Evidence map›Paper›PMID 42369377›Full record

ArticlePreventive medicine reports2026

Characteristics of cannabis warnings in the United States: A content analysis.

Sarah D Kowitt, Rachel Callanan, Luke I Haqq, Kristen L Jarman, Sonia A Clark, Gillian L Schauer, Julia A Dilley, Leah M Ranney

Abstract read
In one paragraph

Article in Preventive medicine reports, 2026. 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

8 authors.

Sarah D KowittDepartment of Family Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC, USA.
Rachel CallananPublic Health Law Center, Mitchell Hamline School of Law, St. Paul, MN, USA.
Luke I HaqqPublic Health Law Center, Mitchell Hamline School of Law, St. Paul, MN, USA.
Kristen L JarmanDepartment of Family Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC, USA.
Sonia A ClarkLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, 101 Manning Dr, Chapel Hill, NC, USA.
Gillian L SchauerCannabis Regulators Association, Lexington, KY, USA.
Julia A DilleyProgram Design and Evaluation Services, Multnomah County Health Department and Oregon Public Health Division, Portland, OR 97232, USA.
Leah M RanneyDepartment of Family Medicine, University of North Carolina at Chapel Hill, 590 Manning Drive, Chapel Hill, NC, USA.

Funding

Developing and Strengthening Cannabis WarningsR01DA058003 · NIDA · UNIV OF NORTH CAROLINA CHAPEL HILL · PI Sarah Kowitt, Leah Marie Ranney · 2024 to 2026
$1.7M
NIDA NIH HHS R01 DA058003
6 · The paper itself

Abstract

Objectives: The goal of this study was to describe characteristics of warnings from state cannabis programs in the United States. Methods: From September 2024 to February 2025, we compiled regulations related to cannabis warnings on product packages in states with legalized cannabis sales (medical and adult-use), verifying regulations with regulators from each state. Two coders independently coded warning regulations for different characteristics. Results: We identified 60 state cannabis programs across the United States with legalized cannabis sales, of which 56 (93%) required cannabis warnings. Of the programs requiring warnings, 55% included warning content about a specific health risk, most often addiction (41%). Few programs had warnings about cannabis' effects on mental health (16%), respiratory health (5%), or cardiovascular health (4%). Few programs required warnings to contrast with backgrounds (23%), rotating warnings (7%), or front-of-package warnings (4%). The mean number of words in warnings was 57 (Standard Deviation: 30), and the mean reading level was 9th grade. Conclusions: Although 93% of cannabis programs with legalized sales require warnings, only half mention specific health risks; less than 10% require rotating or front-of-package warnings; and warnings may be difficult to read and understand. Further research is vital to strengthen cannabis warning labels.

Indexed as

CannabisHealth communicationPolicyRegulationsWarnings

Identifiers

PMID42369377
PMCPMC13293740

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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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.