Implementation of Medical Marijuana and its Impact on Health

医用大麻的实施及其对健康的影响

• 批准号: 8731418
• 负责人: Rosalie Liccardo Pacula
• 金额: $ 36.96万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-15 至 2015-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8731418
• 关键词: Accidents; Accounting; Acute; Adopted; Adult; Affect; Aggregation Bias; Alcohol dependence; Alcohol or Other Drugs use; American; Area; Asthma; Authorization documentation; Books; Cities; Code; County; Crime; Data Analyses; Data Set; Data Sources; Dimensions; District of Columbia; Drug Prescriptions; Ecological Bias; Epidemiology; Equilibrium; Federal Government; Future; Goals; Health; Heterogeneity; Individual; Laws; Legal; Link; Literature; Marijuana; Marijuana Smoking; Marketing; Medical; Methods; Neighborhoods; Outcome; Patients; Policies; Price; Procedures; Psychotic Disorders; Public Health; Publishing; Relative (related person); Research; Research Personnel; Schizophrenia; Statutes and Laws; System; Testing; United States; Variant; Voting; Work; Youth; authority; drugged driving; improved; innovation; insight; interest; medical supply; novel; social; stem

DESCRIPTION (provided by applicant): Medical marijuana laws enjoy broad public support in the United States. Fifteen states and the District of Columbia have medical marijuana laws on the books and several states are contemplating similar legislation. Recent polls indicate that over 70 percent of Americans favor state laws allowing marijuana use for prescribed medical purposes (The Pew Research Center 2010). Despite their popularity, relatively few studies have considered how medical marijuana policies affect recreational marijuana use or individual and public health outcomes. The few published quantitative studies on the topic find disparate results, with some finding evidence consistent with higher recreational demand (Pacula et al. 2010) and others finding no relationship to recreational use (Gorman and Huber, 2007) or perceived harm of marijuana (Khatapoush and Hallfors, 2004). The goal of our work is to provide the most complete accounting to date of the nuanced features of medical marijuana laws and their implications for health. To do this we will examine the implementation of medical marijuana laws at the state, county and city level and assess whether provisions related to the supply of medical marijuana for patients influence access and use among recreational users. We will further consider whether and how these laws relate to harms caused by marijuana misuse/abuse including accidents, asthma, acute psychoses, alcohol dependence, schizophrenia, drugged driving, and crime. We will analyze these individual and public health outcomes at all three geographic levels allowing us to test the external validity of findings from any single data source or analysis as well as better understand whether the specifics of how laws get implemented is more important than the broad law itself. Our work should contribute to improved policymaking relating to medical marijuana by identifying the dimensions of state and local policy that are most clearly linked to individual and public health outcomes. By making our systematic coding of medical marijuana policies at the state, county and local levels available to other researchers, we will also lay the groundwork for future work in this area.

描述（由申请人提供）：医用大麻法在美国享有广泛的公共支持。 15个州和哥伦比亚特区在书籍上制定了医用大麻法律，几个州正在考虑类似的立法。最近的民意调查表明，超过70％的美国人赞成允许大麻用于规定医疗目的的州法律（皮尤研究中心2010年）。 尽管它们很受欢迎，但相对较少的研究考虑了医用大麻政策如何影响休闲大麻的使用或个人和公共卫生结果。关于该主题的少数已发表的定量研究发现了不同的结果，其中一些发现证据与更高的休闲需求一致（Pacula etal。2010），而其他证据则发现与娱乐使用没有关系（Gorman和Huber，2007年）或大麻的危害（Khatapapoush and Hallfors，2004年）。 我们工作的目的是提供医用大麻法律细微的特征及其对健康的影响的最完整的会计。为此，我们将研究该州，县和城市层面的医用大麻法律的实施，并评估与患者医用大麻供应有关的规定是否会影响娱乐用户的访问和使用。我们将进一步考虑这些法律是否以及与大麻滥用/滥用造成的危害有关，包括事故，哮喘，急性精神病，酒精依赖，精神分裂症，毒品驾驶和犯罪。我们将在所有三个地理水平上分析这些个人和公共卫生成果，使我们能够测试任何单个数据源或分析中发现的外部有效性，并更好地了解法律如何实施的细节是否比广泛的法律本身更重要。 我们的工作应通过确定与个人和公共卫生结果最明显有关的国家和地方政策的方面来改善与医用大麻有关的政策制定。通过为其他研究人员提供的州，县和地方一级的医用大麻政策进行系统的编码，我们还将为该领域的未来工作奠定基础。