Evidence map›Paper›PMID 33388479›Full record

ArticleAddictive behaviors2021

Post-legalization changes in marijuana use in a sample of young California adults.

Neal Doran, David Strong, Mark G Myers, John B Correa, Lyric Tully

Open access · greenAbstract read
In one paragraph

Article in Addictive behaviors, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Observational
  4. Article
  5. Article
  6. Cannabis to cope with COVID-19 in college.Journal of American college health : J of ACH · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Neal DoranDepartment of Psychiatry, University of California, San Diego, United States; VA San Diego Healthcare System, San Diego, United States. Electronic address: nmdoran@health.ucsd.edu.
David StrongSchool of Public Health, University of California, San Diego, United States. Electronic address: dstrong@health.ucsd.edu.
Mark G MyersDepartment of Psychiatry, University of California, San Diego, United States; VA San Diego Healthcare System, San Diego, United States. Electronic address: mgmyers@health.ucsd.edu.
John B CorreaDepartment of Psychiatry, University of California, San Diego, United States; VA San Diego Healthcare System, San Diego, United States. Electronic address: jocorrea@health.ucsd.edu.
Lyric TullyDepartment of Psychiatry, University of California, San Diego, United States. Electronic address: lyric.tully@va.gov.
University of California, San Diego · USVA San Diego Healthcare System · US

Funding

Social Cognitive Theory and Nondaily Smoking, Escalation and DesistanceR01DA037217 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DORAN, NEAL · 2014 to 2018
$1.9M
NIDA NIH HHS R01 DA037217
6 · The paper itself

Abstract

introductionIncreasing marijuana use among young adults is a concern due to substantial acute and chronic health risks. More widespread use of marijuana may also lead to increased use of nicotine and tobacco products. California legalized commercial sales of marijuana for recreational use as of January 2018. To our knowledge no studies to date have examined subsequent changes in marijuana use. The goal of this study was to test the hypothesis that marijuana use frequency increased following legalization of recreational sales. We also hypothesized that increased marijuana frequency would predict greater frequency of nicotine/tobacco consumption.

methodsThe study was a secondary analysis of a longitudinal study of tobacco use among non-daily cigarette smokers. Participants were 563 young adults (aged 18-24) enrolled in 2015-16 and followed quarterly for 3 years.

resultsA piecewise multilevel regression model indicated that marijuana use frequency did not change over time, including following legalization. More frequent use was associated with younger age and identifying as white (ps < 0.001, which did not change after legalization. Marijuana frequency was moderated by sex (p < .001), with women reporting increasing and men decreasing use over time. It was also associated with tobacco use, and particularly with e-cigarette use following legalization (ps < 0.05).

conclusionsFindings suggest legalization of recreational marijuana sales had a negligible overall impact on days of use among young adults, but may have prompted increased interest in marijuana among some, particularly women and e-cigarette users. The continuously evolving landscape around these products indicates that ongoing surveillance is critical.

Indexed as

Electronic Nicotine Delivery SystemsMarijuana SmokingMarijuana UseAdolescentAdultCaliforniaFemaleHumansLegislation, DrugLongitudinal StudiesMaleYoung Adult

Identifiers

PMID33388479
PMCPMC8765006
OpenAlexW3113250946

What OpenQuestion holds

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Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.