Aim <p>To examine the effect of recreational cannabis legalization (RCL) and commercialization (RCC) on injuries among different demographic groups (age, sex, ethnicity, socioeconomic status, and geographical location).</p> Subject and methods <p>A scoping review that compared injury outcomes pre- and post-RCL and/or RCC in specific demographic groups. MEDLINE, Embase, Cochrane, and Scopus were searched up to November 2024 for relevant literature. We included all available peer-reviewed studies reporting intentional and unintentional injury patients of all ages with demographic outcomes associated with RCL and/or RCC.</p> Results <p>A total of 14 studies published from 2016 to 2024 were included in this review. Individuals aged 30–49 had increased unintentional trauma injuries post-RCL. 15–24-year-olds had significantly increased suicide rates post-RCC. Males aged &lt; 21 had increased rates of self-harm post-RCL, and 21–39-year-old males had increased rates of self-harm post-RCC. 40–64-year-old males and females had increased assault rates in states with RCC compared to those without RCL. In pediatric populations (&lt; 19&#xa0;years), cannabis poisonings increased post-RCL and further increased post-RCC, especially in those aged 0–9. 18–29-year-olds had increased cannabis poisoning post-RCL. Few studies examined ethnicity outcomes, and socioeconomic status and geographical location were not reported in any studies that met our inclusion criteria.</p> Conclusion <p>The effect of RCL and RCC on injuries differs based on demographic groups, particularly age and sex groups, but limited studies are available exploring these relationships. Education campaigns and prevention efforts should be tailored to these groups to ensure effective prevention.</p>

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The impacts of recreational cannabis legalization and commercialization on injury rates in different demographic groups: a scoping review

  • Sarah Paleczny,
  • Nosakhare Osagie,
  • Jai Sethi,
  • Chris Brogly,
  • Melissa Fazari,
  • Michael D. Cusimano

摘要

Aim

To examine the effect of recreational cannabis legalization (RCL) and commercialization (RCC) on injuries among different demographic groups (age, sex, ethnicity, socioeconomic status, and geographical location).

Subject and methods

A scoping review that compared injury outcomes pre- and post-RCL and/or RCC in specific demographic groups. MEDLINE, Embase, Cochrane, and Scopus were searched up to November 2024 for relevant literature. We included all available peer-reviewed studies reporting intentional and unintentional injury patients of all ages with demographic outcomes associated with RCL and/or RCC.

Results

A total of 14 studies published from 2016 to 2024 were included in this review. Individuals aged 30–49 had increased unintentional trauma injuries post-RCL. 15–24-year-olds had significantly increased suicide rates post-RCC. Males aged < 21 had increased rates of self-harm post-RCL, and 21–39-year-old males had increased rates of self-harm post-RCC. 40–64-year-old males and females had increased assault rates in states with RCC compared to those without RCL. In pediatric populations (< 19 years), cannabis poisonings increased post-RCL and further increased post-RCC, especially in those aged 0–9. 18–29-year-olds had increased cannabis poisoning post-RCL. Few studies examined ethnicity outcomes, and socioeconomic status and geographical location were not reported in any studies that met our inclusion criteria.

Conclusion

The effect of RCL and RCC on injuries differs based on demographic groups, particularly age and sex groups, but limited studies are available exploring these relationships. Education campaigns and prevention efforts should be tailored to these groups to ensure effective prevention.