Association of Local Cannabis Policy and Retail Availability With Cannabis Use and Problematic Cannabis Use Among Adolescents in Northern California

Bibliographic Data

ID11018366
AuthorsKelly C Young-Wolff (0000-0002-6177-534X, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Alex Asera (Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Alisa A Padon (0000-0003-2681-2464, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Natalie E Slama (0000-0002-4930-1061, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Stacey E Alexeeff (0000-0001-8988-6976, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Rosalie Liccardo Pacula (0000-0002-6145-9865, Kaiser Permanente), Cynthia I Campbell (0000-0003-1019-5852, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Stacy A Sterling (0000-0002-6987-8423, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Derek D Satre (0000-0002-4228-1504, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Yun Lu (0000-0003-2939-232X, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Wendy T Dyer (Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), W T THISELTON DYER (Kaiser Permanente), Monique B Does (0000-0002-6654-0793, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...), Lynn D Silver (0000-0002-2680-7393, Kelly C. Young-Wolff, Cynthia I. Campbell, Stacy A. Sterling, and Derek D. Satre are with the Kaiser Permanente Northern California Division of Research, Pleasanton, and the Department of Psychiatry and Behavioral Sciences at the University of California, San Francisco. Alex Asera, Natalie E. Slama, Stacey E. Alexeeff, Yun Lu, Wendy T. Dyer, and Monique B. Does are with the Kaiser Permanente Northern California Division of Research. Alisa A. Padon and Lynn D. Silver are with the Public Health Institute,...)
Year2024
Volume114
IssueS8
PagesS654-S663
Publication date2024-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2024.307787
PMID39442032
OpenAlexW4403665803
LanguageEN
Citations received5
References cited28

Objectives. To examine whether local cannabis policies and retail availability are associated with cannabis use and problematic cannabis use (PCU) among adolescents in Northern California. Methods. The sample comprised adolescents aged 13 to 17 years screened for past-year cannabis use during well-child visits in 2021. Exposures included local bans on cannabis storefront retailers, policy protectiveness, and retail proximity and density. Outcomes included self-reported past-year cannabis use and PCU diagnoses. Modified Poisson regression models adjusted for sociodemographics. Results. The sample (n = 103 134) was 51.1% male with a median age of 15 years (interquartile range [IQR] = 14–16 years); 5.5% self-reported cannabis use, and 0.3% had diagnosed PCU. Adolescents had a lower prevalence of cannabis use in jurisdictions that banned storefront retailers (adjusted prevalence rate [APR] = 0.857; 95% confidence interval [CI] = 0.814, 0.903 vs allowed), banned delivery (APR = 0.751; 95% CI = 0.710, 0.795 vs allowed), or had more policy protections (APR range = 0.705–0.800). Lower PCU prevalence was also found among those in jurisdictions that banned (vs allowed) storefront retailers (APR = 0.786; 95% CI = 0.629, 0.983) or delivery (APR = 0.783; 95% CI = 0.616, 0.996). Longer drive time and lower density of storefront retailers were associated with a lower cannabis use prevalence. Conclusions. More protective cannabis policies and less retail availability were associated with a lower prevalence of adolescent cannabis use and PCU. ( Am J Public Health. 2024;114(S8):S654–S663. https://doi.org/10.2105/AJPH.2024.307787 )

Cannabis · Cannabis Dependence · Confidence interval · Environmental health · Interquartile range · Poisson regression · Population · Psychiatry · Public health · Cannabis and Cannabinoid Research · Demography · Homelessness and Social Issues · Medicine · Substance Abuse Treatment and Outcomes · Surgery