Neighborhood Physical, Economic, and Socioeconomic Environment In Relation to Marijuana Use and Disorder

与大麻使用和混乱相关的社区自然、经济和社会经济环境

基本信息

批准号：
10267881
负责人：
Yuyan Shi
金额：
$ 24.9万
依托单位：
UNIVERSITY OF CALIFORNIA, SAN DIEGO
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-02-01 至 2021-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10267881
关键词：
18 year old Adult Alaska Alcohol or Other Drugs use Alcohols American Attention Behavior Censuses Colorado Communities Community Health Planning Community Surveys Crime Curiosities DSM-V Data Data Collection Databases Development Device or Instrument Development Directories Disadvantaged Economics Empirical Research Environment Environmental Risk Factor Expenditure Frequencies Future Goals Government Health Health Planning Health Status Individual Intention Laws Legal Licensing Link Literature Location Marijuana Measures Mechanics Medical Medical Marijuana Mental Health Modeling Neighborhoods Oregon Outcome Outcome Measure Pattern Physical environment Policies Predisposition Price Psychosocial Factor Public Health Questionnaires Recording of previous events Regulation Research Risk Sampling Series Services Socioeconomic Status Source Substance Use Disorder Surveys Taxes Testing Tobacco Variant Visit Washington aged cost crowdsourcing evidence base indexing innovation marijuana legalization marijuana use marijuana use disorder novel physical conditioning population survey service delivery socioeconomics urban planning

项目摘要

ABSTRACT Physical, economic, and socioeconomic environmental factors in one's neighborhood have been shown to influence substance use and substance use disorder, but the literature specific to the ecological correlates of marijuana is surprisingly limited and simplistic. With medical marijuana legalized in 23 states and Washington D.C. in the past two decades and recreational marijuana legalized in Colorado, Washington, Alaska, Oregon, and Washington D.C. recently, marijuana-related environments in the U.S. have changed dramatically. To appreciate the impacts of these laws, empirical data on the relationship between environment and marijuana-related outcomes are much needed. The goal of this project is to test a series of hypotheses on the relationships of multiscale environmental factors to marijuana use, marijuana use disorder, purchase behaviors, and other related outcomes, with an emphasis on policy-relevant modifiable factors in neighborhood environments. This empirical research aims to provide evidence-based guidance to community public health and urban planning policymakers regarding marijuana regulation strategies, such as licensing policies, zoning ordinances, tax and pricing, and policies to limit types of products sold, that may ameliorate negative health and socioeconomic consequences related to marijuana. Specifically, we propose: 1) Aim 1 (physical environment): to quantify the relationships of availability and proximity of marijuana stores to marijuana use, marijuana use disorder, and purchase behaviors; 2) Aim 2 (economic environment): to quantify the relationships of marijuana price and product variety to marijuana use, marijuana use disorder, and purchase behaviors; and 3) Aim 3 (socioeconomic environment): to examine whether and how neighborhood SES influences the relationships of physical and economic environments to marijuana use, marijuana use disorder, and purchase behaviors. We will leverage innovative sources of objectively measured environmental data and an original online survey on a representative sample of 18,000 adults aged 18 or older in 20 continental states with marijuana legalization. This project is innovative in its focus on neighborhood-level multiscale environmental factors potentially modifiable by policies and the use of unprecedented sources for objectively measured environmental data. Further strengths include the application of a comprehensive ecological framework, an original survey on large state-representative samples with extraordinarily rich information on marijuana-related outcomes, measures to distinguish recreational use from medical use, collection of data on both objective and perceived environmental factors, and a trans-disciplinary team with demonstrated relevant expertise.

抽象的邻里的物理、经济和社会经济环境因素显示会影响物质使用和物质使用障碍，但特定于生态的文献大麻的相关性出人意料地有限且简单化。随着医用大麻在 23 个州合法化华盛顿特区在过去二十年里娱乐性大麻在科罗拉多州、华盛顿州、最近，美国阿拉斯加州、俄勒冈州和华盛顿特区的大麻相关环境发生了变化戏剧性地。为了了解这些法律的影响，需要有关环境之间关系的经验数据非常需要与大麻相关的成果。该项目的目标是测试一系列假设多尺度环境因素与大麻使用、大麻使用障碍、购买的关系行为和其他相关结果，重点是邻里政策相关的可修改因素环境。本实证研究旨在为社区公共卫生提供循证指导和城市规划政策制定者有关大麻监管策略的信息，例如许可政策、分区限制所售产品类型的法令、税收和定价以及政策，可能会改善负面健康状况以及与大麻相关的社会经济后果。具体来说，我们建议：1）目标1（身体环境）：量化大麻商店的可用性和邻近性与大麻使用的关系，大麻使用障碍和购买行为； 2) 目标 2（经济环境）：量化大麻价格和产品品种与大麻使用、大麻使用障碍和购买的关系行为； 3) 目标 3（社会经济环境）：检查社区社会经济地位是否以及如何实现影响物理和经济环境与大麻使用、大麻使用障碍的关系，和购买行为。我们将利用客观测量的环境数据的创新来源，对 20 个大陆国家 18,000 名 18 岁或以上成年人的代表性样本进行的原始在线调查随着大麻合法化。该项目的创新之处在于它关注邻里层面的多尺度环境因素可能通过政策和使用前所未有的资源进行客观改变测量的环境数据。进一步的优势包括综合生态系统的应用框架，对大型国家代表性样本进行的原始调查，其中包含非常丰富的信息大麻相关结果、区分娱乐用途和医疗用途的措施、收集有关大麻的数据客观和感知的环境因素，以及具有相关性的跨学科团队专业知识。