
change
score
associations
changes
use,
behavioral
factors
T1
T2.
Results
For
models,
reporting
T0
associated
(β
=
0.18,
p
<
0.05)
with
higher
CUDIT-R
scores
T1,
however
this
did
not
hold
had
positive
0.35,
two-wave
model,
indicated
that
T2
positively
depression
(
r
0.37,
anxiety
0.40,
across
period.
No
significant
correlation
found
trouble.
Conclusions
Our
findings
suggest
an
inconsistent
bidirectional
link
Only
trouble,
predicted
measures.
These
lend
support
holistic
approach
designing
implementing
public
during
global
pandemic.
International Journal of Drug Policy,
Journal Year:
2025,
Volume and Issue:
140, P. 104782 - 104782
Published: April 21, 2025
Social
acceptability
and
perceived
risks/benefits
are
key
attitudinal
factors
that
influence
substance
use,
a
major
concern
about
cannabis
legalization
is
an
increase
in
more
favourable
attitudes
ultimately
leading
to
greater
misuse.
This
study
investigated
perceptions
of
over
the
5
years
following
Canada,
first
G7
nation
have
legalized
nationally,
longitudinal
observational
cohort
community
adults.
Participants
(60
%
female,
median
age
=
29,
48%
reporting
use
pre-legalization)
were
non-clinical
adults
from
general
who
assessed
up
11
times
September
2018
October
2023
(mean
waves
9.9).
Overall
temporal
changes
whether
moderated
by
pre-legalization
status
examined.
Significant
increases
time
present
for
social
any
recreational
(OR
[95%
CI]:
1.06
[1.05,
1.07])
trying
(1.02
[1.01,
1.03]),
while
medical
decreased
(0.95
[0.94,
0.96]).
Meanwhile,
regular
was
as
riskier
(0.97
[0.96,
0.98])
addiction
potential
(0.94
[0.93,
0.95])
time.
Perceived
health-related
benefits
significantly
less
likely
be
endorsed
time,
there
significant
risks,
including
exacerbating
stress,
anxiety,
depression;
existing
conditions;
disrupting
sleep.
Moderator
analyses
found
participants
not
using
showed
steeper
towards
occasional
steep
endorsement
cannabis-related
risks.
Shifting
post-legalization
Canada
paralleled
risks
decreases
benefits.
Continued
surveillance
warranted
inform
impacts
largest
national
legal
jurisdiction
well
other
jurisdictions
considering
regulatory
reform.
Journal of the American College of Emergency Physicians Open,
Journal Year:
2024,
Volume and Issue:
5(3)
Published: June 1, 2024
Abstract
Objectives
With
the
legalization
of
cannabis
in
New
Jersey
on
April
21,
2022,
including
licensing
dispensaries,
concerns
have
arisen
about
potential
adverse
events
related
to
use.
Here,
we
explore
temporal
trends
and
risk
factors
for
cannabis‐related
harm
both
adult
pediatric
visits
at
a
tertiary
care
academic
institution.
Methods
We
performed
retrospective
chart
review
trend
analysis
via
electronic
health
record
from
May
1,
2019
October
31,
covering
2
years
before,
6
months
after,
Jersey.
The
charts
identified
were
analyzed
root
causes
events,
changes
frequency
specific
unsafe
practices
since
tracked.
Results
found
that
ED‐related
significantly
increased
during
COVID‐19
pandemic
remained
higher
than
pre‐pandemic
levels
remainder
study
periods,
without
significant
change
upon
legalization.
Pediatric
rates
ED
did
not
vary
period.
vast
majority
children
aged
0–12
accidental
exposures—often
household
member's
edibles—whereas
most
older
stemmed
intentional
Conclusion
This
project
highlights
unintended
consequences
wider
access
Notably,
use
even
before
its
legalization,
presumably
response
attendant
mental
effects.
Rates
disorder
highlight
other
concurrent
psychiatric
disorders
are
important
topics
clinicians
lawmakers
consider.
Evidence
on
cannabis
legalization's
effects
mental
health
remains
scarce,
despite
both
rapid
increases
in
use
and
an
ongoing
crisis
the
United
States.We
granular
geographic
data
to
estimate
medical
dispensary
availability's
selfreported
New
York
state
from
2011
through
2021
using
a
two-stage
differencein-differences
approach
minimize
bias
introduced
staggered
opening
of
dispensaries.Our
findings
rule
out
that
availability
had
negative
for
adult
population
overall.We
also
find
reduced
past-month
self-reported
poor
days
by
nearly
10%-3.37
percentage
points-among
adults
65
above.These
results
suggest
access
has
positive
impacts
older
populations,
likely
pain
relief.