ArticleAmerican journal of preventive medicine2026
State Cannabis and Alcohol Policy Environments: Associations With College Students' Use of Cannabis, Alcohol, and Both Substances.
Article in American journal of preventive medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
What it found
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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.
The trial behind it
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Who cites it
2 citing papers in PubMed.
- Relations between depression and cannabis use among college students in evolving state cannabis policy environments.Drug and alcohol dependence · 2026Article
- Associations Between State Cannabis and Alcohol Policy Restrictiveness and College Students' Cannabis Use, Binge Drinking and Co-Use.Substance use & misuse · 2026Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
introductionCannabis policies differ between states that have legalized cannabis use and within states over time after legalization milestones. A continuous measure of state cannabis policy environments was examined in relation to college students' cannabis and alcohol use, accounting for concurrent state alcohol policies.
methodsUndergraduates (N=902,486) aged 18-24 years from 591 four-year institutions in 47 states completed a cross-sectional survey between 2008 and 2019. Time-varying, state-level Cannabis Policy Scale and Alcohol Policy Scale scores were sums of 17 and 29 policies, respectively, weighted by efficacy and state-level implementation. Outcomes were any 30-day use and frequent use (≥20 days) of cannabis and alcohol, 2-week binge drinking (≥5 drinks in a sitting), and co-use (binge drinking and frequent cannabis use). Data were analyzed in 2024-2025.
resultsHigher Cannabis Policy Scale scores (greater restrictiveness) were associated with significantly lower odds of cannabis use, frequent cannabis use, and co-use (OR=0.97 [0.96-0.98]; 0.93 [0.91-0.94]; and 0.94 [0.92-0.96], respectively) but not significantly associated with alcohol use outcomes. Higher Alcohol Policy Scale scores were significantly associated with lower odds of every cannabis, alcohol, and co-use outcome. Cannabis Policy Scale and Alcohol Policy Scale effects generally were significant for underage students (aged 18-20 years) but stronger for older students (aged 21-24 years).
conclusionsUnder less restrictive state cannabis and alcohol policy regimes, college students were more apt to use cannabis and alcohol frequently and concurrently. To improve students' well-being, campus- and community-level policymakers can build on strong state policy environments or compensate for weak ones, using Alcohol Policy Scale and Cannabis Policy Scale as tools to identify these needs.
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