Effects of cannabis legalisation on patterns of cannabis consumption among adolescents in Ontario, Canada (2001-2019).

Canada cannabis marijuana smoking marijuana use policy

Journal

Drug and alcohol review
ISSN: 1465-3362
Titre abrégé: Drug Alcohol Rev
Pays: Australia
ID NLM: 9015440

Informations de publication

Date de publication:
28 Nov 2023
Historique:
revised: 31 10 2023
received: 11 01 2023
accepted: 06 11 2023
medline: 28 11 2023
pubmed: 28 11 2023
entrez: 28 11 2023
Statut: aheadofprint

Résumé

Cannabis legalisation was enacted on 17 October 2018 in Canada. Accordingly, the effects of cannabis legalisation on patterns of cannabis consumption were examined among adolescents, including on cannabis initiation, any cannabis use, daily cannabis use and cannabis dependence. Data from a biennial population-based, cross-sectional survey of students in Ontario were pooled in a pre-post design (2001-2019; N = 89,238). Participants provided self-reports of cannabis initiation, any cannabis use, daily cannabis use and cannabis dependence. Long-term trends in these patterns of cannabis consumption over two decades of observation were characterised to provide a broader context of usage. The effects of cannabis legalisation on patterns of cannabis consumption were quantified using logistic regression analyses. Long-term trends over the two decades of observation indicated that cannabis initiation decreased and then increased (p = 0.0220), any cannabis use decreased and daily cannabis use decreased (p < 0.0001 and p = 0.0001, respectively) and cannabis dependence remained unchanged (p = 0.1187). However, in comparisons between the pre-cannabis legalisation period (2001-2017) and the post-cannabis legalisation period (2019), cannabis legalisation was not associated with cannabis initiation (odds ratio; 95% confidence interval 1.00; 0.79-1.27), but it was associated with an increased likelihood of any cannabis use (1.31; 1.12-1.53), daily cannabis use (1.40; 1.09-1.80) and cannabis dependence (1.98; 1.29-3.04). Cannabis legalisation was not associated with cannabis initiation, but it was associated with an increased likelihood of any cannabis use, daily cannabis use and cannabis dependence.

Identifiants

pubmed: 38015010
doi: 10.1111/dar.13786
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : Canadian Institutes of Health Research and Canadian Centre on Substance Use and Addiction
ID : 170394
Organisme : Canadian Institutes of Health Research Institute of Neurosciences, Mental Health and Addiction
ID : SMN-13950

Informations de copyright

© 2023 Australasian Professional Society on Alcohol and other Drugs.

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Auteurs

Sameer Imtiaz (S)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.

Yeshambel T Nigatu (YT)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.

Marcos Sanches (M)

Biostatistical Support Unit, Centre for Addiction and Mental Health, Toronto, Canada.

Farihah Ali (F)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.

Angela Boak (A)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.

Laura Douglas (L)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.

Hayley A Hamilton (HA)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.

Jürgen Rehm (J)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.
Institute of Medical Science, University of Toronto, Toronto, Canada.
Department of Psychiatry, University of Toronto, Toronto, Canada.
Institute for Clinical Psychology and Psychotherapy, TU Dresden, Dresden, Germany.
Department of International Health Projects, Institute for Leadership and Health Management, I.M. Sechenov First Moscow State Medical University, Moscow, Russian Federation.

Sergio Rueda (S)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.
Institute of Medical Science, University of Toronto, Toronto, Canada.
Department of Psychiatry, University of Toronto, Toronto, Canada.

Robert M Schwartz (RM)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Ontario Tobacco Research Unit, Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.

Samantha Wells (S)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Campbell Family Mental Health Research Institute, Centre for Addiction and Mental Health, Toronto, Canada.
Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Canada.
School of Psychology, Deakin University, Geelong, Australia.

Tara Elton-Marshall (T)

Institute for Mental Health Policy Research, Centre for Addiction and Mental Health, Toronto, Canada.
Dalla Lana School of Public Health, University of Toronto, Toronto, Canada.
Department of Epidemiology and Biostatistics, Schulich School of Medicine and Dentistry, Western University, London, Canada.
School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Canada.
Department of Health Sciences, Lakehead University, Thunder Bay, Canada.

Classifications MeSH