Evidence map›Paper›PMID 41813461›Full record

ArticleThe International journal on drug policy2026

Cannabis legalization and law enforcement drug seizures: a state-level analysis of cannabis policy effects on cannabis seizures in the United States, 2010-2023.

Nicole D Fitzgerald, Joseph J Palamar, Kechna Cadet, Esther Rowan, Emilie Bruzelius, Silvia S Martins

Abstract read
In one paragraph

Article in The International journal on drug policy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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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

6 authors.

Nicole D FitzgeraldDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA. Electronic address: ndf2116@cumc.columbia.edu.
Joseph J PalamarDepartment of Population Health, NYU Grossman School of Medicine, New York, NY, USA.
Kechna CadetDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA; Department of Emergency Medicine, Columbia University Vagelos College of Physicians and Surgeons, New York, NY, USA.
Esther RowanDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Emilie BruzeliusDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.
Silvia S MartinsDepartment of Epidemiology, Columbia University Mailman School of Public Health, New York, NY, USA.

Funding

National Drug Early Warning System (NDEWS) COVID-19 SupplementU01DA051126 · NIDA · UNIVERSITY OF FLORIDA · PI Linda B. Cottler, Joseph J Palamar · 2020 to 2026
$6.3M
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
Examining the Synergistic Effects of Cannabis and Prescription Opioid Policies on Chronic Pain, Opioid Prescribing, and Opioid OverdoseR01DA045872 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CERDA, MAGDALENA, MARTINS, SILVIA SABOIA · 2019 to 2023
$4.3M
New psychoactive substance exposure among NYC nightclub and festival attendeesR01DA057289 · NIDA · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI Joseph J Palamar · 2023 to 2026
$2.7M
NIDA NIH HHS R01 DA045872NIDA NIH HHS R01 DA057289NIDA NIH HHS T32 DA031099NIDA NIH HHS U01 DA051126
6 · The paper itself

Abstract

backgroundIn the US, 40 states and the District of Columbia (DC) have implemented medical cannabis legalization (MCL), while 24 states and DC have enacted some form of recreational cannabis legalization (RCL). We examined the association between cannabis legalization and law enforcement cannabis seizures to understand illegal drug market responses to increasing state cannabis legalization.

methodsData on law enforcement cannabis seizures came from the High Intensity Drug Trafficking Areas (HIDTA) program. We tested the association between state-level RCL and MCL adoption and annual changes in cannabis seizures aggregated by state-year from 2010 to 2023 using a series of Poisson regression models that controlled for time-varying state demographic and law enforcement variables in addition to state and year fixed effects. To account for potential lag time between MCL/RCL effective dates and policy impacts on seizures, we conducted additional analyses with 1-year MCL/RCL lags.

resultsOver the study period, there were 286,844 cannabis seizures by HIDTA-affiliated agencies, with 686 state-years of observation. In primary adjusted models, RCL adoption was associated with a significant decrease in cannabis seizures in MCL & RCL states versus MCL-only states, both immediately following RCL adoption (exp(β)=0.55, 95% CI: 0.54, 0.56) and one year after RCL went into effect (exp(β) for 1-year lag=0.62, 95% CI: 0.61, 0.64).

conclusionsThe adoption of RCLs in US states, beyond only MCLs, may help to reduce the size of illegal cannabis markets, or there may be shifting law enforcement seizure priorities in those states.

Indexed as

CannabisDrug TraffickingLaw EnforcementLegislation, DrugMarijuana UseMedical MarijuanaDrug and Narcotic ControlHumansUnited StatesMedical MarijuanaCannabis seizuresIllegal drug marketsLaw enforcementMedical cannabis legalizationRecreational cannabis legalization

Identifiers

PMID41813461
PMCPMC13169379

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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.