We
studied
the
effect
of
marijuana
liberalization
policies
on
perinatal
health
with
a
multiperiod
difference-in-differences
estimator
that
exploited
variation
in
effective
dates
medical
laws
(MML)
and
recreational
(RML).We
found
proportion
maternal
hospitalizations
use
disorder
increased
by
23%
(0.3
percentage
points)
first
three
years
after
RML
implementation,
larger
effects
states
authorizing
commercial
sales
marijuana.This
growth
was
accompanied
7%
(0.4
decline
tobacco
hospitalizations,
yielding
net
zero
over
all
substance
hospitalizations.RMLs
were
not
associated
changes
newborn
health.MMLs
had
no
significant
nor
fairly
small
could
be
ruled
out.In
absolute
numbers,
our
findings
implied
modest
or
adverse
array
outcomes
considered.
Campbell Systematic Reviews,
Год журнала:
2023,
Номер
19(4)
Опубликована: Окт. 30, 2023
Abstract
Background
Globally,
cannabis
laws
and
regulations
are
rapidly
changing.
Countries
increasingly
permitting
access
to
under
various
decriminalization,
medicalization,
legalization
laws.
With
strong
economic,
public
health,
social
justice
incentives
driving
these
domestic
policy
reforms,
liberalization
trends
bound
continue.
However,
despite
a
large
growing
body
of
interdisciplinary
research
addressing
the
policy‐relevant
safety,
socioeconomic
consequences
liberalization,
there
is
lack
robust
primary
systematic
that
comprehensively
investigates
reforms.
Objectives
This
evidence
gap
map
(EGM)
summarizes
empirical
on
policies.
Primary
objectives
were
develop
conceptual
framework
linking
policies
relevant
outcomes,
descriptively
summarize
evidence,
identify
areas
concentration
gaps.
Search
Methods
We
searched
for
eligible
English‐language
studies
published
across
23
academic
databases
11
gray
literature
sources
through
August
2020.
Additions
pool
potentially
from
supplemental
made
November
Selection
Criteria
The
this
EGM
draws
upon
legal
epidemiological
perspective
highlighting
causal
effects
law
population‐level
outcomes.
Eligible
interventions
include
create
or
expand
decriminalized
supply
cannabis:
comprehensive
medical
(MCLs),
limited
cannabidiol
(CBDLs),
recreational
(RCLs),
industrial
hemp
(IHLs),
decriminalization
cultivations
(DCLs).
outcomes
intermediate
responses
(i.e.,
attitudes/behaviors
markets/environments)
longer‐term
(health,
outcomes)
Data
Collection
Analysis
Both
dual
screening
data
extraction
performed
with
third
person
deconfliction.
appraised
using
Maryland
Scientific
Scale
reviews
assessed
AMSTAR
2.
Main
Results
includes
447
studies,
comprising
438
nine
reviews.
Most
derives
United
States,
little
other
countries.
By
far,
most
focuses
MCLs
RCLs.
Studies
targeting
laws—including
CBDLs,
IHLs,
DCLs—are
relatively
rare.
Of
113
distinct
we
documented,
use
was
single
frequently
investigated.
More
than
half
addressed
by
three
fewer
substantial
gaps
in
literature.
base
small,
just
seven
completed
(3),
opioid‐related
harms
alcohol‐related
(1).
Moreover,
have
confidence
reviews,
as
five
minimal
quality
two
low
quality.
Authors’
Conclusions
needed
better
understand
longer‐term—and
arguably
more
salient—health,
Since
concerns
RCLs,
critical
need
societal
impacts
production,
CBD
products,
cultivation.
Future
should
also
prioritize
understanding
heterogeneous
given
differences
specific
provisions
implementation
jurisdictions.
JAMA Network Open,
Год журнала:
2021,
Номер
4(12), С. e2137162 - e2137162
Опубликована: Дек. 3, 2021
Importance
Amid
the
opioid
epidemic
and
evolving
legal
social
changes
with
marijuana,
little
is
known
about
substance
use
among
pregnant
postpartum
people
living
HIV.
Objectives
To
evaluate
trends
in
alcohol,
during
pregnancy
first
year
US
HIV
differences
based
on
marijuana
legalization
status.
Design,
Setting,
Participants
Data
from
Surveillance
Monitoring
for
Antiretroviral
Toxicities
(SMARTT)
study
of
Pediatric
HIV/AIDS
Cohort
Study
were
analyzed.
SMARTT-enrolled,
at
22
sites
January
1,
2007,
to
July
2019,
self-reported
data
available
pregnancy,
1
postpartum,
or
both
assessed.
Exposures
Calendar
state
Main
Outcomes
Measures
The
prevalence
any
each
following
substances
was
calculated
by
calendar
year,
separately
postpartum:
opioid,
concomitant
alcohol
marijuana.
Log
binomial
models
fit
using
general
estimating
equations
mean
annual
change,
accounting
repeat
pregnancies.
also
evaluated
recreational
medical
Results
Substance
2926
pregnancies
2310
(mean
[SD]
age,
28.8
[6.1]
years;
822
[28.1%]
Hispanic,
1859
[63.5%]
non-Hispanic
Black,
185
[6.3%]
White,
24
[0.8%]
more
than
race,
other
race
ethnicity
[individuals
who
identified
as
American
Indian,
Asian,
Native
Hawaiian
Pacific
Islander],
12
[0.4%]
unknown
unreported
ethnicity).
Between
2007
increased
7.1%
11.7%,
whereas
unchanged.
Postpartum
(44.4%),
(13.6%),
(10.0%)
common;
10.2%
23.7%
adjusted
risk
7%
(95%
CI,
3%-10%)
per
11%
7%-16%)
postpartum.
10%
5%-15%)
year.
Differences
not
associated
legalization,
but
legalization.
Conclusions
Relevance
In
this
cohort
study,
remained
stable,
over
time
states
legalized
These
patterns
increasing
suggest
that
enhanced
clinical
attention
warranted,
given
potential
maternal
child
health
implications
use.
Journal of Biochemical and Molecular Toxicology,
Год журнала:
2023,
Номер
37(8)
Опубликована: Май 30, 2023
Understanding
the
molecular
mechanisms
underlying
osteoclast
differentiation
provides
insights
into
bone
loss
and
even
osteoporosis.
The
specific
mechanistic
actions
of
cullin
4A
(CUL4A)
in
resultant
osteoporosis
is
poorly
explored.
We
developed
a
mouse
model
using
bilateral
ovariectomy
(OVX)
examined
CUL4A
expression.
It
was
noted
that
expression
increased
marrow
OVX
mice.
Overexpression
promoted
differentiation,
knockdown
alleviated
symptoms
Bioinformatic
analyses
were
applied
to
identify
downstream
target
genes
microRNA-340-5p
(miR-340-5p),
followed
by
interaction
analysis.
macrophages
(BMMs)
isolated
from
femur
mice,
which
transfected
with
different
plasmids
alter
CUL4A,
Zinc
finer
E-box
binding
homeobox
1
(ZEB1),
miR-340-5p,
Toll-like
receptor
4
(TLR4).
ChIP
assay
performed
detect
enrichment
ZEB1
promoter
H3K4me3
antibody
BMMs.
overexpressed
mediated
methylation
increase
expression,
thus
promoting
differentiation.
Meanwhile,
could
inhibit
miR-340-5p
upregulate
HMGB1
induce
Overexpressed
activated
TLR4
pathway
regulating
miR-340-5p/HMGB1
axis
development
Overall,
E3
ubiquitin
ligase
can
repress
leading
upregulation
activation,
promotes
Addiction,
Год журнала:
2024,
Номер
119(10), С. 1784 - 1791
Опубликована: Июнь 19, 2024
Public
health
concerns
regarding
pregnant
women's
after
the
enactment
of
Cannabis
Act
in
Canada
(CAC)
(a
law
that
allowed
non-medical
cannabis
use),
and
potential
impact
COVID-19
pandemic,
call
for
a
contemporary
assessment
these
two
events.
Our
study
measured
associations
between
CAC,
pandemic
monthly
prevalence
rates
cannabis-,
all
drug-
alcohol-related
diagnosed
disorders
among
women
province
Quebec.
American Journal on Addictions,
Год журнала:
2024,
Номер
unknown
Опубликована: Сен. 29, 2024
Abstract
Background
and
Objectives
Despite
marijuana's
association
with
adverse
pregnancy
birth
outcomes,
its
use
during
increased
over
the
last
two
decades.
During
this
period,
medical
marijuana
has
been
legalized
in
38
states
District
of
Columbia.
States
have
observed
marketing
related
products.
This
study
aims
to
examine
between
state‐level
legalization
United
States.
Methods
Using
2015–2021
National
Survey
on
Drug
Use
Health,
we
evaluated
past
month
among
currently
pregnant
mothers
(
N
=
4338)
their
state
residence.
Survey‐weighted
descriptive,
bivariate,
multivariable
logistic
regression
analyzes
were
performed.
Results
About
5.7%
women
reported
using
month,
59.0%
lived
a
where
was
across
2015–2021.
Compared
those
living
without
legalization,
more
(4.6%
vs.
6.5%).
In
model,
residing
likely
than
residents
(adjusted
Odds
Ratio:
1.56;
95%
Confidence
Interval:
1.11–2.18).
Conclusion
Scientific
Significance
is
first
known
find
that
are
pregnancy.
Pregnant
should
be
informed
outcomes
linked