Faith English, Holly Laws, Youngmin Yi, Airín D Martínez, Elizabeth Bertone-Johnson, Jennifer M Whitehill
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引用次数: 0
Abstract
Introduction: The objective of this study was to examine whether cannabis policies - including decriminalization, medical legalization, and recreational legalization among adults are associated with changes in cannabis-related disciplinary incidents (CDIs) in Massachusetts public schools.
Methods: This retrospective cohort study utilized 2005-2019 Department of Elementary and Secondary Education (DESE) data on disciplinary incidents in all public school districts (N = 399). A multilevel time-series model with multiple interruptions was used to examine the relationship between cannabis policy changes and district level CDIs per 1,000 students in MA from 2005-2019.
Results: There were statistically significant increases in CDIs during the decriminalization policy period compared with pre-decriminalization; the CDI incident rate per 1,000 students increased by 34% relative to the time prior (IRR: 1.34 CI: 1.11, 1.60). However, CDIs decreased during the medical and recreational policy periods; the CDI incident rate decreased by 45% during the medical policy period compared with decriminalization (IRR: 0.55, CI: 0.47, 0.65) and by 20% during the recreational policy period (IRR: 0.80, CI: 0.68, 0.94). The average number of CDIs per school district ranged from 4.6 during decriminalization (2008-2011), 4.7 during medical (2012-2015), and 5.1 during recreational legalization (2016-2019).
Conclusion: There was a modest increase in CDIs in schools after decriminalization in 2008. However, as state cannabis legalization policies expanded, the CDI incident rate per 1,000 students decreased. These findings are encouraging and underscore the need for schools to continue to develop and implement alternatives to exclusionary discipline that employ a harm reduction approach.
期刊介绍:
The American Journal of Preventive Medicine is the official journal of the American College of Preventive Medicine and the Association for Prevention Teaching and Research. It publishes articles in the areas of prevention research, teaching, practice and policy. Original research is published on interventions aimed at the prevention of chronic and acute disease and the promotion of individual and community health.
Of particular emphasis are papers that address the primary and secondary prevention of important clinical, behavioral and public health issues such as injury and violence, infectious disease, women''s health, smoking, sedentary behaviors and physical activity, nutrition, diabetes, obesity, and substance use disorders. Papers also address educational initiatives aimed at improving the ability of health professionals to provide effective clinical prevention and public health services. Papers on health services research pertinent to prevention and public health are also published. The journal also publishes official policy statements from the two co-sponsoring organizations, review articles, media reviews, and editorials. Finally, the journal periodically publishes supplements and special theme issues devoted to areas of current interest to the prevention community.