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Association Between Markers of Vulnerability for Cannabis-Related Harms and Source of Supply: Secondary Analysis of a Representative Population Survey

Title: Association Between Markers of Vulnerability for Cannabis-Related Harms and Source of Supply: Secondary Analysis of a Representative Population Survey
Authors: Drouin, Sarah; Rizkallah, Élie; Conus, Florence; Larney, Sarah; Kaur, Navdeep; Djignefa Djade, Codjo; Jutras-Aswad, Didier
Contributors: Canadian Centre on Substance Use and Addiction
Source: The Canadian Journal of Psychiatry ; volume 68, issue 2, page 109-118 ; ISSN 0706-7437 1497-0015
Publisher Information: SAGE Publications
Publication Year: 2022
Description: Objective In 2018, the sale of non-medical cannabis was authorized in the province of Quebec in Canada, within a public monopoly under the Société Québécoise du Cannabis (SQDC). The objective of this study was to offer a description of the cannabis-using population regarding the sources of cannabis supply and to explore whether at-risk individuals are purchasing cannabis at SQDC. Method We used data from a cross-sectional, representative population survey (age >18 years, n = 1799), the Enquête Québécoise sur le Cannabis, which was completed between February and June 2019. Analyses involved adjusted binary logistic regressions, incorporating population weights, to assess 7 potential indicators of harm. Results The vulnerability profiles of SQDC consumers (47.8%) and those acquiring their cannabis elsewhere (52.2%) were similar in terms of frequency of cannabis use (adjusted odds ratio [aOR] = 0.46; 95% confidence interval [CI] = 0.12-1.67), motivation to use (aOR = 0.62; 95% CI = 0.16-2.46), concomitant consumption of other substances (aOR = 0.80; 95% CI = 0.14-4.75), cannabis-impaired driving behaviours (aOR = 0.93; 95% CI = 0.26-3.36), psychological distress (aOR = 0.99; 95% CI = 0.26-3.79), and problematic cannabis use (aOR = 0.46; 95% CI = 0.13-1.64). However, SQDC consumers were more likely to be aware of the cannabinoid content of the product purchased compared to those who acquired their cannabis from other sources (aOR = 4.12; 95% CI = 1.10-15.40). Conclusions No association was detected between the source of cannabis supply and potential vulnerability indicators of cannabis-related harms, but SQDC consumers were more aware of the cannabinoid content of the products purchased. These results suggest that the regulated government supply in Quebec is reaching a substantial portion of those with potential high vulnerability to harm. Whether this knowledge translates into a reduction in the negative consequences related to consumption is still to be determined.
Document Type: article in journal/newspaper
Language: English
DOI: 10.1177/07067437221128470
Availability: https://doi.org/10.1177/07067437221128470; https://journals.sagepub.com/doi/pdf/10.1177/07067437221128470; https://journals.sagepub.com/doi/full-xml/10.1177/07067437221128470
Rights: https://journals.sagepub.com/page/policies/text-and-data-mining-license
Accession Number: edsbas.87C63E9B
Database: BASE