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大麻管制政策的成本与效益。

The costs and benefits of cannabis control policies
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机构信息

The National Centre for Youth Substance Use Research; The Queensland Alliance for Environmental Health Sciences; The University of Queensland, Australia.

出版信息

Dialogues Clin Neurosci. 2020 Sep;22(3):281-287. doi: 10.31887/DCNS.2020.22.3/whall.

Abstract

As is the case for most drugs, cannabis use has costs and benefits, and so do the policies that attempt to minimize the first and maximize the second. This article summarizes what we know about the harmful effects of recreational cannabis use and the benefits of medical cannabis use under the policy of prohibition that prevailed in developed countries until 2012. It outlines three broad ways in which cannabis prohibition may be relaxed, namely, the depenalization of personal possession and use, the legalization of medical use, and the legalization of adult recreational use. It reviews evidence to date on the impacts of each of these forms of liberalization on the costs and benefits of cannabis use. It makes some plausible conjectures about the future impacts of the commercialization of cannabis using experience from the commercialization of the alcohol, tobacco, and gambling industries. Cannabis policy entails unavoidable trade-offs between competing social values in the face of considerable uncertainty about the effects that more liberal cannabis policies will have on cannabis use and its consequences for better or worse.
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摘要

和大多数药物一样,大麻的使用既有成本也有收益,试图将前者最小化、将后者最大化的政策也是如此。本文总结了我们对娱乐性大麻使用的有害影响以及在 2012 年之前在发达国家盛行的禁止政策下医用大麻使用的益处的了解。它概述了大麻禁令可能放松的三种广泛方式,即个人拥有和使用的非刑罪化、医用合法化和成人娱乐性使用合法化。它审查了迄今为止关于这些自由化形式对大麻使用的成本和收益的影响的证据。它利用从酒精、烟草和赌博行业的商业化中获得的经验,对大麻商业化对大麻使用及其带来的利弊的未来影响做出了一些合理的推测。大麻政策在面对更多宽松的大麻政策对大麻使用及其带来的利弊的影响存在相当大的不确定性的情况下,不可避免地需要在相互竞争的社会价值观之间做出权衡。

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本文引用的文献

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How Medical Marijuana Smoothed the Transition to Marijuana Legalization in the United States.医用大麻如何助力美国向大麻合法化的过渡。
Annu Rev Law Soc Sci. 2017 Oct;13(1):181-202. doi: 10.1146/annurev-lawsocsci-110615-084851. Epub 2017 Jul 3.
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Cannabis Use and the Risk for Psychosis and Affective Disorders.大麻使用与精神病和情感障碍风险
J Dual Diagn. 2020 Jan-Mar;16(1):22-42. doi: 10.1080/15504263.2019.1674991. Epub 2019 Oct 24.
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Uruguayan Cannabis Social Clubs: From activism to dispensaries?乌拉圭大麻社会俱乐部:从激进主义到药房?
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