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加拿大的大麻合法化:对公共卫生及合法精神活性物质管理的思考

Cannabis Legalization in Canada: Reflections on Public Health and the Governance of Legal Psychoactive Substances.

作者信息

Crépault Jean-François

机构信息

Communications and Partnerships, Centre for Addiction and Mental Health, Toronto, ON, Canada.

Dalla Lana School of Public Health, University of Toronto, Toronto, ON, Canada.

出版信息

Front Public Health. 2018 Aug 6;6:220. doi: 10.3389/fpubh.2018.00220. eCollection 2018.

DOI:10.3389/fpubh.2018.00220
PMID:30128310
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6089329/
Abstract

The Canadian government is "taking a public health approach to legalizing, strictly regulating and restricting access to cannabis." There is, however, no universally accepted definition of a public health approach to cannabis. This paper presents what such an approach is, and is not, and discusses its applicability to legal psychoactive substances more generally. It critically reflects on the role of the public health sector in the governance of addictive substances and activities, noting its function of "responsibilizing" individuals and coaxing them to self-regulate-and the contradiction involved when other state actors involved in governance are actively inciting consumption of those substances and activities.

摘要

加拿大政府正在“采取公共卫生方法将大麻合法化、严格监管并限制其获取途径”。然而,对于针对大麻的公共卫生方法,目前尚无普遍认可的定义。本文阐述了这种方法是什么、不是什么,并更广泛地讨论了其对合法精神活性物质的适用性。它批判性地反思了公共卫生部门在成瘾性物质及活动治理中的作用,指出其让个人“承担责任”并促使他们自我监管的功能,以及当参与治理的其他国家行为体积极煽动对这些物质及活动的消费时所涉及的矛盾。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86aa/6089329/86bb6f094619/fpubh-06-00220-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86aa/6089329/0dc9136059a2/fpubh-06-00220-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86aa/6089329/86bb6f094619/fpubh-06-00220-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86aa/6089329/0dc9136059a2/fpubh-06-00220-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/86aa/6089329/86bb6f094619/fpubh-06-00220-g0002.jpg

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Drug Alcohol Depend. 2018 Jul 1;188:385-391. doi: 10.1016/j.drugalcdep.2018.03.031. Epub 2018 May 10.
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An emergency response to the opioid overdose crisis in Canada: a regulated opioid distribution program.加拿大阿片类药物过量危机的应急响应:一项阿片类药物规范分发计划。
CMAJ. 2018 Jan 15;190(2):E35-E36. doi: 10.1503/cmaj.171060.
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Lower-Risk Cannabis Use Guidelines: A Comprehensive Update of Evidence and Recommendations.
评估一门大麻课程对药学专业学生关于医用和消遣用大麻的理解、信念及准备情况的影响。
Can Pharm J (Ott). 2021 Sep 3;155(1):50-59. doi: 10.1177/17151635211041041. eCollection 2022 Jan-Feb.
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Harmful Effects of Smoking Cannabis: A Cerebrovascular and Neurological Perspective.吸食大麻的有害影响:从脑血管和神经学角度分析
Front Pharmacol. 2019 Dec 6;10:1481. doi: 10.3389/fphar.2019.01481. eCollection 2019.
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Am J Drug Alcohol Abuse. 2019;45(6):698-706. doi: 10.1080/00952990.2019.1569669. Epub 2019 Mar 14.
低风险大麻使用指南:证据与建议的全面更新
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