Geisel School of Medicine at Dartmouth, Center for Technology and Behavioral Health, 46 Centerra Parkway, Lebanon, NH 03766, United States.
Geisel School of Medicine at Dartmouth, Center for Technology and Behavioral Health, 46 Centerra Parkway, Lebanon, NH 03766, United States; The Dartmouth Institute for Health Policy and Clinical Practice, 74 College St., Hanover, NH 03755, United States.
Prev Med. 2017 Nov;104:31-36. doi: 10.1016/j.ypmed.2017.06.034. Epub 2017 Jun 28.
Specific provisions of legal cannabis legislation and regulation could influence cannabis initiation, frequency and quantity of use, and progression to cannabis use disorder. This brief essay highlights scientifically based principles and risk factors that underlie substance use and addiction that can be leveraged to inform policies that might mitigate the development and consequences of cannabis use disorder. Specifically, pharmacologic, access/availability, and environmental factors are discussed in relation to their influence on substance use disorders to illustrate how regulatory provisions can differentially affect these factors and risk for addiction. Relevant knowledge from research and experience with alcohol and tobacco regulation are also considered. Research designed to inform regulatory policy and to evaluate the impact of cannabis legislation on cannabis use and problems is progressing. However, definitive findings will come slowly, and more concerted efforts and resources are needed to expedite this process. In the meantime, policymakers should take advantage of the large body of scientific literature on substance use to foster empirically-guided, common sense approaches to cannabis policy that focus on prevention of addiction.
具体的法律大麻立法和监管规定可能会影响大麻的使用开始、频率和数量,以及向大麻使用障碍的发展。本文简要强调了基于科学的原则和风险因素,这些原则和风险因素是物质使用和成瘾的基础,可以用来为政策提供信息,减轻大麻使用障碍的发展和后果。具体来说,讨论了药理学、获取/可及性和环境因素与其对物质使用障碍的影响,以说明监管规定如何对这些因素和成瘾风险产生不同的影响。还考虑了与酒精和烟草监管相关的研究和经验中的相关知识。旨在为监管政策提供信息和评估大麻立法对大麻使用和问题影响的研究正在进行中。然而,明确的发现将是缓慢的,需要更多的协调努力和资源来加快这一进程。在此期间,政策制定者应该利用关于物质使用的大量科学文献,促进以预防成瘾为重点的、有经验依据的、常识性的大麻政策方法。