Evidence map›Paper›PMID 40652253›Full record

ArticleJournal of cannabis research2025

Knowledge and attitudes toward recreational cannabis legalization among California residents: a population-matched questionnaire about Proposition 64.

Daniel Ageze, Sara Baird, Thomas D Marcotte, Ahmed Elashmawy, Angela Wong, Renee Dell'Acqua, Jill Rybar, Sarah Hacker, Alice Gold, Tom Shaughnessy and 2 more

Abstract read
In one paragraph

Article in Journal of cannabis research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Daniel AgezeHerbert Wertheim School of Public Health and Longevity Science, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA. dageze@health.ucsd.edu.
Sara BairdHerbert Wertheim School of Public Health and Longevity Science, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Thomas D MarcotteCenter for Medicinal Cannabis Research, Department of Psychiatry, University of California San Diego, 220 Dickinson Street, Suite B, San Diego, CA, 92103, USA.
Ahmed ElashmawyHerbert Wertheim School of Public Health and Longevity Science, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Angela WongHerbert Wertheim School of Public Health and Longevity Science, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Renee Dell'AcquaHerbert Wertheim School of Public Health and Longevity Science, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Jill RybarHerbert Wertheim School of Public Health and Longevity Science, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Sarah HackerHerbert Wertheim School of Public Health and Longevity Science, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.
Alice Gold, Quester, 6500 University Avenue Suite 205, Des Moines, IA, 50324, USA.
Tom Shaughnessy, Quester, 6500 University Avenue Suite 205, Des Moines, IA, 50324, USA.
Ilene Lanin-Kettering, Quester, 6500 University Avenue Suite 205, Des Moines, IA, 50324, USA.
Linda L HillHerbert Wertheim School of Public Health and Longevity Science, University of California San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImplemented in 2018, Proposition 64: The Adult Use of Marijuana Act (Prop 64; passed in 2016) legalized adult recreational cannabis use in California. This analysis of the Impact 64 study aimed to assess knowledge about Prop 64 and attitudes toward cannabis legalization by California residents.

methodsA mixed qualitative and quantitative questionnaire about cannabis and Prop 64 was completed by 4,020 current cannabis users, 523 former users, and 635 non-users who were selected from an initial pool demographically matched to the 2020 California census. Quantitative questions about Prop 64 knowledge and attitudes were selected for this sub-analysis. Chi-squared tests and nominal logistic multivariate analysis were used to assess knowledge and attitudes based on demographic characteristics and cannabis use factors.

resultsCurrent users had a mean age of 42 years and were 59% male, and more than 90% had heard of Prop 64. The 71% of current users who described themselves as somewhat or very familiar with Prop 64 were more likely to be employed full-time (AOR 1.5, p < 0.001), have no minors in the household (AOR 1.4, p < 0.001), and live in Central California (AOR 1.3, p < 0.001). Awareness of specific regulations of the associated laws was low among current users, including for possession (49%), transportation (41%), and gifting (30%) of cannabis, as well as for age and possession limits. Attitudes were mixed, though current users had more positive attitudes than former and non-users for almost all measures (p < 0.001). Only 30% of current cannabis users, believe cannabis should be legal to use in more public places, and only half of current users felt that Prop 64 made cannabis products and cannabis acquisition safer.

conclusionsFour years after implementation, knowledge gaps around Prop 64 are widespread. Effective messaging is needed to increase awareness and bridge knowledge gaps, which can ultimately minimize public harm.

Indexed as

CannabisCannabis knowledgeCannabis legalizationMarijuanaProp 64Proposition 64

Identifiers

PMID40652253
PMCPMC12254984

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.