Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute, Oakland, CA. Rosalie L. Pacula is with the Institute for Addiction Science and the Leonard Schaeffer Center for Health Policy and Economics, Sol Prices School of Public Policy at the University of Southern California, Los Angeles.
Am J Public Health. 2024 Nov;114(S8):S654-S663. doi: 10.2105/AJPH.2024.307787.
To examine whether local cannabis policies and retail availability are associated with cannabis use and problematic cannabis use (PCU) among adolescents in Northern California. The sample comprised adolescents aged 13 to 17 years screened for past-year cannabis use during well-child visits in 2021. Exposures included local bans on cannabis storefront retailers, policy protectiveness, and retail proximity and density. Outcomes included self-reported past-year cannabis use and PCU diagnoses. Modified Poisson regression models adjusted for sociodemographics. The sample (n = 103 134) was 51.1% male with a median age of 15 years (interquartile range [IQR] = 14-16 years); 5.5% self-reported cannabis use, and 0.3% had diagnosed PCU. Adolescents had a lower prevalence of cannabis use in jurisdictions that banned storefront retailers (adjusted prevalence rate [APR] = 0.857; 95% confidence interval [CI] = 0.814, 0.903 vs allowed), banned delivery (APR = 0.751; 95% CI = 0.710, 0.795 vs allowed), or had more policy protections (APR range = 0.705-0.800). Lower PCU prevalence was also found among those in jurisdictions that banned (vs allowed) storefront retailers (APR = 0.786; 95% CI = 0.629, 0.983) or delivery (APR = 0.783; 95% CI = 0.616, 0.996). Longer drive time and lower density of storefront retailers were associated with a lower cannabis use prevalence. More protective cannabis policies and less retail availability were associated with a lower prevalence of adolescent cannabis use and PCU. (. 2024;114(S8):S654-S663. https://doi.org/10.2105/AJPH.2024.307787).
为了探究北加利福尼亚州青少年的当地大麻政策和零售供应情况与大麻使用和大麻使用问题（PCU）之间的关联。该样本包括在 2021 年青少年常规健康检查期间筛查出过去一年有大麻使用情况的 13 至 17 岁青少年。暴露因素包括禁止大麻零售店、政策保护和零售接近度和密度。结果包括自我报告的过去一年的大麻使用情况和 PCU 诊断。采用修正泊松回归模型进行社会人口统计学调整。该样本（n=103134）中 51.1%为男性，中位年龄为 15 岁（四分位间距[IQR]=14-16 岁）；5.5%自我报告大麻使用，0.3%被诊断为 PCU。在禁止零售店（调整后的流行率[APR]=0.857；95%置信区间[CI]=0.814，0.903 与允许相比）、禁止送货（APR=0.751；95%CI=0.710，0.795 与允许相比）或政策保护措施更多的司法管辖区，青少年大麻使用的流行率较低（APR 范围=0.705-0.800）。在禁止（与允许）零售店或送货的司法管辖区，PCU 的流行率也较低（APR=0.786；95%CI=0.629，0.983）。驾驶时间较长和零售店密度较低与大麻使用流行率较低相关。更具保护性的大麻政策和较低的零售供应与青少年大麻使用和 PCU 流行率较低相关。（. 2024;114(S8):S654-S663. https://doi.org/10.2105/AJPH.2024.307787）。
