Wayne Hall · World Psychiatry 2020 · narrative review · n=?

Assessing the public health impacts of legalizing recreational cannabis use: the US experience

Cited 294 times in the scientific literature.

Level 5 - mechanism / opinion, no new human data

Narrative review synthesizing policy and health research without systematic review methodology

OpenAlex W3025423907 · doi:10.1002/wps.20735 · record verified 2026-08-26

What was done

This narrative review synthesized US research on the public health impacts of legalizing adult recreational cannabis use. It evaluated effects on cannabis market dynamics (price, availability, potency), consumption patterns across adults and adolescents, adverse health events (emergency department visits, hospitalizations), and regulatory policy options aimed at limiting harms.

What was found

The abstract reports directional outcomes without quantitative data. Legalization substantially reduced cannabis prices, increased product potency, and expanded availability to adults. It appeared to increase the frequency of cannabis use among adults, but no increase was observed among youth. In addition, emergency department attendances and hospitalizations for select cannabis-related harms increased.

Why it matters

This paper summarizes early post-legalization public health data in the US, highlighting trade-offs between increased adult access/market changes and rising acute healthcare encounters.

Limits

The abstract provides no quantitative effect sizes, statistical tests, or participant counts. As a narrative review, it lacks formal systematic search and appraisal criteria, and observations reflect an early regulatory period constrained by federal prohibition.

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