How Colorado tried to protect youth in its legal cannabis market

Five years after Colorado legalized recreational cannabis, no statistically significant increase in youth consumption had been identified, but stakeholders highlighted gaps in advertising restrictions and education funding.

Subritzky, Todd et al.·The International journal on drug policy·2019·Moderate EvidenceQualitative Study
RTHC-02308QualitativeModerate Evidence2019RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Qualitative Study
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Qualitative interviews with 32 key stakeholders and analysis of 13 government documents revealed five themes: advertising restrictions, education efforts, appropriation of funds for prevention, impact assessment challenges, and evolving messages in prevention campaigns. Stakeholders noted that while advertising restrictions existed pre-implementation, enforcement and funding for youth education were ongoing challenges.

Key Numbers

13 government documents analyzed. 32 stakeholders interviewed. 5 themes identified. Pre-implementation phase covered November 2012 through December 2013. Interviews conducted in 2016 and 2017.

How They Did This

Qualitative descriptive methodology using document analysis of 13 government documents from the pre-implementation phase (2012-2013) and 32 semi-structured interviews with regulators and stakeholders conducted in 2016-2017.

Why This Research Matters

As more jurisdictions legalize cannabis, Colorado serves as the longest-running case study for how youth protection measures play out in practice versus on paper.

The Bigger Picture

Youth protection is central to the legalization debate. This study provides a real-world look at the gap between what policymakers promised and what regulators experienced on the ground.

What This Study Doesn't Tell Us

Qualitative study with no quantitative outcome measures. Limited to one state. Stakeholder perspectives may not fully represent youth experiences.

Questions This Raises

  • ?How effectively are prevention education funds being spent in legal cannabis states?
  • ?Are advertising restrictions actually reducing youth exposure?

Trust & Context

Key Stat:
No statistically significant increase in youth consumption after 5 years
Evidence Grade:
Qualitative research with systematic methodology, but limited generalizability.
Study Age:
2019 study examining Colorado data from 2012 to 2017.
Original Title:
Cannabis and youth protection in Colorado's commercial adult-use market: A qualitative investigation.
Published In:
The International journal on drug policy, 74, 116-126 (2019)
Database ID:
RTHC-02308

Evidence Hierarchy

Meta-Analysis / Systematic Review
Randomized Controlled Trial
Cohort / Case-Control
Cross-Sectional / ObservationalSnapshot without intervening
This study
Case Report / Animal Study

Uses interviews or focus groups to understand experiences in depth.

What do these levels mean? →

Frequently Asked Questions

Did youth cannabis use increase after Colorado legalized?

At the time of this study (5 years post-legalization), no statistically significant increase in youth consumption had been identified.

What youth protection measures did Colorado implement?

Measures included advertising restrictions, prevention education campaigns, and dedicated funding, though stakeholders noted enforcement and funding gaps.

Read More on RethinkTHC

Cite This Study

RTHC-02308·https://rethinkthc.com/research/RTHC-02308

APA

Subritzky, Todd; Lenton, Simon; Pettigrew, Simone. (2019). Cannabis and youth protection in Colorado's commercial adult-use market: A qualitative investigation.. The International journal on drug policy, 74, 116-126. https://doi.org/10.1016/j.drugpo.2019.09.007

MLA

Subritzky, Todd, et al. "Cannabis and youth protection in Colorado's commercial adult-use market: A qualitative investigation.." The International journal on drug policy, 2019. https://doi.org/10.1016/j.drugpo.2019.09.007

RethinkTHC

RethinkTHC Research Database. "Cannabis and youth protection in Colorado's commercial adult..." RTHC-02308. Retrieved from https://rethinkthc.com/research/subritzky-2019-cannabis-and-youth-protection

Access the Original Study

Study data sourced from PubMed, a service of the U.S. National Library of Medicine, National Institutes of Health.

This study breakdown was produced by the RethinkTHC research team. We analyze and report published research findings without making health recommendations. All interpretations are based solely on the published abstract and study data.