Centre for Applied Research in Mental Health and Addiction, Faculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada.
Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada.
J Stud Alcohol Drugs. 2023 Jul;84(4):636-643. doi: 10.15288/jsad.22-00388. Epub 2023 Feb 1.
Cannabis use has become increasingly common as more jurisdictions liberalize controls, including legalization and allowing nonmedical cannabis use among adults, to better protect public health and safety. Little attention has been given to possible health-related "harm to others," as are considered in other substance use domains. We propose a framework and review evidence on public health domains in which cannabis use may produce health-related harm to others, namely from (a) interpersonal violence, (b) motor vehicle crash-related injuries, (c) pregnancy-related outcomes, and (d) secondhand exposure. These domains are associated with moderate risks of adverse outcomes that, however, may involve substantial health harm to others, and therefore warrant consideration in guiding regulations and in evaluating the public health impacts of cannabis use and different policy options for its control.
随着越来越多的司法管辖区放宽管制，包括将大麻合法化和允许成年人非医疗用途大麻，以更好地保护公共健康和安全，大麻的使用变得越来越普遍。然而，人们几乎没有关注其他物质使用领域中可能存在的与健康相关的“对他人的伤害”。我们提出了一个框架，并回顾了大麻使用可能对他人造成与健康相关的伤害的公共卫生领域的证据，即（a）人际暴力，（b）与机动车碰撞相关的伤害，（c）与怀孕相关的结果，以及（d）二手烟暴露。这些领域与不良后果的中度风险相关，然而，这些风险可能对他人造成严重的健康伤害，因此需要在指导法规和评估大麻使用对公共健康的影响以及控制大麻的不同政策选择方面进行考虑。
