Evidence map›Paper›PMID 40786531›Full record

ArticleInternational journal of mental health and addiction2025

Gender differences in cannabis outcomes after recreational legalization: a United States repeated cross-sectional study, 2008-2017.

Luis E Segura, Natalie S Levy, Christine M Mauro, Pia M Mauro, Sarah Gutkind, Morgan M Philbin, Deborah S Hasin, Silvia S Martins

Abstract read
In one paragraph

Article in International journal of mental health and addiction, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. How tax structures for retail cannabis shape cannabis use among youth and young adults: evidence from a volumetric choice experiment.The European journal of health economics : HEPAC : health economics in prevention and care · 2026
    Article
  2. Article
  3. Article
  4. Article
  5. Perceptions of cannabis among adults aged 60 years and older in Canada: a qualitative study.Health promotion and chronic disease prevention in Canada : research, policy and practice · 2025
    Article
  6. Article
  7. Article
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

8 authors.

Luis E SeguraDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Natalie S LevyDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Christine M MauroDepartment of Biostatistics, Columbia University Mailman School of Public Health, New York, NY, USA.
Pia M MauroDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Sarah GutkindDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Morgan M PhilbinDepartment of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, NY, USA.
Deborah S HasinDepartment of Psychiatry, Columbia University Irving Medical Center, New York, NY, USA.
Silvia S MartinsDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.

Funding

Substance Abuse Epidemiology Training Program (SAETP) at Columbia UniversityT32DA031099 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI DEBORAH S HASIN, Silvia Saboia Martins · 2012 to 2026
$6.1M
Impact of Medical and Recreational Marijuana Laws On Cannabis, Opioids And Psychiatric Medications: National Study of VA Patients, 2000 - 2024R01DA048860 · NIDA · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · PI HASIN, DEBORAH S · 2019 to 2023
$4.1M
State medical marijuana laws and NSDUH marijuana use and consequences since 2004R01DA037866 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MARTINS, SILVIA SABOIA · 2014 to 2018
$2.3M
Assessing the Impact of State-Level Policies on Drug Use and HIV Risk for YMSMK01DA039804 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI PHILBIN, MORGAN MARI · 2016 to 2020
$888k
Multi-level associations between medical marijuana laws and substance use disorder treatmentK01DA045224 · NIDA · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI MAURO, PIA M. · 2018 to 2022
$878k
NIDA NIH HHS K01 DA039804NIDA NIH HHS K01 DA045224NIDA NIH HHS R01 DA037866NIDA NIH HHS R01 DA048860NIDA NIH HHS T32 DA031099
6 · The paper itself

Abstract

Cannabis use has been more prevalent among men than women and prior work has found differing impact of recreational cannabis laws (RCL) by age. We examined changes in the prevalence of past-year and past-month cannabis use, past-month daily cannabis use, and DSM-5-proxy cannabis use disorder (CUD) in the past-year before and after RCL enactment by gender alone and stratified by age using 2008-2017 repeated cross-sectional samples of the US National Survey on Drug Use and Health. Changes in cannabis outcomes were estimated using adjusted multi-level logistic regression with state random intercepts and two-way and three-way interactions between RCL, gender, and age group. Enactment of RCL was associated with higher increases in past-year (+3.2%; aOR= 1.30 [95%CI = 1.19 to 1.41]) and past-month (+2.3; 1.37 [1.24 to 1.51]) cannabis use in women than men (+2.1%; 1.15 [1.06 to 1.25] and +1.7%; 1.19 [1.08 to 1.30]). No increases in past-month daily cannabis use and past-year DSM-5 CUD among those using cannabis were observed after RCL enactment. There were no increases in any cannabis outcomes after RCL enactment among those 12-20 years old. RCL enactment may contribute to narrowing of the cannabis gender gap. Ongoing surveillance is essential to ensure that the social justice aims of legalization are achieved without negative public health consequences.

Indexed as

cannabis legalizationcannabis usecannabis use disordergender differencesrecreational cannabis laws

Identifiers

PMID40786531
PMCPMC12333662

What OpenQuestion holds

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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.