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The adverse health effects of cannabis use: what are they, and what are their implications for policy?

机译:大麻使用对健康的不利影响:它们是什么,及其对政策的影响?

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BACKGROUND: The adverse health effects of cannabis are a source of contention in debates about policies towards the drug. METHODS: This paper provides a review of epidemiological evidence on the major adverse health effects of cannabis use and considers its implications for policy. RESULTS: The evidence strongly suggests that cannabis can adversely affect some users, especially adolescents who initiate use early and young adults who become regular users. These adverse effects probably include increased risks of: motor vehicle crashes, the development of cannabis dependence, impaired respiratory function, cardiovascular disease, psychotic symptoms, and adverse outcomes of adolescent development, namely, poorer educational outcomes and an increased likelihood of using other illicit drugs. CONCLUSIONS: Politically, evidence of adverse health effects favours the status quo in developed countries like Australia where cannabis policy has been framed by the media as a choice between two views: (1) either cannabis use is largely harmless to most users and so we should legalize, or at the very least decriminalize its use; or (2) it harms some of its users so we should continue to prohibit its use.
机译:背景:大麻对健康的不利影响是有关毒品政策的辩论中的争论焦点。方法:本文提供了关于大麻使用的主要不利健康影响的流行病学证据的综述,并考虑了其对政策的影响。结果:有力证据表明,大麻会对某些使用者产生不利影响,特别是开始使用大麻的青少年和成为常规使用者的年轻人。这些不利影响可能包括以下方面的增加的风险:机动车碰撞,大麻依赖的发展,呼吸功能受损,心血管疾病,精神病症状以及青少年发育的不良后果,即教育成果较差和使用其他非法药物的可能性增加。结论:从政治上讲,不利健康影响的证据有利于发达国家(如澳大利亚)的现状,在这些国家,媒体已将大麻政策定为两种观点之间的选择:(1)要么大麻使用对大多数使用者基本无害,所以我们应该将其使用合法化,或至少将其使用合法化;或(2)它危害某些用户,因此我们应继续禁止其使用。

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