Carla J. Berg PhD, MBA , Sabrina Ruchelli JD , Elizabeth Platt JD, MA , Patricia Cavazos-Rehg PhD , Katelyn F. Romm PhD , Yan Wang MD, DrPH , Cassidy R. LoParco PhD , Yuxian Cui MA, MSPH , Y. Tony Yang ScD, LLM, MPH , Hannah S. Szlyk PhD , Scott Burris JD
{"title":"各州非医用大麻法律和美国年轻人的大麻相关经历。","authors":"Carla J. Berg PhD, MBA , Sabrina Ruchelli JD , Elizabeth Platt JD, MA , Patricia Cavazos-Rehg PhD , Katelyn F. Romm PhD , Yan Wang MD, DrPH , Cassidy R. LoParco PhD , Yuxian Cui MA, MSPH , Y. Tony Yang ScD, LLM, MPH , Hannah S. Szlyk PhD , Scott Burris JD","doi":"10.1016/j.amepre.2025.107939","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>This study investigated the associations between cannabis retail laws and relevant experiences (e.g., advertising exposure) among young adults, who have the highest use prevalence.</div></div><div><h3>Methods</h3><div>Three categories of nonmedical cannabis retail-related laws were examined: (1) operational restrictions (e.g., operating hours, zoning restrictions), (2) advertising restrictions (by media channels, health claims, giveaways/discounts), and (3) required warnings (in ads, at retailers). Dependent variables were from surveys of U.S. young adults in 19 states with nonmedical cannabis retail (June–November 2023), including frequency of cannabis retailer visits, advertising exposure; driving after use; and (for those with past-year retailer visits and past-month use) noticing minimum-age signage, health claims, giveaways, and discounts at retailers. Multivariable analyses examined retail-related laws in relation to relevant outcomes.</div></div><div><h3>Results</h3><div>Among all participants (N=1,847), associations were found between retail license limits and fewer retailer visits, restricting billboard ads and less billboard ad exposure, and requiring driving-related warnings in ads and less likely driving after use. Among those who visited retailers (<em>n</em>=843), there were associations between zoning restrictions for youth-oriented facilities (but not schools) and noticing minimum-age signage, restricting health claims on products and lower health claim exposure, restricting giveaways and less often noticing giveaways, and restricting discounts and more often noticing discounts. There were no other significant associations (e.g., restricting online advertising and exposure, required warnings with risk perceptions).</div></div><div><h3>Conclusions</h3><div>Certain laws were associated with anticipated experiences among young adults; however, other laws showed no association with outcomes. Ongoing research assessing population impact and industry compliance is needed to inform regulations and implementation.</div></div>","PeriodicalId":50805,"journal":{"name":"American Journal of Preventive Medicine","volume":"69 3","pages":"Article 107939"},"PeriodicalIF":4.3000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"State Nonmedical Cannabis Laws and U.S. Young Adults’ Cannabis-Related Experiences\",\"authors\":\"Carla J. Berg PhD, MBA , Sabrina Ruchelli JD , Elizabeth Platt JD, MA , Patricia Cavazos-Rehg PhD , Katelyn F. Romm PhD , Yan Wang MD, DrPH , Cassidy R. LoParco PhD , Yuxian Cui MA, MSPH , Y. Tony Yang ScD, LLM, MPH , Hannah S. Szlyk PhD , Scott Burris JD\",\"doi\":\"10.1016/j.amepre.2025.107939\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>This study investigated the associations between cannabis retail laws and relevant experiences (e.g., advertising exposure) among young adults, who have the highest use prevalence.</div></div><div><h3>Methods</h3><div>Three categories of nonmedical cannabis retail-related laws were examined: (1) operational restrictions (e.g., operating hours, zoning restrictions), (2) advertising restrictions (by media channels, health claims, giveaways/discounts), and (3) required warnings (in ads, at retailers). Dependent variables were from surveys of U.S. young adults in 19 states with nonmedical cannabis retail (June–November 2023), including frequency of cannabis retailer visits, advertising exposure; driving after use; and (for those with past-year retailer visits and past-month use) noticing minimum-age signage, health claims, giveaways, and discounts at retailers. Multivariable analyses examined retail-related laws in relation to relevant outcomes.</div></div><div><h3>Results</h3><div>Among all participants (N=1,847), associations were found between retail license limits and fewer retailer visits, restricting billboard ads and less billboard ad exposure, and requiring driving-related warnings in ads and less likely driving after use. Among those who visited retailers (<em>n</em>=843), there were associations between zoning restrictions for youth-oriented facilities (but not schools) and noticing minimum-age signage, restricting health claims on products and lower health claim exposure, restricting giveaways and less often noticing giveaways, and restricting discounts and more often noticing discounts. There were no other significant associations (e.g., restricting online advertising and exposure, required warnings with risk perceptions).</div></div><div><h3>Conclusions</h3><div>Certain laws were associated with anticipated experiences among young adults; however, other laws showed no association with outcomes. 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State Nonmedical Cannabis Laws and U.S. Young Adults’ Cannabis-Related Experiences
Introduction
This study investigated the associations between cannabis retail laws and relevant experiences (e.g., advertising exposure) among young adults, who have the highest use prevalence.
Methods
Three categories of nonmedical cannabis retail-related laws were examined: (1) operational restrictions (e.g., operating hours, zoning restrictions), (2) advertising restrictions (by media channels, health claims, giveaways/discounts), and (3) required warnings (in ads, at retailers). Dependent variables were from surveys of U.S. young adults in 19 states with nonmedical cannabis retail (June–November 2023), including frequency of cannabis retailer visits, advertising exposure; driving after use; and (for those with past-year retailer visits and past-month use) noticing minimum-age signage, health claims, giveaways, and discounts at retailers. Multivariable analyses examined retail-related laws in relation to relevant outcomes.
Results
Among all participants (N=1,847), associations were found between retail license limits and fewer retailer visits, restricting billboard ads and less billboard ad exposure, and requiring driving-related warnings in ads and less likely driving after use. Among those who visited retailers (n=843), there were associations between zoning restrictions for youth-oriented facilities (but not schools) and noticing minimum-age signage, restricting health claims on products and lower health claim exposure, restricting giveaways and less often noticing giveaways, and restricting discounts and more often noticing discounts. There were no other significant associations (e.g., restricting online advertising and exposure, required warnings with risk perceptions).
Conclusions
Certain laws were associated with anticipated experiences among young adults; however, other laws showed no association with outcomes. Ongoing research assessing population impact and industry compliance is needed to inform regulations and implementation.
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.