Addiction,
Год журнала:
2019,
Номер
114(9), С. 1593 - 1601
Опубликована: Май 20, 2019
Abstract
Background
and
Aims
Between
2002
2014,
past‐month
marijuana
use
among
pregnant
women
in
the
United
States
increased
62%,
nearly
twice
growth
of
general
population.
This
coincides
with
proliferation
state
medical
laws
(MMLs)
authorizing
physicians
to
recommend
for
approved
conditions.
We
estimated
association
between
MMLs
substance
treatment
utilization
non‐pregnant
reproductive
age.
also
examined
whether
varied
across
MML
provisions,
age
groups
referral
sources
clarify
potential
pathways.
Design
Nation‐wide
administrative
data
from
2002–14
Treatment
Episodes
Data
Set
Admissions,
a
difference‐in‐differences
design
that
exploited
staggered
implementation
compare
changes
outcomes
before
after
non‐MML
states.
Setting
Twenty‐one
27
US
Participants
Pregnant
aged
12–49
admitted
publicly
funded
specialty
facilities.
Measurements
The
primary
outcome
variable
was
number
admissions
per
100
000
12–49,
aggregated
at
state‐year
level
(
n
=
606).
Admissions
marijuana,
alcohol,
cocaine
opioids
were
considered.
independent
an
indicator
state.
Findings
Among
women,
rate
by
4.69
[95%
confidence
interval
(CI)
1.32,
8.06]
states
relative
accompanied
increases
involving
alcohol
(β
3.19;
95%
CI
0.97,
5.410
2.56;
0.34,
4.79),
specific
adults
5.50;
1.52,
9.47)
largest
granting
legal
protection
dispensaries
6.37;
–0.97,
13.70).
There
no
statistically
significant
women.
Conclusions
Medical
law
has
been
associated
greater
adult
especially
legally
protected
dispensaries.
BMJ Open,
Год журнала:
2019,
Номер
9(5), С. e027432 - e027432
Опубликована: Май 1, 2019
Objective
To
assess
the
effect
of
cannabis
legalisation
on
health
effects
and
healthcare
utilisation
in
Colorado
(CO),
first
state
to
legalise
recreational
cannabis,
when
compared
with
two
control
states,
New
York
(NY)
Oklahoma
(OK).
Design
We
used
2010
2014
Healthcare
Cost
Utilisation
Project
(HCUP)
inpatient
databases
compare
changes
rates
diagnoses
CO
versus
NY
OK.
Setting
Population-based,
inpatient.
Participants
HCUP
state-wide
data
comprising
over
28
million
individuals
16
hospitalisations
across
three
states.
Main
outcome
measures
International
Classification
Diseases-Ninth
Edition
codes
specific
various
medical
potentially
treated
by
or
exacerbated
cannabis.
Diagnoses
were
classified
based
weight
evidence
from
National
Academy
Science
(NAS).
Negative
binomial
models
admissions
between
Results
In
OK,
respectively,
abuse
increased
(risk
ratio
(RR)
1.27,
95%
CI
1.26
1.28
RR
1.16,
1.15
1.17;
both
p<0.0005)
post-legalisation.
CO,
there
was
a
reduction
total
but
only
OK
(RR
0.97,
0.96
0.98,
p<0.0005).
Length
stay
costs
did
not
change
significantly
Post-legalisation
most
consistent
NAS
included
an
increase
motor
vehicle
accidents,
alcohol
abuse,
overdose
injury
chronic
pain
(all
p<0.05
each
state).
Conclusions
Recreational
is
associated
neutral
utilisation.
line
previous
evidence,
liberalisation
linked
injuries
decrease
admissions.
Such
population-level
may
help
guide
future
decisions
regarding
use,
prescription
policy.
Police Practice and Research,
Год журнала:
2025,
Номер
unknown, С. 1 - 15
Опубликована: Янв. 6, 2025
Proponents
of
cannabis
policy
reform
argue
that
decriminalization
enhances
productivity
and
resource
allocation
for
police
departments.
This
study
explores
the
effect
2018
Farm
Bill,
a
form
decriminalization,
on
one
measure
productivity:
case
processing
times.
Using
monthly
data
from
Dallas
Police
Department's
Record
Management
System,
spanning
years
2014–2021,
we
estimated
single
group
interrupted
time
series
models
designed
to
gauge
whether
Bill's
enactment
altered
times
in
both
short
run
over
time.
Results
indicate
cases
increased
following
enactment,
which
is
directly
counter
argument
improves
productivity.
has
implications
law
enforcement
practices,
filling
gap
research
how
can
affect
practices.
By
the
end
of
2016,
28
states
had
liberalized
their
marijuana
laws:
by
decriminalizing
possession,
legalizing
for
medical
purposes,
or
more
broadly.More
are
considering
such
policy
changes
even
while
supporters
and
opponents
continue
to
debate
impacts.Yet
evidence
on
these
liberalizations
remains
scarce,
in
part
due
data
limitations.We
use
from
Monitoring
Future's
annual
surveys
high
school
seniors
evaluate
impact
use,
other
substance
alcohol
consumption,
attitudes
surrounding
youth
health
outcomes,
crime
rates,
traffic
accidents.These
have
several
advantages
over
those
used
prior
analyses.We
find
that
minimal
examined
outcomes.Notably,
many
outcomes
predicted
critics
liberalizations,
as
increases
drug
criminal
behavior,
failed
materialize
wake
liberalizations.
Addiction,
Год журнала:
2019,
Номер
114(9), С. 1593 - 1601
Опубликована: Май 20, 2019
Abstract
Background
and
Aims
Between
2002
2014,
past‐month
marijuana
use
among
pregnant
women
in
the
United
States
increased
62%,
nearly
twice
growth
of
general
population.
This
coincides
with
proliferation
state
medical
laws
(MMLs)
authorizing
physicians
to
recommend
for
approved
conditions.
We
estimated
association
between
MMLs
substance
treatment
utilization
non‐pregnant
reproductive
age.
also
examined
whether
varied
across
MML
provisions,
age
groups
referral
sources
clarify
potential
pathways.
Design
Nation‐wide
administrative
data
from
2002–14
Treatment
Episodes
Data
Set
Admissions,
a
difference‐in‐differences
design
that
exploited
staggered
implementation
compare
changes
outcomes
before
after
non‐MML
states.
Setting
Twenty‐one
27
US
Participants
Pregnant
aged
12–49
admitted
publicly
funded
specialty
facilities.
Measurements
The
primary
outcome
variable
was
number
admissions
per
100
000
12–49,
aggregated
at
state‐year
level
(
n
=
606).
Admissions
marijuana,
alcohol,
cocaine
opioids
were
considered.
independent
an
indicator
state.
Findings
Among
women,
rate
by
4.69
[95%
confidence
interval
(CI)
1.32,
8.06]
states
relative
accompanied
increases
involving
alcohol
(β
3.19;
95%
CI
0.97,
5.410
2.56;
0.34,
4.79),
specific
adults
5.50;
1.52,
9.47)
largest
granting
legal
protection
dispensaries
6.37;
–0.97,
13.70).
There
no
statistically
significant
women.
Conclusions
Medical
law
has
been
associated
greater
adult
especially
legally
protected
dispensaries.