Evidence map›Paper›PMID 41591207›Full record

ArticleDrug and alcohol review2026

Cannabis Marketing Restrictions and Exposure to Cannabis Marketing in Legal US Cannabis Markets: Findings From the International Cannabis Policy Study.

Lauren Winfield-Ward, Elle Wadsworth, Pete Driezen, David Hammond

Abstract read
In one paragraph

Article in Drug and alcohol review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Lauren Winfield-WardSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada.ORCID 0009-0008-6829-4590
Elle WadsworthRAND Europe, RAND Europe, Cambridge, UK.
Pete DriezenSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada.
David HammondSchool of Public Health Sciences, University of Waterloo, Waterloo, Canada.ORCID 0000-0001-8197-6010

Funding

CIHR PJT-153342
6 · The paper itself

Abstract

introductionA growing number of US states have legalised adult 'recreational' cannabis. Restrictions on advertising and promotions are a key component of cannabis regulations in legal markets; however, there is little evidence on the impact of restrictions. This study examines differences in cannabis marketing exposure by the strength of marketing restrictions among US states with legal recreational sales.

methodsData are from the International Cannabis Policy Study: repeated cross-sectional surveys conducted annually (2018-2023) with 99,132 respondents aged 16-65. The 'strength' of marketing restrictions was measured using regulatory documents in 20 states with legal recreational cannabis sales. Adjusted mixed effects logistic regression models were fitted to analyse differences in past-12 month noticing of cannabis marketing by the strength of marketing restrictions overall and within specific marketing channels.

resultsPeople in states with low and moderate strength marketing restrictions reported similar exposure to cannabis marketing (61.4% and 61.8%, respectively). Compared to those with moderate strength restrictions, people in states with the highest strength restrictions reported the lowest exposure (53.4%: p = 0.037), with no significant differences for states with low strength restrictions (p = 0.067). Comprehensive restrictions on marketing via billboards and posters, and at sports events were associated with reductions in reported exposure to these channels. Cannabis marketing exposure was highest among people below the minimum legal age (16-20 years old; 63.0%: p < 0.001). DISCUSSION AND

conclusionsStronger regulations may reduce exposure to marketing in states with recreational cannabis markets; however, existing regulations appear to be inadequate to prevent advertising and promotions from reaching young people.

Indexed as

AdvertisingCannabisMarketingAdolescentAdultAgedCross-Sectional StudiesFemaleHumansLegislation, DrugMaleMedia ExposureMiddle AgedUnited StatesYoung Adult

Identifiers

PMID41591207
PMCPMC12839791

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LicenceCC BY-NC-ND
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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.