Evidence map›Paper›PMID 35618659›Full record

ArticleAddiction (Abingdon, England)2022

Recreational cannabis legalization and transitions in cannabis use: findings from a nationally representative longitudinal cohort in the United States.

Christian Gunadi, Bin Zhu, Yuyan Shi

Abstract read
In one paragraph

Article in Addiction (Abingdon, England), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Characteristics of Cannabis Use Among Head and Neck Cancer Survivors.Laryngoscope investigative otolaryngology · 2025
    Article
  5. Article
  6. Article
  7. Article
  8. Review
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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

3 authors.

Christian GunadiHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, CA, USA.
Bin ZhuHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, CA, USA.
Yuyan ShiHerbert Wertheim School of Public Health and Human Longevity Science, University of California San Diego, CA, USA.ORCID 0000-0001-9293-0659

Funding

Using Behavioral Economics Approach to Examine Individual Preferences for Marijuana ProductsR01DA049730 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHI, YUYAN · 2020 to 2024
$3.5M
Neighborhood Physical, Economic, and Socioeconomic Environment In Relation to Marijuana Use and DisorderR01DA042290 · NIDA · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI SHI, YUYAN · 2017 to 2020
$2.6M
NIDA NIH HHS R01 DA042290NIDA NIH HHS R01 DA049730
6 · The paper itself

Abstract

aimsThis study estimated the likelihoods of individuals transitioning to different cannabis use status following recreational cannabis legalization (RCL) in the United States.

designSecondary analysis of a nationally representative longitudinal cohort in the United States. We used propensity score matching to balance individual characteristics between RCL and comparison states and generalized mixed regressions to estimate behavioral transitions in matched samples.

participantsA longitudinal cohort of 21 863 individuals (6925 youths and 14 938 adults) participating in the Population Assessment of Tobacco and Health waves 3 and 4.

settingFour RCL states that implemented RCL between waves 3 and 4 (California, Massachusetts, Nevada and Maine) and comparison states in the United States. MEASUREMENTS: Transitions in cannabis use over the two waves: (1) from non-users to users; (2) from non-users to weekly users; (3) from users to non-users. Individuals in RCL states were compared with matched individuals in (1) states with medical cannabis legalization (MCL), (2) states not legalizing cannabis (non-legalizing) and (3) MCL and non-legalizing states combined.

findingsAmong youths, the association between RCL and greater odds of transition from non-users to users was seen in comparison with non-legalizing states [odds ratio (OR) = 2.18, 95% confidence interval (CI) = 1.37-3.45] and combined states (OR = 1.73, 95% CI = 1.23-2.42). Evidence was lacking regarding the associations between RCL and transitions from non-users to weekly users and from users to non-users. Among adults, RCL was associated with greater odds of transitions from non-users to users and non-users to weekly users if RCL states were compared with non-legalizing states (OR = 1.68, 95% CI = 1.15-2.46; OR = 1.82, 95% CI = 1.00-3.31, respectively) or combined states (OR = 1.51, 95% CI = 1.11-2.07; OR = 2.09, 95% CI = 1.19-3.66, respectively). RCL was also associated with lower odds of transition from users to non-users if RCL states were compared with non-legalizing states (OR = 0.54, 95% CI = 0.35-0.81).

conclusionsThere appears to be some evidence that recreational cannabis legalization in the United States is associated with elevated odds of transition to cannabis use among both youths and adults.

Indexed as

CannabisHallucinogensMedical MarijuanaAdolescentAdultCannabinoid Receptor AgonistsHumansLegislation, DrugTobacco UseUnited StatesCannabinoid Receptor AgonistsHallucinogensMedical MarijuanaAdultcannabiscannabis legalizationpropensity score matchingUnited Statesyouth

Identifiers

PMID35618659
PMCPMC11147131

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Registered trials

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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.