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Canadian bakin’

2025/1/3
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Today, Explained

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J
James McKillop
M
Maren Kogan
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Maren Kogan: 2022年,美国每日吸食大麻的人数首次超过每日饮酒的人数,这是一个巨大的现象,约有1770万美国人每天或几乎每天吸食大麻。 美国人正在进行一项关于大麻使用对自身健康影响的实时实验,其结果和长期影响尚不明确。 与普遍认知相反,大麻具有成瘾性,可能导致对其他物质的依赖,并可能引发大麻使用障碍。 大量使用大麻可能导致大麻素呕吐综合征(CHS),这是一种严重的疾病,会导致剧烈呕吐和其他症状。 大量吸食大麻与中风、心血管疾病等风险增加有关,对青少年大脑发育的影响尤其令人担忧。研究表明,青少年大量吸食大麻可能增加抑郁症、自杀意念、精神分裂症和其他精神疾病的风险,并可能导致大脑发育紊乱。 美国联邦政府对大麻的管制滞后于市场发展,各州的法律法规不一致,导致大麻安全性和质量难以监管。大麻在美国的合法化程度参差不齐,联邦层面仍将其列为一级毒品,这阻碍了对其安全性和医疗用途的研究。 一些人认为大麻合法化是错误的,因为它带来了健康问题,并没有如预期那样改善刑事司法系统中的种族差距,并造成了新的公共卫生问题。 虽然大麻对许多人来说可能是无害甚至有益的,但它并非对所有人都是完全安全无害的,消费者需要谨慎,在政府制定公共卫生应对措施之前,消费者需要自己注意健康。 James McKillop: 加拿大全面合法化大麻的目的是为了实施公共卫生战略,减少危害,最大限度地发挥益处,主要目标是减少青少年接触大麻、为成年人提供合法途径获取大麻以及减轻刑事司法系统的负担。 加拿大合法化大麻六年后,青少年吸食大麻的情况没有显著增加,刑事司法系统的负担也减轻了,但成年人的大麻使用率却创历史新高,加拿大的大麻使用率处于历史最高水平,尤其是在20多岁的年轻人中。 虽然经济市场蓬勃发展,但大麻使用率过高、商店数量过多以及对医疗保健系统的负担等问题也令人担忧。急诊室和紧急护理中心就诊人数、大麻素呕吐综合征病例、孕妇寻求大麻相关护理以及酒驾检测呈阳性的大麻比例都有所增加。 虽然大麻的健康风险可能比酒精低,但尚不清楚大麻使用量的增加是否抵消了酒精带来的危害。加拿大的酒精零售额在合法化前后变化不大,而合法大麻的销售额却急剧增加,这表明大麻合法化对减少酒精危害的益处可能有限。 加拿大大麻经济既有繁荣也有萧条,许多生产商的股票在合法化后价值下跌,许多大麻店开张后又倒闭。大麻店数量过多,即使禁止广告,也构成了一种变相广告,对青少年和试图戒除大麻的人来说都是挑战。 魁北克省的大麻管制模式是加拿大最好的,因为它提高了购买年龄、禁止类似糖果的可食用大麻产品、实行省级垄断并严格控制商店数量。魁北克省的大麻管制模式更为严格,它提高了购买年龄,禁止类似糖果的可食用大麻产品,并实行省级垄断,这有助于减少大麻相关的危害。 建议经常吸食大麻的人尝试一个月不吸食大麻,以此评估自己是否有大麻使用问题。

Deep Dive

Key Insights

What is the current trend in marijuana use compared to alcohol in the United States?

For the first time in 2022, more Americans reported using marijuana daily or nearly daily than consuming alcohol at the same rate. Approximately 17.7 million Americans, or 5% of the population, use marijuana daily or near daily.

What are the potential health risks associated with daily marijuana use?

Daily marijuana use can lead to cannabis use disorder, with up to 18 million Americans potentially affected. It is also associated with cannabinoid hyperemesis syndrome, which causes severe nausea and vomiting, and increased risks of stroke, cardiovascular disease, and mental health issues like depression and suicidal ideation, particularly in teens.

What is cannabinoid hyperemesis syndrome (CHS) and how does it affect users?

Cannabinoid hyperemesis syndrome (CHS) is a condition affecting heavy, long-term marijuana users, causing severe cycles of nausea, vomiting, and stomach pain. Some sufferers find temporary relief only through hot showers, which has led to cases of burns from excessive heat exposure.

How has marijuana legalization impacted youth access and criminal justice in Canada?

In Canada, marijuana legalization aimed to reduce youth access, create a legal framework for adult use, and lessen the burden on the criminal justice system. While youth consumption has not sharply increased, arrests for cannabis have significantly decreased, and a large legal cannabis market has emerged.

What are the economic and public health outcomes of marijuana legalization in Canada?

Canada's legalization has led to a booming cannabis economy, displacing the illegal market. However, it has also resulted in increased emergency room visits for conditions like CHS, higher rates of cannabis use among pregnant women, and more impaired driving incidents involving cannabis.

How does Quebec's approach to marijuana legalization differ from other Canadian provinces?

Quebec has implemented stricter public health measures, including a higher legal age for access (21), banning edibles that resemble candy, and maintaining a provincial monopoly on cannabis sales. These measures have resulted in fewer observed harms compared to other provinces.

What advice does Dr. James McKillop offer to frequent marijuana users?

Dr. James McKillop recommends that frequent marijuana users consider taking a month off, similar to 'dry January,' to assess their relationship with cannabis. This break can help identify potential dependency and provide mental and physical health benefits.

Chapters
More Americans are using marijuana daily than alcohol, with an estimated 17.7 million daily or near-daily users. The reasons behind this are unclear, with factors like potency and frequency of use being unknown. This creates a large-scale, real-time experiment on the American public's health.
  • Daily marijuana use surpasses daily alcohol consumption in the US.
  • 17.7 million Americans report daily or near-daily marijuana use.
  • The potency and frequency of marijuana use are largely unknown.
  • The long-term health consequences of widespread marijuana use are unclear.

Shownotes Transcript

More Americans are now daily weed smokers than daily drinkers. To better understand this public health experiment, we turn to Canada, which has federally legalized marijuana.

This episode was produced by Avishay Artsy, edited by Amina Al-Sadi, fact-checked by Laura Bullard, engineered by Andrea Kristinsdottir and Patrick Boyd, and hosted by Sean Rameswaram.

Transcript at vox.com/today-explained-podcast)

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An unlicensed smoke shop selling marijuana in New York City. Photo by Deb Cohn-Orbach/UCG/Universal Images Group via Getty Images.

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