Harm Reduction und Cannabis: Was ändert sich durch die Legalisierung?
Abstract
Zusammenfassung: Durch die Legalisierung ergeben sich zahlreiche Chancen, aber auch Unsicherheiten in Bezug auf Schadensminderung. Die Chancen liegen unter anderem in der verbesserten Aufklärung über gesundheitliche Risiken und in der Früherkennung von riskantem Cannabiskonsum. Weiterhin können die durch die Repression verursachten, umfangreichen Schäden durch die Legalisierung zu einem großen Teil reduziert bzw. verhindert werden. Schließlich sollten Instrumente wie THC-Mindestpreis und THC-gekoppelte Besteuerung, sowie Beschränkungen der Verkaufslizenzen und der Verkaufszeiten und -orte genutzt werden, um den Konsum zu steuern und Schäden zu minimieren. Größere Unsicherheiten bestehen insbesondere im Zusammenhang mit der Kommerzialisierung der Märkte sowie in der Regulierung des Eigenanbaus. Zusammenfassend ist zu erwarten, dass durch eine sorgfältige Regulierung die individuellen und gesellschaftlichen cannabisbedingten Schäden reduziert werden können.
Abstract: The legalisation of cannabis offers several opportunities but also uncertainties regarding harm reduction. There are opportunities in improved education regarding health risks and in the early identification of risky cannabis use patterns. Also, the comprehensive harm resulting from repression can be reduced or prevented to a substantial extent. Lastly, regulatory instruments like minimum THC unit pricing, THC-adjusted taxation models, as well as restrictions in licencing and retail location and opening times should be employed to impact on consumption and minimize harm. Larger uncertainties exist regarding the commercialisation of markets and with respect to regulating home cultivation. Overall, it can be expected that a careful regulation can result in a reduction of individual and societal harms from cannabis.
Literatur
2019). Prize elasticity of illegal versus legal cannabis: a behavioral economic substitutability analysis. Addiction, 114 (1), 112–118.
(2004). AWMF-Leitlinie: Cannabisbezogenen Störungen. Fortschritte der Neurologie Psychiatrie, 72, 318–329.
(2016). Cannabisbezogene Störungen in der Suchthilfe: Inanspruchnahme, Klientel und Behandlungserfolg. SUCHT, 62 (1), 9–21.
(2022). Physician communication and perceived stigma in prenatal cannabis use. Journal of Psychoactive Drugs, 17, 1–9. https://doi.org/10.1080/02791072.2022.2076179
(2021). Lower-Risk Cannabis Use Guidelines (LRCUG) for reducing health harms from non-medical cannabis use: A comprehensive evidence and recommendations update. International Journal of Drug Policy, 99, 103381. https://doi.org/10.1016/j.drugpo.2021.103381
(2021). Minimum THC unit pricing: an opportunity for harm reduction. Addiction, 116 (2), 232–233. https://doi.org/10.1111/add.15264
(2022). Reasons for purchasing cannabis from illegal sources in legal markets: Findings among cannabis users from Canada and U.S. States 2019–2020. Journal on Studies on Alcohol and Drugs, 83 (3), 392–401.
(2021). Does expanding access to cannabis affect traffic crashes? County level evidence from recreational marijuana dispensary sales in Colorado 2021 (Working paper). Retrieved from: https://www.econstor.eu/bitstream/10419/243301/1/GLO-DP-0964.pdf
(Harm Reduction International . (n. d.). Was ist Harm Reduction? Verfügbar unter: https://www.hri.global/files/2021/05/05/What_is_Harm_Reduction_German_HRI.pdf2016). No smoke without tobacco: A global overview of cannabis and tobacco routes of administration and their association with the intention to quit. Frontiers in Psychiatry, 7, 104.
(2020). Brief interventions for cannabis use in health care settings: Systematic review and meta-analysis of randomized trials. Journal of Addiction Medicine, 14 (1), 78–88.
(2022). Comparison of medical cannabis use reported on a confidential survey vs documented in the electronic health record among primary care patients. JAMA Network Open, 5 (5), e2211677.
(2016). From cannabis initiation to daily use: educational inequalities in consumption behaviours over three generations in France. Addiction, 111 (10), 1856–1866.
(2022). Legalisierung von Cannabis: Preise spielen eine zentrale Rolle. Deutsches Ärzteblatt, 119 (13), A-562/B-464.
(2018). Cannabis und Schadensminderung in Deutschland. Suchttherapie, 19, 148–158.
(2022). Equity in coverage of local cannabis control policies in California, 2020–2021. American Journal of Public Health, e1–e11.
(2019). Use and habits of the protagonists of the story: Cannabis social clubs in Barcelona. Journal of Drug Issues, 49 (4), 607–624.
(2021). Examining associations between licensed and unlicensed outlet denisty and cannabis outcomes from preopening of recreational cannabis outlets. American Journal on Addictions, 30 (2), 122–130.
(2022). Admissions to substance use treatment facilities for cannabis use disorder 2000 – 2017: Does legalization matter? American Journals of Addictions, 31 (5), 423–432.
(2019). Government monopoly as an instrument for public health and welfare: Lessons with cannabis from experience from alcohol monopolies. International Journal on Drug Policy, 74, 223–228.
(2021). Drogenmärkte und Kriminalität. München: Deutsche Beobachtungsstelle für Drogen und Drogensucht.
(2021). Association of racial disparity of cannabis possession arrests among adults and youth with statewide cannabis decriminalization and legalization. JAMA Health Forum, 2 (10), e213435.
(2020). Cannabis users and stigma: A comparison of users from European Countries with different cannabis policies. European Journal of Criminology, 19 (6), 1483–1500. https://doi.org/10.1177/1477370820983560
(SPD ,Die Grünen &FDP (2021). Mehr Fortschritt wagen – Bündnis für Freiheit, Gerechtigkeit und Nachhaltigkeit. Koalitionsvertrag zwischen SPD, Bündnis 90/Die Grünen und FDP. Verfügbar unter: https://www.spd.de/fileadmin/Dokumente/Koalitionsvertrag/Koalitionsvertrag_2021-2025.pdf2021). Home cultivaton across Canadian provinces after cannabis legalization. Addictive Behaviors Reports, 15, 100423.
(2021). Retail availability and legal purchases of dried flower in Canada post-legalization. Drug and Alcohol Dependence, 225, 108794.
(2021). Association of cannabis retailer proximity and density with cannabis use among pregnant women in Northern California after legalization of cannabis for recreational use. JAMA Network Open, 4 (3), e210694.
(