Scientific Article
Assessing the public health impact of cannabis legalization in Canada

Author
Benedikt Fischer (E-mail: benedikt.fischer@utoronto.ca), Cayley Russell, Jürgen Rehm, Pamela Leece
Citation
Benedikt Fischer, Cayley Russell, Jürgen Rehm, Pamela Leece, Assessing the public health impact of cannabis legalization in Canada: core outcome indicators towards an ‘index’ for monitoring and evaluation, Journal of Public Health, Volume 41, Issue 2, June 2019, Pages 412–421, https://doi.org/10.1093/pubmed/fdy090
  • Source
    Journal of Public Health, Volume 41, Issue 2, June 2019, Pages 412–421
  • Release date
    30/05/2018

Assessing the public health impact of cannabis legalization in Canada: core outcome indicators towards an ‘index’ for monitoring and evaluation

Scientific article

Abstract

The legalization of non-medical cannabis use and supply is impending in Canada.

This constitutes a major policy change with the declared objective of improving public health outcomes, which requires rigorous monitoring and evaluation. While numerous different aspects associated with legalization will be examined, a focused perspective is required for effective policy evaluation purposes.

To these ends, the researchers have identified a set of 10 core indicators associated with cannabis-related risk/harm outcomes—based on current best evidence—that are expected to measure the primary impacts of legalization on public health outcomes. The researchers briefly review these indicators, and their respective data availability in Canada.

As ideally an integrated outcome assessment of cannabis legalization’s impact on public health will be available, the researchers further propose options to merge the individual indicators into an integrated, weighted ‘index’, considering their expected relative impact for public health. One possible approach to undertake this is ‘multi-criteria decision analysis’ as a method to weight the relative indicator impact on public health; alternative approaches are proposed.

The integrated ‘public health index’ for cannabis legalization will allow for scientifically comprehensive, while focused, monitoring and evaluation of the effects of legalization in Canada for the benefits of science and evidence-based policy alike.

Source Website: Oxford Academic