Drug Legalization and Decriminalization Beliefs Among Individuals with and without a History of Substance Use

Abstract

Drug legalization and decriminalization policy has changed in recent years. This study examined attitudes regarding drug legalization and decriminalization among persons who use substances, a perspective that can provide a unique view on legalization/decriminalization. A nationwide sample of 515 adults with and without substance use were surveyed online to assess opinions on drug legalization and decriminalization. Legalization/decriminalization beliefs were rated on an 11-point scale (0, “strongly disagree”; 10, “strongly agree”) and compared across demographic and drug use characteristics. Among persons with lived experiences in substance use, direct use of certain substances such as opioids or stimulants appears to be associated with low levels of support for legalization and modest support for decriminalization. Individuals with cannabis use largely supported cannabis legalization and decriminalization. Reasons behind ratings by persons with opioid and cocaine use should be further evaluated. Evolving social acceptance of illicit drug use may shift attitudes over time.

Keywords

drug decriminalization drug legalization cannabis heroin cocaine substance use

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References

Adinoff

Reiman

(2019). Implementing social justice in the transition from illicit to legal cannabis. The American Journal of Drug and Alcohol Abuse, 45(6), 673–688. https://doi.org/10.1080/00952990.2019.1674862

American Psychiatric Association (APA) . (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association Publishing. https://doi.org/10.1176/appi.books.9780890425596

Arria

A. M.

Garnier-Dykstra

L. M.

Cook

E. T.

Caldeira

K. M.

Vincent

K. B.

Baron

R. A.

O’Grady

K. E.

(2013). Drug use patterns in young adulthood and post-college employment. Drug and Alcohol Dependence, 127(1–3), 23–30. https://doi.org/10.1016/j.drugalcdep.2012.06.001

Beckett

Nyrop

Pfingst

(2006). Race, drugs, and policing: Understanding disparities in drug delivery arrests. Criminology: An Interdisciplinary Journal, 44(1), 105–137. https://doi.org/10.1111/j.1745-9125.2006.00044.x

Benz

M. B.

Aston

E. R.

Mercurio

A. N.

Metrik

(2021). The potential impact of legalization of recreational cannabis among current users: A qualitative inquiry. Journal of Psychoactive Drugs, 54(3), 233–240. https://doi.org/10.1080/02791072.2021.1959966

Bragard

Giorgi

Juneau

Curtis

B. L.

(2022). Daily diary study of loneliness, alcohol, and drug use during the COVID 19 pandemic. Alcoholism: Clinical and Experimental Research, 46(8), 1539–1551. https://doi.org/10.1111/acer.14889

Cerdá

Mauro

Hamilton

Levy

N. S.

Santaella-Tenorio

Hasin

Wall

M. M.

Keyes

K. M.

Martins

S. S.

(2020). Association between recreational marijuana legalization in the United States and changes in marijuana use and cannabis use disorder from 2008 to 2016. JAMA Psychiatry, 77(2), 165–171. https://doi.org/10.1001/jamapsychiatry.2019.3254

Chambers

L. C.

Hallowell

B. D.

Zang

Rind

D. M.

Guzauskas

G. F.

Hansen

R. N.

Fuchs

Scagos

R. P.

Marshall

B. D. L.

(2022). The estimated costs and benefits of a hypothetical supervised consumption site in Providence, Rhode Island. International Journal of Drug Policy, 108, 103820. https://doi.org/10.1016/j.drugpo.2022.103820

Chiu

Hall

Chan

Hides

Leung

(2022). A systematic review of trends in US attitudes toward cannabis legalization. Substance Use & Misuse, 57(7), 1052–1061. https://doi.org/10.1080/10826084.2022.2063893

10.

Ciccarone

(2021). The rise of illicit fentanyls, stimulants and the fourth wave of the opioid overdose crisis. Current Opinion in Psychiatry, 34(4), 344–350. https://doi.org/10.1097/YCO.0000000000000717

11.

Ciccarone

Shoptaw

(2022). Understanding stimulant use and use disorders in a new era. Medical Clinics of North America, 106(1), 81–97. https://doi.org/10.1016/j.mcna.2021.08.010

12.

Edwards

Greytak

Madubuonwu

Sanchez

Beiers

Resing

Fernandez

Galai

(2020). A tale of two countries: Racially targeted arrested in the era of marijuana reform. American Civil Liberties Union. https://www.aclu.org/report/tale-two-countries-racially-targeted-arrests-era-marijuana-reform

13.

Ekins

(2019). Poll: 55% of Americans favor decriminalizing drugs. Cato. https://www.cato.org/blog/poll-55-americans-favor-decriminalizing-drugs

14.

Ellis

J. D.

Resko

S. M.

Szechy

Smith

Early

T. J.

(2019). Characteristics associated with attitudes toward marijuana legalization in Michigan. Journal of Psychoactive Drugs, 51(4), 335–342. https://doi.org/10.1080/02791072.2019.1610199

15.

Felson

Adamczyk

Thomas

(2019). How and why have attitudes about cannabis legalization changed so much? Social Science Research, 78, 12–27. https://doi.org/10.1016/j.ssresearch.2018.12.011

16.

GALLUP . (2021). Support for legal marijuana holds at record high of 68%. GALLUP. https://news.gallup.com/poll/356939/support-legal-marijuana-holds-record-high.aspx

17.

Glei

D. A.

Preston

S. H.

(2020). Estimating the impact of drug use on US mortality, 1999-2016. PLoS One, 15(1), 1–19. https://doi.org/10.1371/journal.pone.0226732

18.

Greenglass

Chiacchia

Fiskenbaum

(2022). Investigating COVID‐19 stress and coping: Substance use and behavioural disengagement. International Journal of Psychology, 57(3), 325–335. https://doi.org/10.1002/ijop.12820

19.

Haider

M. R.

Brown

M. J.

Gupta

R. D.

Karim

Olatosi

(2020). Psycho-social correlates of opioid use disorder among the US adult population: Evidence from the National Survey on Drug Use and Health, 2015–2018. Substance Use & Misuse, 55(12), 2002–2010. https://doi.org/10.1080/10826084.2020.1788086

20.

Hammond

A. S.

Dunn

K. E.

Strain

E. C.

(2020). Drug legalization and decriminalization beliefs among substance-using and nonusing individuals. Journal of Addiction Medicine, 14(1), 56–62. https://doi.org/10.1097/ADM.0000000000000542

21.

J. Y.

(2017). The contribution of drug overdose to educational gradients in life expectancy in the United States, 1992-2011. Demography, 54(3), 1175–1202. https://doi.org/10.1007/s13524-017-0565-3

22.

Hughes

C. E.

Stevens

(2010). What can we learn from the Portuguese decriminalization of illicit drugs? British Journal of Criminology, 50(6), 999–1022. https://doi.org/10.1093/bjc/azq038

23.

Joshi

Rivera

B. D.

Cerdá

Guy

G. P.

Jr. Strahan

Wheelock

Davis

C. S.

(2023). One-year association of drug possession law change with fatal drug overdose in Oregon and Washington. JAMA Psychiatry, Article e233416. https://doi.org/10.1001/jamapsychiatry.2023.3416

24.

Kral

A. H.

Lambdin

B. H.

Wenger

L. D.

Davidson

P. J.

(2020). Evaluation of an unsanctioned safe consumption site in the United States. New England Journal of Medicine, 383(6), 589–590. https://doi.org/10.1056/NEJMc2015435

25.

Miech

R. A.

Johnston

O’Malley

P. M.

Bachman

J. G.

Schulenberg

Patrick

M. E.

(2015). Trends in use of marijuana and attitudes toward marijuana among youth before and after decriminalization: The case of California 2007–2013. International Journal of Drug Policy, 26(4), 336–344. https://doi.org/10.1016/j.drugpo.2015.01.009

26.

Mikos

R. A.

Kam

C. D.

(2019). Has the “M” word been framed? Marijuana, cannabis, and public opinion. PLoS One, 14(10). https://doi.org/10.1371/journal.pone.0224289

27.

Mooney

A. C.

Giannella

Glymour

M. M.

Neilands

T. B.

Morris

M. D.

Tulsky

Sudhinaraset

(2018). Racial/ethnic disparities in arrests for drug possession after California Proposition 47, 2011–2016. American Journal of Public Health, 108(8), 987–993. https://doi.org/10.2105/AJPH.2018.304445

28.

Okaneku

Vearrier

McKeever

R. G.

LaSala

G. S.

Greenberg

M. I.

(2015). Change in perceived risk associated with marijuana use in the United States from 2002 to 2012. Clinical Toxicology, 53(3), 151–155. https://doi.org/10.3109/15563650.2015.1004581

29.

Paolacci

Chandler

Ipeirotis

P. G.

(2010). Running experiments on Amazon mechanical Turk. Judgment and Decision Making, 5(5), 411–419. https://doi.org/10.1017/S1930297500002205

30.

Resko

S. M.

Szechy

K. A.

Early

T. J.

Ellis

J. D.

Hicks

Agius

(2020). Perceptions of public health consequences of marijuana legalization. Addiction Research and Theory, 29(3), 255–262. https://doi.org/10.1080/16066359.2020.1823971

31.

Rhee

T. G.

Rosenheck

R. A.

(2019). Association of current and past opioid use disorders with health-related quality of life and employment among US adults. Drug and Alcohol Dependence, 199, 122–128. https://doi.org/10.1016/j.drugalcdep.2019.03.004

32.

Rouhani

McGinty

E. E.

Weicker

N. P.

White

R. H.

LaSalle

Barry

C. L.

Sherman

S. G.

(2022). Racial resentment and support for decriminalization of drug possession in the United States. Preventive Medicine: An International Journal Devoted to Practice and Theory, 163, 1–8. https://doi.org/10.1016/j.ypmed.2022.107189

33.

Sanchez

H. F.

Orr

M. F.

Wang

Cano

M. Á.

Vaughan

E. L.

Harvey

L. M.

Essa

Torbati

Clark

U. S.

Fagundes

C. P.

de Dios

M. A.

(2020). Racial and gender inequities in the implementation of a cannabis criminal justice diversion program in a large and diverse metropolitan county of the USA. Drug and Alcohol Dependence, 216, 108316. https://doi.org/10.1016/j.drugalcdep.2020.108316

34.

Scheim

A. I.

Maghsoudi

Marshall

Churchill

Ziegler

Werb

(2020). Impact evaluations of drug decriminalisation and legal regulation on drug use, health and social harms: A systematic review. BMJ Open, 10(9), e035148. https://doi.org/10.1136/bmjopen-2019-035148

35.

Sheehan

B. E.

Grucza

R. A.

Plunk

A. D.

(2021). Association of racial disparity of cannabis possession arrests among adults and youths with statewide cannabis decriminalization and legalization. JAMA Health Forum, 2(10), 1–11. https://doi.org/10.1001/jamahealthforum.2021.3435

36.

Strickland

J. C.

Stoops

W. W.

(2018). The use of crowdsourcing in addiction science research: Amazon Mechanical Turk. In Experimental and clinical psychopharmacology. https://doi.org/10.1037/pha0000235

37.

Substance Abuse and Mental Health Services Administration (SAMHSA) . (2021). National survey on drug use and health (NSDUH) (p. 2021). https://datafiles.samhsa.gov

38.

Tavares

A. S.

Portugal

(2012). The impact of drug decriminalization in Portugal. 2012 Portuguese Stata Users Group meeting. The Economist. https://www.stata.com/meeting/portugal12/

39.

Unlu

Tammi

Hakkarainen

(2020). Drug decriminalization policy: Literature review: Models, implementation and outcomes. Finnish Institute for Health and Welfare. https://urn.fi/URN