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Research

Characteristics of Canadians likely to try or increase cannabis use following legalization for nonmedical purposes: a cross-sectional study

Harman S. Sandhu, Laura N. Anderson and Jason W. Busse
June 14, 2019 7 (2) E399-E404; DOI: https://doi.org/10.9778/cmajo.20190008
Harman S. Sandhu
Department of Health Research Methods, Evidence, and Impact (Sandhu, Anderson), and Centre for Health Economics and Policy Analysis (Anderson), McMaster University; Department of Anesthesia (Busse), Michael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University, Hamilton, Ont.
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Laura N. Anderson
Department of Health Research Methods, Evidence, and Impact (Sandhu, Anderson), and Centre for Health Economics and Policy Analysis (Anderson), McMaster University; Department of Anesthesia (Busse), Michael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University, Hamilton, Ont.
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Jason W. Busse
Department of Health Research Methods, Evidence, and Impact (Sandhu, Anderson), and Centre for Health Economics and Policy Analysis (Anderson), McMaster University; Department of Anesthesia (Busse), Michael G. DeGroote Centre for Medicinal Cannabis Research, McMaster University, Hamilton, Ont.
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    Figure 1:

    Percentages of respondents who reported they would try or increase their cannabis consumption (n = 29 928 424), try or consume different types of cannabis products (n = 29 607 064), and obtain or purchase cannabis from another source (n = 29 300 593), following legalization of cannabis use for nonmedical purposes.

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    Table 1:

    Weighted table of respondent characteristics (n = 27 808 081)

    CharacteristicPercentage (95% CI)
    Sex
     Female50.3 (50.0–50.6)
     Male49.7 (49.4–50.0)
    Age, yr
     ≥ 6518.5 (18.2–18.7)
     45–6432.6 (32.3–32.9)
     35–4416.6 (16.4–16.8)
     25–3419.5 (18.7–20.4)
     15–2412.9 (12.0–13.7)
    Cannabis use in past 3 mo
     No84.8 (84.0–85.7)
     Yes15.2 (14.3–16.0)
    Education level
     Bachelor’s degree or higher32.7 (31.7–33.8)
     College or diploma33.7 (32.6–34.7)
     Less than HS or HS only33.6 (32.6–34.7)
    Income level, $
     < 40 00049.7 (48.7–50.8)
     40 000–79 99932.0 (31.0–33.1)
     ≥ 80 00018.3 (17.5–19.0)
    Main activity
     Employed59.2 (58.1–60.2)
     Student6.8 (6.1–7.5)
     Caregiving/housework8.4 (7.8–9.1)
     Retired/LTI20.6 (20.0–21.2)
     Other5.0 (4.4–5.6)
    Mental health
     Good to excellent93.8 (93.2–94.4)
     Fair or poor6.2 (5.6–6.8)
    Province or territory capital city, grouped
     Ontario39.4 (39.1–39.7)
     Quebec22.9 (22.7–23.2)
     Atlantic provinces6.5 (6.4–6.6)
     Manitoba3.4 (3.3–3.4)
     Saskatchewan3.0 (2.9–3.0)
     Alberta11.5 (11.3–11.6)
     British Columbia13.3 (13.1–13.5)
     Territory capital cities0.05 (0.049–0.051)
    Survey wave
     132.9 (32.6–33.2)
     233.5 (33.2–33.8)
     333.7 (33.4–34.0)
    • Note: CI = confidence interval, HS = high school, LTI = long-term illness. Percentage totals for ages and provinces do not add up to exactly 100% because of bootstrapping and rounding. A weighted count (n) can be calculated by multiplying the proportion by the total population size.

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    Table 2:

    Results of the multivariable logistic regression analysis with the outcome of interest being more likely to try or increase cannabis use after legalization (n = 27 808 081)

    CharacteristicUnadjusted OR (95% CI)Adjusted OR (95% CI)Adjusted risk increase percentage (95% CI)
    Sex
     FemaleRef.Ref.Ref.
     Male1.3* (1.2–1.5)1.1 (1.0–1.3)NR
    Age, yr
     ≥ 65Ref.Ref.Ref.
     45–641.7* (1.4–2.1)1.3 (1.0–1.6)NR
     35–442.8* (2.3–3.3)1.8* (1.3–2.4)6.8 (3.5–10.1)
     25–344.2* (3.5–5.1)2.6* (1.9–3.4)12.6 (8.8–16.4)
     15–245.3* (4.2–6.8)3.8* (2.6–5.6)20.1 (13.9–26.2)
    Cannabis use in past 3 mo
     NoRef.Ref.Ref.
     Yes4.3* (3.7–5.0)3.3* (2.8–3.9)20.4 (17.1–23.6)
    Education level
     Bachelor’s degree or higherRef.Ref.Ref.
     College or diploma0.8* (0.7–0.9)0.9 (0.7–1.0)NR
     Less than HS or HS only0.9 (0.8–1.1)0.9 (0.8–1.1)NR
    Income level, $
     < 40 000Ref.Ref.Ref.
     40 000–79 9991.0 (0.8–1.1)1.2* (1.0–1.4)2.5 (0.3–4.7)
     ≥ 80 0001.2* (1.1–1.4)1.5* (1.3–1.9)6.1 (3.2–9.0)
    Main activity
     EmployedRef.Ref.Ref.
     Student1.4* (1.1–1.9)0.9 (0.6–1.3)NR
     Caregiving/housework0.8 (0.7–1.0)1.0 (0.8–1.3)NR
     Retired/LTI0.4* (0.4–0.5)0.9 (0.7–1.1)NR
     Other1.1 (0.8–1.4)0.8 (0.6–1.1)NR
    Mental health
     Good to excellentRef.Ref.Ref.
     Poor or fair2.6* (2.1–3.2)2.0* (1.6–2.6)11.5 (6.7–16.2)
    • Note: CI = confidence interval, HS = high school, LTI = long-term illness, NR = not reported (for adjusted ORs that were not significant), OR = odds ratio, Ref. = reference category. The adjusted model includes province/territory and survey wave.

    • ↵* Wald test for predictors being significant in model at p < 0.05.

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CMAJ Open: 7 (2)
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1 Apr 2019
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Characteristics of Canadians likely to try or increase cannabis use following legalization for nonmedical purposes: a cross-sectional study
Harman S. Sandhu, Laura N. Anderson, Jason W. Busse
Apr 2019, 7 (2) E399-E404; DOI: 10.9778/cmajo.20190008

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Characteristics of Canadians likely to try or increase cannabis use following legalization for nonmedical purposes: a cross-sectional study
Harman S. Sandhu, Laura N. Anderson, Jason W. Busse
Apr 2019, 7 (2) E399-E404; DOI: 10.9778/cmajo.20190008
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