Regulatory Framework for Cannabis: A Position Paper From the American College of Physicians.

IF 19.6 1区医学 Q1 MEDICINE, GENERAL & INTERNAL

Annals of Internal Medicine Pub Date : 2024-08-01 Epub Date: 2024-07-23 DOI:10.7326/M24-0638

Ryan Crowley, Katelan Cline, David Hilden, Micah Beachy

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Abstract

Cannabis, also known as marijuana, is the dried flowers, stems, seeds, and leaves of the Cannabis sativa plant. It contains more than 100 compounds, including tetrahydrocannabinol, which has psychoactive effects. Federal law prohibits the possession, distribution, and use of cannabis outside limited research activities, but most states have legalized cannabis for medical or recreational use. However, research into the potential therapeutic and adverse health effects of cannabis has been limited, in part because of the drug's federal legal status. In this position paper, the American College of Physicians (ACP) calls for the decriminalization of possession of small amounts of cannabis for personal use and outlines a public health approach to controlling cannabis in jurisdictions where it is legal. ACP recommends the rigorous evaluation of the health effects and potential therapeutic uses of cannabis and cannabinoids as well as research into the effects of legalization on cannabis use. It also calls for evidence-based medical education related to cannabis and increased resources for treatment of cannabis use disorder.

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大麻监管框架：美国医师学会的立场文件。

大麻又称大麻，是大麻植物的干花、茎、种子和叶子。它含有 100 多种化合物，包括具有精神作用的四氢大麻酚。联邦法律禁止在有限的研究活动之外持有、销售和使用大麻，但大多数州已将大麻合法化，用于医疗或娱乐用途。然而，对大麻的潜在治疗效果和不良健康影响的研究一直很有限，部分原因是大麻的联邦法律地位。在这份立场文件中，美国内科医师学会（ACP）呼吁不再将持有少量大麻供个人使用视为犯罪，并概述了在大麻合法的辖区内控制大麻的公共卫生方法。ACP 建议对大麻和大麻素的健康影响和潜在治疗用途进行严格评估，并研究大麻合法化对大麻使用的影响。它还呼吁开展与大麻有关的循证医学教育，并增加用于治疗大麻使用障碍的资源。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Internal Medicine 医学-医学：内科

CiteScore

23.90

自引率

1.80%

发文量

1136

审稿时长

3-8 weeks

期刊介绍： Established in 1927 by the American College of Physicians (ACP), Annals of Internal Medicine is the premier internal medicine journal. Annals of Internal Medicine’s mission is to promote excellence in medicine, enable physicians and other health care professionals to be well informed members of the medical community and society, advance standards in the conduct and reporting of medical research, and contribute to improving the health of people worldwide. To achieve this mission, the journal publishes a wide variety of original research, review articles, practice guidelines, and commentary relevant to clinical practice, health care delivery, public health, health care policy, medical education, ethics, and research methodology. In addition, the journal publishes personal narratives that convey the feeling and the art of medicine.