Canadians living closer to legal cannabis stores were more likely to buy from legal sources

In the first three years of Canadian legalization, proximity to legal retail stores was associated with greater use of legal cannabis sources, while those farther from stores relied more on informal sources.

Wadsworth, Elle et al.·Journal of studies on alcohol and drugs·2023·Moderate EvidenceCross-Sectional
RTHC-05009Cross SectionalModerate Evidence2023RETHINKTHC RESEARCH DATABASErethinkthc.com/research

Quick Facts

Study Type
Cross-Sectional
Evidence
Moderate Evidence
Sample
Not reported

What This Study Found

Distance to the nearest legal cannabis retail store was significantly associated with cannabis sourcing. Respondents living closer to legal stores were more likely to purchase from legal sources, while those farther away used informal or illegal sources more frequently.

Key Numbers

15,311 past-year cannabis consumers surveyed 2019-2021. Distance to nearest legal store was significantly associated with source choice. Closer proximity = more legal purchasing.

How They Did This

Cross-sectional analysis of Canadian respondents in the International Cannabis Policy Study (2019-2021). 15,311 past-12-month cannabis consumers. Assessed distance to nearest legal retail store and cannabis purchasing sources.

Why This Research Matters

A key goal of Canadian legalization was transitioning consumers from illegal to legal markets. This study shows physical access to legal stores is a major determinant of whether that transition happens.

The Bigger Picture

Canada's phased rollout of cannabis retail created natural variation in store access. The finding that proximity drives legal purchasing suggests that jurisdictions slow to open stores may be inadvertently sustaining illegal markets.

What This Study Doesn't Tell Us

Repeat cross-sectional design, not longitudinal tracking of individuals. Store proximity calculated from home address, not accounting for work or travel patterns. Other factors (price, product quality, convenience) also influence sourcing. Cannot confirm self-reported source accuracy.

Questions This Raises

  • ?What is the critical distance threshold beyond which legal sourcing drops significantly?
  • ?Would delivery services offset the access barrier for those far from stores?

Trust & Context

Key Stat:
15,311 consumers; closer proximity to legal stores = more legal purchasing
Evidence Grade:
Large repeat cross-sectional study with geographic analysis. Cannot track individual behavior change over time.
Study Age:
Published 2023. Survey data from 2019-2021.
Original Title:
Proximity to Legal Cannabis Stores in Canada and Use of Cannabis Sources in the First Three Years of Legalization, 2019-2021.
Published In:
Journal of studies on alcohol and drugs, 84(6), 852-862 (2023)
Database ID:
RTHC-05009

Evidence Hierarchy

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

A snapshot of a population at one point in time.

What do these levels mean? →

Frequently Asked Questions

Did Canadian legalization eliminate the illegal cannabis market?

Not entirely. This study shows that proximity to legal stores matters. Consumers living far from legal retail were more likely to continue using informal or illegal sources. Physical access to legal cannabis is a key factor in market transition.

How many legal cannabis stores does Canada have?

Store rollout varied dramatically by province. Some provinces opened stores quickly while others were much slower. This variation created the natural experiment this study leveraged, finding that access drives behavior regardless of legal status.

Read More on RethinkTHC

Cite This Study

RTHC-05009·https://rethinkthc.com/research/RTHC-05009

APA

Wadsworth, Elle; Driezen, Pete; Dilley, Julia A; Gabrys, Robert; Jesseman, Rebecca; Hammond, David. (2023). Proximity to Legal Cannabis Stores in Canada and Use of Cannabis Sources in the First Three Years of Legalization, 2019-2021.. Journal of studies on alcohol and drugs, 84(6), 852-862. https://doi.org/10.15288/jsad.22-00427

MLA

Wadsworth, Elle, et al. "Proximity to Legal Cannabis Stores in Canada and Use of Cannabis Sources in the First Three Years of Legalization, 2019-2021.." Journal of studies on alcohol and drugs, 2023. https://doi.org/10.15288/jsad.22-00427

RethinkTHC

RethinkTHC Research Database. "Proximity to Legal Cannabis Stores in Canada and Use of Cann..." RTHC-05009. Retrieved from https://rethinkthc.com/research/wadsworth-2023-proximity-to-legal-cannabis

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.