Evidence map›Paper›PMID 40339827›Full record

ArticleAmerican journal of preventive medicine2025

The Unequal Geography of Recreational Cannabis Retailers in the U.S.

Lindsay L Kephart, Vaughan W Rees, Daniel P Giovenco, Sankaran V Subramanian

Abstract read
In one paragraph

Article in American journal of preventive medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

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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

4 authors.

Lindsay L KephartDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts. Electronic address: LKephart@g.harvard.edu.
Vaughan W ReesDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts.
Daniel P GiovencoDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, New York.
Sankaran V SubramanianDepartment of Social and Behavioral Sciences, Harvard T.H. Chan School of Public Health, Boston, Massachusetts; Harvard Center for Population and Development Studies, Cambridge, Massachusetts.

Funding

The Harvard Chan Education Program in Cancer Prevention and ControlT32CA057711 · NCI · HARVARD UNIVERSITY D/B/A HARVARD SCHOOL OF PUBLIC HEALTH · PI Karen M. Emmons, ANNE LINDSAY FRAZIER · 2019 to 2026
$3.3M
NCI NIH HHS T32 CA057711
6 · The paper itself

Abstract

introductionAlthough more U.S. states continue to legalize the sale of cannabis for recreational adult-use, little is known about the spatial distribution of cannabis retailers in relation to neighborhood characteristics. The objective of this study is to examine the presence or absence of cannabis retailers in census tracts in relation to measures of neighborhood advantage and disadvantage.

methodsUsing 2023 U.S. state agency lists, we identified 5,586 recreational cannabis retailers and geocoded address data in 18 states with recreational cannabis legalization laws. Multilevel logistic and negative binomial regression were used to model the association between quintiles of the neighborhood deprivation index and index of concentration at the extremes with census tract cannabis retailer presence.

resultsAcross the study states, 11% of census tracts had at least 1 recreational cannabis retailer. Census tracts with higher levels of socioeconomic deprivation, or racialized and economic disadvantage, had a significantly higher odds and rate of having cannabis retailers. In the adjusted analysis, tracts with the greatest concentration of low-income Black or Hispanic residents had 2.0-2.5 times the odds of cannabis retailer presence compared to more advantaged tracts.

conclusionsIn states with legalized nonmedical cannabis, there is a pattern of greater cannabis retailer presence in areas with the greatest neighborhood disadvantage. Public health agencies and policymakers should support the implementation of policies that reduce cannabis retailer clustering and enhance targeted prevention efforts in historically disadvantaged areas.

Indexed as

CannabisCommerceMarijuana UseNeighborhood CharacteristicsResidence CharacteristicsHumansSocioeconomic FactorsUnited States

Identifiers

PMID40339827
PMCPMC12621622

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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.